Buffalo Prairie Center for Rehab and Healthcare, Buffalo, Missouri
- 66
- Citations from health inspectionsMissouri average: 36 a home
- 2
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $59,852
- Fines from the federal governmentMissouri average: $37,425 a home
- 1 out of 5
- Overall rating in starsMissouri average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
13 inspection visits produced 66 citations. Residents were in immediate danger in one finding. Residents were found hurt in one case. Federal fines came to $59,852 (one fine). Two times, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 4.03 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.46 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 77.2%against the Missouri average of 56%
- Beds that are certified
- 60
- Ownership
- Limited Liability company (for profit)
- Chain
- Blue Sky Basin, LLC, with five homes
- Street address
- 631 West Main Street, Buffalo, Missouri 65622
- County
- Dallas
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated Feb. 18, 2026
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F678 CPR and Basic Life Support: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Feb. 6, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Six citations dated Jan. 22, 2026
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 8, 2026
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated June 3, 2025
Seven citations dated May 6, 2025
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated April 12, 2025
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 14, 2025
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
Two citations dated Nov. 25, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
15 citations dated Oct. 7, 2024
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F697 Pain Management: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated Dec. 27, 2023
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
16 citations dated Dec. 13, 2022
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F678 CPR and Basic Life Support: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
- F638 Update Assessments Every Three Months: risk of harm, no one found hurt, a pattern, several residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
Five citations dated Nov. 8, 2019
- F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Jan. 8, 2026 | Fine | $59,852 |
| Jan. 8, 2026 | Payment denial for new admissions | six days |
| Oct. 7, 2024 | Payment denial for new admissions | 49 days |
Ownership and Management of the Home
- The direct owner is Tide Health Group LLC.
Five people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265471. Other homes in Missouri.