Puxico Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Puxico Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 17, 2025

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 40.Review of the facility's policy titled, Food Preparation and Service, dated November 2022, showed: - Danger zone means temperatures above 41 degrees Fahrenheit ( F) and below 135 F that allow the rapid growth of pathogenic microorganisms that can cause foodborne illness;- The longer potentially hazardous foods (PHF) remain in the danger zone, the greater the risk for growth of harmful pathogens, and must be maintained at or below 41 F or at or above 135 F;- Raw foods cooked in a microwave reach 165 F in all parts of the… […]

• No harm, potential for more than minimal, widespreadF812Mar 31, 2023

  Based on observation, interview, and record review, the facility failed to distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents. The facility census was 36. Record review of the facility's Food Preparation and Service policy, dated 11/2022, showed: - Food and nutrition service employees prepare, distribute and serve food in a manner that complies with safe food handling practices; - When meals are assembled in the kitchen and then delivered to residents' rooms or dining areas to be distributed, covering foods is appropriate, either individually or in a mobile food cart; - When actively serving residents in a dining room or outside a resident's room where trained staff are… […]

• No harm, potential for more than minimal, patternF880Nov 17, 2025

  Based on observation, interview, and record review, the facility failed to implement proper infection control practices when staff performed incontinent care for three residents (Residents #3, #14, and #35) out of three sampled residents, catheter (a flexible tube inserted into the bladder to drain urine) care for two residents (Residents #3 and #35) out of two sampled residents, wound care for two residents (Residents #3 and #12) out of two sampled residents, and during glucose monitoring and insulin administration for four residents (Residents #5, #26, #28, and #36) out of four sampled residents. The facility also failed to ensure the laundry building remained in good condition to promote infection control. […]

• No harm, potential for more than minimal, patternF636Mar 31, 2023

  Based on interview and record review, the facility failed to complete comprehensive Minimum Data Set (MDS) (a federally mandated assessment tool completed by the facility staff) assessments within the required time frames for one resident (Resident #18) out of 12 sampled residents and five residents (Resident #131, #132, #133, #181, and #184) outside of the sample. The facility census was 36. Record review of the facility's Resident Assessments policy, revised March 2022, showed: - The resident assessment coordinator is responsible for ensuring the appropriate resident assessments and reviews are completed; - The Resident Assessment Instrument (RAI) (the manual used to help staff gather definitive information on the resident's strengths and needs which must be addressed in the MDS and care… […]

• No harm, potential for more than minimal, patternF638Mar 31, 2023

  Based on interview and record review, the facility failed to complete a quarterly Minimum Data Set (MDS), a federally mandated assessment instrument completed by the facility staff, within the required timeframe for two residents (Resident #16 and #23) of 12 sampled residents and 15 residents (Resident #1, #8, #11, #17, #22, #81, #82, #83, #84, #85, #86, #133, #181, #184, and #185 ) outside the sampled residents. The facility's census was 36. Record review of the facility's Resident Assessments policy, Revised March 2022, showed: - The resident assessment coordinator is responsible for ensuring that the appropriate resident assessments and reviews are completed; - The Resident Assessment Instrument (RAI) (the manual used to help staff gather definitive information on the resident's… […]