Inspection Reports for
Puxico Nursing &Amp; Rehabiliation Center
540 NORTH HIGHWAY 51, PUXICO, MO, 63960-9117
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
67% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 40
Deficiencies: 4
Date: Nov 17, 2025
Visit Reason
The inspection was conducted as part of a regulatory annual survey to assess compliance with health and safety standards at Puxico Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including improper urinary catheter care, unsanitary food storage and preparation conditions, inadequate infection prevention and control practices, and poor maintenance of the laundry building. These deficiencies posed risks of urinary tract infections, foodborne illness, and cross-contamination among residents.
Deficiencies (4)
Failure to maintain urinary catheter drainage bags in the proper position, allowing bags and tubing to touch the floor.
Failure to store and distribute food under sanitary conditions, including use of dented cans, unlabeled food containers, nonfunctioning plate warmer, and improper food temperatures.
Failure to implement proper infection control practices during incontinent care, catheter care, wound care, and glucose monitoring/insulin administration.
Laundry building in poor condition with leaks, dirty air conditioning unit, exposed drywall, and presence of dead mouse, compromising infection control.
Report Facts
Facility census: 40
Dented cans: 6
Food temperatures: 115
Food temperatures: 108
Food temperatures: 110
Food temperatures: 104
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN C | Licensed Practical Nurse | Performed catheter care, wound care, and was interviewed regarding catheter care procedures |
| LPN E | Licensed Practical Nurse | Observed performing blood glucose monitoring and insulin administration with noted infection control deficiencies |
| NA G | Nursing Assistant | Observed performing incontinent care with infection control deficiencies |
| NA H | Nursing Assistant | Observed performing incontinent care with infection control deficiencies and interviewed about hand hygiene |
| CNA A | Certified Nursing Assistant | Observed performing catheter care with infection control deficiencies |
| CNA B | Certified Nursing Assistant | Observed performing catheter care and interviewed about catheter cleaning procedures |
| Dietary Manager | Dietary Manager | Interviewed regarding food temperature and kitchen sanitation issues |
| Housekeeping Staff J | Housekeeping Staff | Interviewed regarding knowledge of laundry room leak |
| Maintenance Supervisor | Maintenance Supervisor | Interviewed regarding laundry room leak and maintenance issues |
| Regional Consultant | Regional Consultant | Interviewed regarding laundry building condition |
| Administrator | Administrator | Interviewed regarding expectations for infection control and facility maintenance |
| Director of Nursing | Director of Nursing | Interviewed regarding catheter care and infection control expectations |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding catheter care and infection control expectations |
Inspection Report
Routine
Census: 31
Deficiencies: 6
Date: Jul 24, 2024
Visit Reason
The inspection was conducted to assess compliance with professional standards of quality in medication administration, dialysis care, nurse aide training, pharmaceutical services, medication error rates, and medication labeling and storage at Puxico Nursing and Rehabilitation Center.
Findings
The facility failed to follow physician's orders for medications for three residents, did not document dialysis site assessments properly, failed to ensure timely nurse aide training completion, did not consistently reconcile narcotics at shift changes, had a medication error rate exceeding 5%, and failed to date multi-dose vials of Aplisol solution.
Deficiencies (6)
Failed to follow physician's orders for medications for three residents, including insulin dosage errors and administration of discontinued medication.
Failed to provide documentation of ongoing assessment and monitoring for a resident receiving dialysis, including lack of orders for assessing fistula site thrill and bruit.
Failed to ensure two nurse aides completed training within four months of employment.
Failed to ensure staff reconciled narcotics at each shift change for one of two medication carts, missing 51 of 79 opportunities.
Failed to maintain medication error rate below 5%, with an error rate of 7.69% involving two residents.
Failed to ensure two vials of Aplisol solution were dated when opened as required.
Report Facts
Residents affected: 3
Facility census: 31
Medication administration opportunities: 26
Medication errors: 2
Medication error rate: 7.69
Narcotic reconciliation missed opportunities: 51
Nurse aide training delay: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Named in medication error findings and narcotic reconciliation interview. |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding medication administration, dialysis care, nurse aide training, narcotic reconciliation, and medication labeling. |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding medication administration compliance. |
| Licensed Practical Nurse F | Licensed Practical Nurse (LPN) | Interviewed regarding dialysis fistula assessment documentation. |
| Administrator | Facility Administrator | Interviewed regarding expectations for medication administration, nurse aide training, and narcotic reconciliation. |
Inspection Report
Annual Inspection
Census: 36
Deficiencies: 7
Date: Mar 31, 2023
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with federal and state regulations related to resident care, facility environment, resident assessments, care planning, dialysis services, and food safety.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, timely completion of Minimum Data Set (MDS) assessments, updating and revising individualized care plans, providing appropriate dialysis care documentation and communication, and ensuring sanitary food preparation and distribution practices.
Deficiencies (7)
Failed to maintain a safe, clean, comfortable, and homelike environment with issues such as grime, musty odors, peeled paint, and maintenance deficiencies in shower rooms, bathrooms, dining areas, and hallways.
Failed to complete comprehensive Minimum Data Set (MDS) assessments within required timeframes for multiple residents.
Failed to complete significant change MDS assessments within 14 days after significant changes in condition for several residents.
Failed to complete quarterly MDS assessments within required timeframes for multiple residents.
Failed to update and revise individualized care plans with specific interventions and failed to include residents, guardians, or interdisciplinary care team in care plan conferences.
Failed to provide documentation of ongoing assessments, monitoring, and communication between the facility and dialysis center for a resident requiring dialysis.
Failed to distribute food under sanitary conditions, including uncovered food and drinks on meal carts, dirty kitchen equipment, food storage issues, and poor cleaning practices.
Report Facts
Residents affected: 36
Residents sampled: 12
Residents affected: 5
Residents affected: 15
Residents affected: 1
Residents affected: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant E | CNA | Interviewed regarding maintenance log and environmental issues |
| Housekeeping Aide D | Housekeeping Aide | Interviewed regarding cleaning practices in shower room |
| Maintenance Director | Interviewed regarding maintenance schedules and environmental conditions | |
| Administrator | Interviewed regarding facility cleanliness and care plan expectations | |
| Director of Nursing | DON | Interviewed regarding MDS assessments, care plans, and dialysis care |
| MDS Coordinator | Interviewed regarding MDS assessment completion and care plan responsibilities | |
| Registered Nurse C | RN | Observed providing wound care to Resident #19 |
| Corporate Nurse | Interviewed regarding care plan documentation system | |
| Dietary Aide B | DA | Interviewed regarding food delivery practices |
| Dietary Manager | DM | Interviewed regarding kitchen cleanliness and food safety |
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