Elder Care Record

Missouri › Putnam County › Unionville

Putnam County Care Center

1814 Oak Street, Unionville, MO 63565

CCN 265826 · Government, county · 60 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Putnam County Care Center is a Government, county nursing home in Unionville, Missouri, certified for 60 beds and caring for about 56 residents a day.

CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 2, staffing 2 and quality measures 3.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (14, 8, 2 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, about the same as the state median of 32.1.

CMS lists 3 penalties in the period covered: fines totalling $73K.

Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Missouri median of 3.4.

24health deficiencies, 3 survey cycles3 at actual harm or worse
$73Kfines listed by CMS3 penalties in period
3.5nurse hours per resident per daystate median 3.4
94%occupancy (residents ÷ beds)56 residents a day

Compared with county, state and nation

MeasureThis facilityPutnam Co. medianMissouri medianUS average
Overall star rating2223.0
Health citations, 3 cycles24243128.7
Citations per 100 beds40.040.032.126.8
Total nurse hours per resident day3.53.53.43.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover——56.1%45.8%
Fines listed$72,664$72,664$0—

County and state figures are medians across facilities (1 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 28
Cycle 32

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Sep 2024, 30 Mar 2023.

Severity mix: J ×1 G ×2 D ×9 E ×10 B ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
28 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation17 Sep 2025
28 Aug 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation17 Sep 2025
28 Aug 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation17 Sep 2025
28 Aug 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation17 Sep 2025
3 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation25 Apr 2025
22 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation1 Nov 2024
12 Sep 2024F0570Assure the security of all personal funds of residents deposited with the facility.EStandard survey18 Oct 2024
12 Sep 2024F0583Keep residents' personal and medical records private and confidential.EStandard survey18 Oct 2024
12 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey18 Oct 2024
12 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey18 Oct 2024
12 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey1 Nov 2024
12 Sep 2024F0728Ensure 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.EStandard survey18 Oct 2024
12 Sep 2024F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey18 Oct 2024
12 Sep 2024F0880Provide and implement an infection prevention and control program.EStandard survey18 Oct 2024
12 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey18 Oct 2024
12 Sep 2024F0761Ensure 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.DStandard survey18 Oct 2024
26 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation19 Jul 2024
28 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation18 Jan 2024
30 Mar 2023F0761Ensure 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.EStandard survey27 Apr 2023
30 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Apr 2023
30 Mar 2023F0688Provide 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.DStandard survey27 Apr 2023
30 Mar 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey27 Apr 2023
30 Mar 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey27 Apr 2023
30 Mar 2023F0625Notify 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.BStandard survey27 Apr 2023

Penalties

DateTypeAmountDetail
28 Aug 2025Fine$38,243
12 Sep 2024Fine$9,753
26 Jun 2024Fine$24,668

Staffing

Total nursing3.5 h
Nurse aides2.66 h
LPN0.38 h
RN0.46 h
Weekend total2.85 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.4%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%3.6%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.1%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.4%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.0%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, county. Legal business name: Putnam County Nursing Home.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Putnam County Care Center been cited for?

24 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Putnam County Care Center been fined?

Yes. CMS lists fines totalling $73K in the period covered.

How does staffing at Putnam County Care Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Putnam County Care Center?

Ownership type is government, county. Individual owners and managers are not listed on this site.

When was Putnam County Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 28 Aug 2025; the most recent standard health survey was 12 Sep 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.