Buffalo Prairie Center for Rehab and HealthcareCMS ratings, inspections and fines
- Address
- 631 West Main Street, Buffalo, MO 65622
- CCN
- 265471
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Chain
- Blue Sky Basin, LLC
- Residents per day
- 41
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Buffalo Prairie Center for Rehab and Healthcare an overall rating of 1 of 5 stars. The last standard survey was on 7 Oct 2024. The latest survey cycle has 29 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $92,080 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Dallas County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 1 | 1.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 7 Oct 2024 | 29 | 9 |
| Cycle 2 | 13 Dec 2022 | 31 | 10 |
| Cycle 3 | No date | 6 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 29 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Feb 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 18 Feb 2026 |
| 18 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Feb 2026 |
| 6 Feb 2026 | F0584 | 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. | E | Complaint investigation | 2 Apr 2026 |
| 6 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 2 Apr 2026 |
| 6 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 2 Apr 2026 |
| 6 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 2 Apr 2026 |
| 6 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 Apr 2026 |
| 22 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 1 Apr 2026 |
| 22 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 1 Apr 2026 |
| 22 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Apr 2026 |
| 22 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 1 Apr 2026 |
| 22 Jan 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 1 Apr 2026 |
| 22 Jan 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 1 Apr 2026 |
| 8 Jan 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 19 Feb 2026 |
| 7 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Dec 2024 |
| 7 Oct 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Dec 2024 |
| 7 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 25 Feb 2025 |
| 7 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 21 Feb 2025 |
| 7 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 25 Feb 2025 |
| 7 Oct 2024 | F0727 | 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. | F | Standard survey | 21 Feb 2025 |
| 7 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Feb 2025 |
| 7 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 6 Dec 2024 |
| 7 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 21 Feb 2025 |
| 7 Oct 2024 | F0761 | 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. | E | Standard survey | 6 Dec 2024 |
| 7 Oct 2024 | F0801 | 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. | F | Standard survey | 6 Dec 2024 |
| 7 Oct 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 21 Feb 2025 |
| 7 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Feb 2025 |
| 7 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Dec 2024 |
| 7 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 21 Feb 2025 |
Survey cycle 2: 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Jun 2025 |
| 3 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Jun 2025 |
| 6 May 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 17 Jun 2025 |
| 12 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 May 2025 |
| 12 Apr 2025 | F0728 | 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. | E | Complaint investigation | 26 May 2025 |
| 12 Apr 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 26 May 2025 |
| 14 Jan 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 21 Feb 2025 |
| 25 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 6 Jan 2025 |
| 25 Nov 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 6 Jan 2025 |
| 13 Dec 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0584 | 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. | D | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0761 | 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. | E | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Feb 2023 |
| 13 Dec 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Feb 2023 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Feb 2024 |
| 8 Nov 2019 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 23 Dec 2019 |
| 8 Nov 2019 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 23 Dec 2019 |
| 8 Nov 2019 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 23 Dec 2019 |
| 8 Nov 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Dec 2019 |
| 8 Nov 2019 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 23 Dec 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 8 Jan 2026 | Fine | $92,080 | |
| 8 Jan 2026 | Payment denial | 6 | |
| 7 Oct 2024 | Payment denial | 49 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 4.03 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.46 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.81 | 0.68 | |
| Nurse aides | 2.76 | 2.29 | |
| All nurse staff, weekends | 3.82 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 77.2%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 87.5%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.1% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Buffalo Prairie Nursing and Rehab LLC
- Chain
- Blue Sky Basin, LLC (5 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Blue Sky Basin LLC | 5% or greater direct ownership interest | 67% | 31 Aug 2021 |
| DKDP Missouri LLC | 5% or greater direct ownership interest | 23% | 31 Aug 2021 |
| Dkyh Missouri LLC | 5% or greater direct ownership interest | 10% | 31 Aug 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Dallas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Colonial Springs Healthcare Center | Buffalo | 2 of 5 | 16 | $0 | 6 Dec 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Buffalo Prairie Center for Rehab and Healthcare (CCN 265471). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/buffalo-prairie-center-for-rehab-and-healthcare-buffalo-mo-265471/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Buffalo Prairie Center for Rehab and Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 18 Feb 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 13 Dec 2022.
- Who operates Buffalo Prairie Center for Rehab and Healthcare?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Blue Sky Basin, LLC. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Buffalo Prairie Center for Rehab and Healthcare?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.