Missouri › Boone County › Columbia
Bluffs, The
3105 Bluff Creek Drive, Columbia, MO 65201
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Bluffs, The, in Columbia, Missouri, is certified for 132 beds under non-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (13, 11, 17 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 31.1 per 100 beds, about the same as the state median of 32.1.
CMS lists 3 penalties in the period covered: fines totalling $38K.
Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 61.8%.
Compared with county, state and nation
| Measure | This facility | Boone Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 41 | 29 | 31 | 28.7 |
| Citations per 100 beds | 31.1 | 31.1 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.2 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 61.8% | 61.8% | 56.1% | 45.8% |
| Fines listed | $37,621 | $0 | $0 | — |
County and state figures are medians across facilities (9 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 1 Nov 2024.
Severity mix: J ×1 G ×2 D ×10 E ×20 F ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 16 Mar 2026 |
| 30 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Mar 2026 |
| 24 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 5 Feb 2025 |
| 14 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Feb 2025 |
| 1 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | J | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0584 | 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. | E | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 9 Dec 2024 |
| 1 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 9 Dec 2024 |
| 1 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 9 Dec 2024 |
| 20 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 21 Jun 2024 |
| 20 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Jun 2024 |
| 25 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 11 Jun 2024 |
| 11 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Feb 2024 |
| 7 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0584 | 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. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 21 Jan 2024 |
| 29 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 13 Aug 2023 |
| 29 Jun 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 13 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Jan 2025 | Fine | $9,110 | |
| 14 Jan 2025 | Fine | $9,110 | |
| 1 Nov 2024 | Fine | $19,401 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 61.8%, RNs 56.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Boone County Senior Citizen Service Corporation.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gershman Investment Corp. | 5% or greater mortgage interest | NOT APPLICABLE | 10/24/2011 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 03/17/2021 |
| Midwest Physical Therapy Pc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Boone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Columbia Post Acute | Columbia | 70 | 5 | 5 | 4 | 12 | 17.1 | — | 7 May 2026 |
| Lenoir Health Care Center | Columbia | 56 | 5 | 5 | 5 | 13 | 23.2 | — | 10 Apr 2025 |
| Heritage Hall Nursing Center | Centralia | 60 | 4 | 4 | 4 | 9 | 15.0 | — | 6 Nov 2025 |
| Columbia Manor Health & Rehabilitation | Columbia | 52 | 2 | 3 | 1 | 29 | 55.8 | — | 17 Mar 2026 |
| Neighborhoods Rehabilitation and Skilled Nursing B | Columbia | 120 | 2 | 2 | 3 | 26 | 21.7 | $85K | 29 May 2026 |
| Parkside Manor | Columbia | 120 | 1 | 1 | 2 | 58 | 48.3 | — | 18 Jun 2026 |
| South Hampton Rehabilitation & Health Care Center | Columbia | 100 | 1 | 1 | 1 | 40 | 40.0 | $13K | 27 May 2026 |
| Villa At Blue Ridge, Theabuse icon | Columbia | 97 | 1 | 2 | 2 | 40 | 41.2 | — | 5 May 2026 |
All 9 facilities in Boone County
Questions and answers
How many deficiencies has Bluffs, The been cited for?
41 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Bluffs, The been fined?
Yes. CMS lists fines totalling $38K in the period covered.
How does staffing at Bluffs, The compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Bluffs, The?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Bluffs, The last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jan 2026; the most recent standard health survey was 30 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.