Buffalo Prairie Center for Rehab and Healthcare
A nursing home in Buffalo, Missouri 65622
631 West Main Street, Buffalo, Missouri 65622. (417) 932-8040.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 29 health citations at the latest inspection cycle Missouri average: 11.4
- 3.23 nurse hours per resident per day Missouri average: 3.40
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
29 health citations at the latest inspection cycle
The Missouri average is 11.4.
Last standard inspection Oct 7, 2024.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 6, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
45 citations in 9 months of the last 36. Last cited Feb 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 45 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 30 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 18, 2026: complaint inspection2 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 6, 2026: complaint inspection5 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide and implement an infection prevention and control program.
Jan 22, 2026: complaint inspection6 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure that residents are free from significant medication errors.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 8, 2026: complaint inspection1 citation
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jun 3, 2025: complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
May 6, 2025: complaint inspection7 citations
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Assess the resident when there is a significant change in condition
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Apr 12, 2025: complaint inspection3 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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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.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jan 14, 2025: complaint inspection1 citation
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Nov 25, 2024: complaint inspection2 citations
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Provide enough food/fluids to maintain a resident’s health.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Oct 7, 2024: standard inspection15 citations
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Reasonably accommodate the needs and preferences of each resident.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate pain management for a resident who requires such services.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
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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.
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Dec 27, 2023: complaint inspection1 citation
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Ensure that residents are free from significant medication errors.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 21, 1991.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $59,852 in all.
- 2 Medicare payment denials in the last three years.
- 30 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 8, 2026 | Medicare payment denial | Not given |
| Jan 8, 2026 | Fine | $59,852 |
| Oct 7, 2024 | Medicare payment denial | Not given |
Who does the caring?
3.23 nurse hours per resident per day
The Missouri average is 3.40.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Missouri average |
|---|---|---|
| Nurse hours per resident per day | 3.23 | 3.40 |
| Of which registered nurses | 0.46 | 0.46 |
| At weekends | 2.85 | 2.96 |
| Nursing staff turnover | 80% | 56.9% |
| Registered nurse turnover | 100% | 50% |
| Administrators who left | 3 | Not given |
Who owns it?
- Tide Health Group LLC owns 100% directly since Jul 1, 2025.
- 21 owners or officers are people: Brian J Ramos (owns a share through other companies, 62.5%); Daniel Thuet (owns a share through other companies, 22.5%); Leland E Bruce (owns a share through other companies, 13%); Lucy Gaytan (owns a share through other companies, 1%); Brooke Hixson (owns a share through other companies, 1%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Brian J Ramos (runs it (operational or managerial control)); Brian J Ramos (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Deanna Beckenholdt (runs it (operational or managerial control)); Deanna Beckenholdt (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Harris (runs it (operational or managerial control)); Michael Harris (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Fernando Cavero (runs it (operational or managerial control)); Fernando Cavero (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Blue Sky Basin, LLC (5 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Tide Health Group LLC | Owns a share directly | 100% | Jul 1, 2025 |
| Strawberry Fields Reit Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2025 | |
| 631 W Main Street LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2025 | |
| Strawberry Fields Reit Ltd | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2025 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Missouri average 2.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 28.0 miles, this one had the 3rd most health citations at the latest inspection cycle (29; the middle value was 16).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Buffalo Prairie Center for Rehab and Healthcare This nursing home | 29 | |
| Colonial Springs Healthcare Center | 0.5 | 18 |
| Parkview Health Care Facility | 17.5 | 0 |
| Citizens Memorial Healthcare Facility | 18.0 | 11 |
| Webco Manor | 23.4 | 14 |
| Hermitage Nursing & Rehab | 23.7 | 12 |
| Lebanon South Nursing & Rehab | 23.9 | 13 |
| Marshfield Care Center for Rehab and Healthcare | 24.0 | 14 |
| Lebanon North Nursing & Rehab | 24.1 | 34 |
| Strafford Rehabilitation & Health Care Center | 25.8 | 42 |
| Big Spring Care Center for Rehab and Healthcare | 28.0 | 21 |
| Woodland Care & Rehab Center | 28.0 | 26 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.