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Nursing HomeMedicaid Investigative

Buffalo Prairie Center for Rehab and Healthcare

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

631 West Main Street, Buffalo, MO 6562260 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 21 Google reviews

5
4
3
2
1
Buffalo Prairie Center for Rehab and Healthcare Nursing Home in Buffalo, MO — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (28 vs median 10)
  • High staff turnover (88%)
  • High RN turnover (100%)

Bottom 25% in MO · Below recommended RN staffing · Very high staff turnover · Worst in PRIME HEALTHCARE MANAGEMENT chain

Source: Medicare data

What this means for your family

While some families appreciate the small, home-like environment and effective rehab services, the facility has faced serious allegations regarding cleanliness and medication management. We strongly recommend that you conduct an unannounced visit to inspect the cleanliness of the rooms and ask specifically how the facility tracks and verifies medication administration for residents.

Google Reviews

Google Reviews

21 reviews on Google
Buffalo Prairie Center for Rehab and Healthcare receives highly polarized feedback, with some families praising its small, home-like atmosphere and compassionate staff, while others report severe concerns regarding cleanliness, medication management, and staffing levels. The facility appears to struggle with consistency, as recent negative reviews highlight significant lapses in care and communication that contrast sharply with the positive experiences shared by others.

Quality Themes

Tap a score for details
Food8.0Staff5.0Clean2.0Activities3.0Meds2.0Memory8.0Comms4.0ValueN/A

Strengths

  • Small, home-like environment
  • Compassionate and friendly nursing staff
  • Responsive administration (in select cases)
  • Effective rehabilitation outcomes

Concerns

  • Inadequate staffing levels (mentioned by 2 reviewers)
  • Poor cleanliness and hygiene standards (mentioned by 2 reviewers)
  • Medication management errors or dishonesty (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(3)'21(5)'24(2)'26(1)

Distribution · 25 analyzed

5
15
4
3
3
1
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since this is a smaller, home-like environment, how do you ensure that every resident receives personalized attention during mealtimes and daily care?
  • 2What specific steps has the facility taken recently to improve cleanliness and hygiene standards within the resident rooms and common areas?
  • 3How does the nursing team manage medication administration to ensure accuracy and prevent any errors?
  • 4Can you tell me more about the daily activity calendar and how you keep residents engaged with social events?
  • 5What is the protocol for handling medical emergencies or changes in health status during the night shift?
  • 6How does the administration communicate important updates or changes in care plans to family members to ensure we are always in the loop?

Personalized based on this facility's data


Key Review Excerpts

They had no problems meeting her changing needs and treatment plans. The staff and administration were responsive to her needs and listened to her and any concerns we had as the family.

Rehab patient's family · 2017★★★★★

I don’t think this is some terrible facility by any means. The staff has generally been friendly and I have never seen them mistreat residents.

Community volunteer · 2020★★★★

THEY LIE TAKE MEDS AND LIE TO THE FAMILY MY GRANDFATHER WAS HERE AND HE GOT COVID FROM THEM MESSED UP HIS MEDS LIED TO MY GRANDMOTHER ABOUT IT. HE ALSO GOT COVID FROM HER. THEY DONT CLEAN UP THE ROOMS NOR THE BATHROOM.

Memory care family member · 2023☆☆☆☆
Source: 21 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
56%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
85%
Lower is better (< 30% = good)
RN Turnover
91%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

3

measures

Worse Than Avg

13

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility45.0%
Worse than Avg
Here
45.0%
US
12.1%
MO
16.7%
Dallas
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility44.9%
Worse than Avg
Here
44.9%
US
19.5%
MO
25.4%
Dallas
16.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility36.1%
Worse than Avg
Here
36.1%
US
15.5%
MO
23.6%
Dallas
10.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility74.0%
Worse than Avg
Here
74.0%
US
95.5%
MO
90.9%
Dallas
97.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
MO
84.4%
Dallas
95.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
14.4%
MO
19.1%
Dallas
18.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
81.8%
MO
65.9%
Dallas
86.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility52.0%
Worse than Avg
Here
52.0%
US
79.8%
MO
63.5%
Dallas
78.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.7%
Worse than Avg
Here
4.7%
US
1.6%
MO
2.2%
Dallas
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

31deficiencies
2penalties
Well above state avg (12.0)
34 complaint-triggered

Families have filed complaint reports triggering 18 of 67 deficiencies over the past three years, indicating ongoing concerns with care quality. Most recurring issues involve nursing staffing adequacy, medication management, and facility administration. Recent complaints from 2025-2026 cited problems with preventing abuse and neglect, nursing assistant training, and pest control, though the facility has corrected all identified deficiencies.

Feb 18, 2026Complaint
2
0678Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Feb 6, 2026Complaint
5
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 22, 2026Complaint
9
0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jan 8, 2026Complaint
1
0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Jun 3, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

May 6, 2025Complaint
7
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Federal Penalties

Payment Denial

Jan 8, 2026

6-day denial

Payment Denial

Oct 7, 2024

49-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Buffalo Prairie Center for Rehab and Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Prime Healthcare Management

Chain Size

10 facilities nationwide

Chain avg rating: 1.3/5 · Rank 5 of 11 (Worst)

Ownership & Management

Owners

Blue Sky Basin LLC

Owner · Organization

67%

Dkdp Missouri LLC

Owner · Organization

23%

Dkyh Missouri LLC

Owner · Organization

10%

Sloans Lake Trust

Owner (parent company) · Organization

63%

Kleiner, Dovid

Owner (parent company)

10%

Perlow, Bernard

Owner (parent company)

23%

Key personnel

Burns, KarenW-2 Managing EmployeeBerger, EliotOfficer / DirectorPerlow, BernardOfficer / DirectorStern, SamuelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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