Puxico Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Puxico Nursing and Rehabilitation Center is a 60-bed for-profit nursing home in Puxico, Missouri, part of Circle B Enterprises. In the CMS August 2026 release it reported 2.58 nurse aide hours per resident per day, 13% above the Missouri average of 2.29, and 50.0% nursing staff turnover (Missouri average 56.0%).
Puxico Nursing and Rehabilitation Center
540 North Highway 51Puxico, MO 63960
Stoddard County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Puxico Nursing and Rehabilitation Center, nurse aides logged 2.58 hours per resident per day, 13% above the Missouri average. With about 36 residents a day, that works out to roughly 93 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.58 | 2.29 | 2.32 |
| Licensed practical nurses | 0.70 | 0.68 | 0.86 |
| Registered nurses | 0.64 | 0.46 | 0.69 |
| All nursing staff | 3.92 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.52 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.0% of nursing staff at Puxico Nursing and Rehabilitation Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 40.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Puxico Nursing and Rehabilitation Center holds 4 of 5 overall; the Missouri average is 2.5.
About Puxico Nursing and Rehabilitation Center
- Ownership: For profit - Individual
- Chain: Circle B Enterprises, 36 homes
- Legal name: Puxico #1 Inc
- Medicare and Medicaid certified since: May 1, 1992
- Councils: resident council
- Area: rural
Nursing homes near Puxico Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Prairie View Skilled Nursing Bloomfield | 13.1 | 60 | 2.39 | 3.59 | — | 2 | None |
| Crowley Ridge Care Center Dexter · many days without an RN | 14.7 | 90 | 2.62 | 3.59 | 52.6% | 4 | None |
| Cypress Point-Skilled Nursing by Americare Dexter | 15.5 | 79 | 2.22 | 3.83 | 50.0% | 4 | $73,743 |
| Memory Lane of Dexter Dexter | 15.8 | 73 | 2.35 | 3.29 | — | 4 | None |
| Aspire Senior Living Advance Advance | 16.6 | 55 | 1.92 | 3.37 | 51.6% | 4 | None |
| Oakdale Care Center Poplar Bluff | 17.7 | 70 | 1.84 | 2.57 | 57.4% | 3 | None |
| Aspire Senior Living Poplar Bluff Poplar Bluff | 18.7 | 83 | 2.57 | 3.72 | 63.6% | 2 | None |
| The Manor Poplar Bluff | 18.8 | 90 | 2.71 | 4.10 | 61.9% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.