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C
Below Standard

PUXICO NURSING AND REHABILITATION CENTER

540 NORTH HIGHWAY 51 · PUXICO, MO 63960

5732223125 · For profit - Individual

60 beds37.8 residents58 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PUXICO NURSING AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.8922 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5118 HPRD, below the recommended 0.75. It is 0.00 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.28% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5118 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8922hrs/resident/day▼ 0.00
CMS benchmark: 3.48
RN HPRD
0.5118hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
20.28%
4.1289 weekday → 3.2914 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.3538hrs/resident/day
Direct care aides
LPN HPRD
0.6958hrs/resident/day
Licensed practical nurses
Consistency
0.549std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Stoddard County Average+0.16 HPRD
3.73
03.89 HPRD
vs. Missouri State Average+0.41 HPRD
3.48
03.89 HPRD
vs. National Average-0.00 HPRD
3.90
03.89 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PUXICO NURSING AND REHABILITATION CENTER ★
PUXICO · This facility
—
C
3.89220.5118★★★★☆
PRAIRIE VIEW SKILLED NURSING
BLOOMFIELD
13.1 mi
C
3.38040.4527★★★☆☆
CYPRESS POINT-SKILLED NURSING BY AMERICARE
DEXTER
15.5 mi
B
3.90760.6685★★★★☆
MEMORY LANE OF DEXTER
DEXTER
15.7 mi
D
3.72370.2818★★☆☆☆
ASPIRE SENIOR LIVING POPLAR BLUFF
POPLAR BLUFF
18.7 mi
C
3.31770.4083★★☆☆☆
MANOR, THE
POPLAR BLUFF
18.7 mi
B
3.79980.7327★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
22
Total Deficiencies
$11,164
Fines Assessed
Jul 24, 2024Health
6 deficiencies cited
▼
Mar 31, 2023Health
7 deficiencies cited
▼
Oct 19, 2020Health
9 deficiencies cited
▼

Penalty History

Mar 31, 2023Fine
$11,164
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.