CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Puxico Nursing and Rehabilitation Center is a 4-star Medicare and Medicaid certified nursing home in Puxico, Missouri with 60 certified beds. It has been operating since 1992. Its overall CMS rating is 4 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Assure that each resident’s assessment is updated at least once every 3 months.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 1996 |
| BEDELL, DONALD | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2001 |
| BEAIRD, TODD | CORPORATE OFFICER | Individual | N/A | Jan 1, 2022 |
| BEDELL, DONALD | CORPORATE OFFICER | Individual | N/A | Jan 6, 1997 |
| AGH1 LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 2, 2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 23, 2021 |
| BEDELL, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 6, 1997 |
| CALDWELL, FRED | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 19, 2024 |
| FLEETWOOD, ELAINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2023 |
| GARRIS, DELLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2024 |
| KING, BOBBI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 15, 2024 |
| BEDELL, BRYAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | May 27, 2025 |
| AGH1 LLC | ADP OF THE SNF | Organization | N/A | Mar 25, 2025 |
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | ADP OF THE SNF | Organization | N/A | Apr 1, 1996 |
| FG LLC | ADP OF THE SNF | Organization | N/A | Dec 2, 2016 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | N/A | Aug 16, 2021 |
| MID STATES INC | ADP OF THE SNF | Organization | N/A | Nov 1, 2010 |
| SOVEREIGN HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | N/A | Apr 6, 2025 |
| VAN DE VEN LLC | ADP OF THE SNF | Organization | N/A | Jan 1, 2000 |
| BEAIRD, TODD | ADP OF THE SNF | Individual | N/A | Jan 1, 2022 |
| CALDWELL, FRED | ADP OF THE SNF | Individual | N/A | May 19, 2024 |
| FLEETWOOD, ELAINE | ADP OF THE SNF | Individual | N/A | Sep 1, 2023 |
| GARRIS, DELLA | ADP OF THE SNF | Individual | N/A | Jan 1, 2024 |
| KING, BOBBI | ADP OF THE SNF | Individual | N/A | Jun 15, 2024 |
Compare CMS ratings and recorded fines for Puxico Nursing and Rehabilitation Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 36 facilities. View all →