Milan · 63556
Milan Health Care Center
52435 Infirmary Road
Milan, MO 63556
Putnam County Care Center
⌖ Unionville, MO · Putnam County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Putnam County Care Center
Putnam County Care Center is a 60-bed government-run nursing home in Unionville, MO. Medicare rates it 2 out of 5 stars overall (below average); the average in Missouri is 2.5. At its last full inspection (Sep 2024), inspectors found 10 problems, close to the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 30 min a day with each resident, about the same as the Missouri average of 3 hr 26 min. Medicare fined it $72,664 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility namePutnam County Care Center
LocationPutnam County, Missouri
Phone(660) 947-2492
Address1814 Oak Street, Unionville, MO 63565 · Putnam County
CMS provider number265826
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 2009 (17 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Sep 2024.Strength
About average
- Health citations at last inspection10 (Sep 2024)Missouri average: 11.4. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident3 hr 30 min a dayMissouri average: 3 hr 26 minAbout average
- Registered nurse time per resident28 min a dayMissouri average: 28 minAbout average
Things to ask about
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- Fines and penalties3 fines totaling $72,664Federal penalties from the last three years, most recently in Aug 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.3%State average: 4.1%Better than average
- Pressure sores (bedsores)7.4%State average: 4.5%Worse than average
- Given antipsychotic drugs22.0%State average: 23.5%About average
- Hospital stays per 1,000 resident days1.9State average: 2.1About average
Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Missouri, Medicaid pays for 65% of resident days at a typical home.
- 43% Medicaid
- 2% Medicare
- 55% Private pay, insurance and other
Beds in use, on average92%Missouri typical: 71%
Cost of care per resident day$179Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending March 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, up from 1 star in January 2019. It has ranged from 1 to 5 stars and changed 14 times.
Overall rating2★
Health inspections2★
Staffing2★
Quality of care3★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 2 | 4 | 3.0 |
| Jan 2020 | 3 | 4 | 1 | 4 | 2.9 |
| Jan 2021 | 5 | 5 | 2 | 5 | 2.7 |
| Jan 2022 | 5 | 5 | 2 | 5 | 2.7 |
| Jan 2023 | 4 | 5 | 1 | 2 | 2.8 |
| Jan 2024 | 3 | 3 | 2 | 3 | 2.8 |
| Feb 2025 | 2 | 2 | 2 | 4 | 2.8 |
| Feb 2026 | 1 | 2 | 1 | 3 | – |
| Sep 2026 | 2 | 2 | 2 | 3 | 3.5 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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