The reviews for Puxico Nursing & Rehab Center present a mixed and highly polarized picture. Several reviewers emphasize clear improvements under new management, naming the Administrator and Director of Nursing as positive influences and noting increased professionalism. Those positive reviews highlight a rehab-focused environment, kind and attentive staff, high-quality care experiences, and an appreciated small-town, home-like atmosphere. Dining receives specific praise—described as "dynamite" with great cooks—and multiple satisfied reviewers recommend touring the facility, suggesting that first-hand impressions can be favorable.
Contrasting sharply with the positive accounts, a number of reviewers report serious and specific concerns about safety, staffing, and medication management. Allegations include nurses refusing to administer medications, medications being left in resident rooms, and perceived overmedication. Several reviews raise troubling reports of staff negligence or unprofessional conduct: unauthorized visitors roaming the facility at night, staff sleeping in cars during shifts, and wandering residents who may not be adequately supervised. These issues point to potential lapses in security, staffing levels, supervision, and medication safety protocols.
Clinical communication and physician involvement are recurring themes among the negative comments. Some reviewers describe a "suspicious" doctor or a doctor who is not available to discuss patient care with families, which contributes to distrust and concern about clinical oversight. Coupled with allegations that the facility prioritizes financial concerns over resident well-being, these reports suggest systemic problems in accountability and transparency for at least some residents or families.
Taken together, the review set indicates a facility in transition: there are clear signs of improvement and strong positive experiences under current leadership, especially in rehabilitation services, staff kindness (as reported by some), and dining. However, the more severe negative reports around medication handling, staff conduct, supervision, and physician accessibility are significant and recurrent enough to merit serious attention. Prospective residents or families should weigh both sets of experiences, consider an in-person tour as recommended by satisfied reviewers, ask direct questions about medication management, staff supervision, visiting policies, physician availability, and recent changes made by new management. For those already using the facility, documented, direct communication with administrators about any concerning incidents and monitoring of corrective actions would be advisable given the mixed but consequential nature of the feedback.
