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.
based on 21 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 25 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
3
measures
13
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
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.
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, 2026Complaint5
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 22, 2026Complaint9
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 8, 2026Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jun 3, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
May 6, 2025Complaint7
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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
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
Buffalo Prairie Center for Rehab and Healthcare
for profit
Chain Affiliation
Prime Healthcare Management
10 facilities nationwide
Chain avg rating: 1.3/5 · Rank 5 of 11 (Worst)
Ownership & Management
Owners
Blue Sky Basin LLC
Owner · Organization
Dkdp Missouri LLC
Owner · Organization
Dkyh Missouri LLC
Owner · Organization
Sloans Lake Trust
Owner (parent company) · Organization
Kleiner, Dovid
Owner (parent company)
Perlow, Bernard
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
21 reviews from families & visitors
Official Website
Visit primehm.com
Medicare data downloads
Original nursing home datasets
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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.