Nursing home · Columbia, MO
The Bluffs
3105 Bluff Creek Drive, Columbia, MO 65201 · 132 certified beds · non profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jan 30, 2026, when they cited 13 problems. The most common area was resident rights (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 13 are marked corrected in the CMS data. At its most recent standard inspection (Jan 30, 2026) it had 13 citations, compared with an average of 12.0 for Columbia-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 4.20 hours per resident per day here, 22% more than the Missouri average (3.43) and 9% more than the U.S. average (3.86). Registered nurses account for 0.59 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 62% over the past year, 6 points higher than Missouri (56%) and 16 points higher than the U.S. (46%).
How The Bluffs compares
This home's latest CMS figures next to the averages for Columbia-area homes (9), Missouri (487) and the U.S. (14,680).
| This home | Columbia area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 4.20 | 3.72 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.59 | 0.50 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.83 | 3.33 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 62% | 61% | 56% | 46% |
| Registered nurse turnover (past year) | 56% | 53% | 48% | 43% |
| Citations at the most recent standard inspection | 13 | 12.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 41 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jan 30, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | F | Deficient, Provider has date of correction |
| Jan 30, 2026 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Jan 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 30, 2026 | 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Jan 30, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jan 30, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | E | Deficient, Provider has date of correction |
| Jan 30, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Jan 30, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Jan 30, 2026 | 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. Infection control | F | Deficient, Provider has date of correction |
| Jan 30, 2026 | Implement a program that monitors antibiotic use. Infection control | F | Deficient, Provider has date of correction |
| Jan 30, 2026 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Jan 30, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 30, 2026 | 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. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Feb 24, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | G actual harm | Past Non-Compliance |
| Jan 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Nov 1, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Nov 1, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Nov 1, 2024 | Provide and implement an infection prevention and control program. Infection control · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| May 20, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| May 20, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Jan 11, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 7, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 7, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 7, 2023 | 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. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Dec 7, 2023 | Provide and implement an infection prevention and control program. Infection control · complaint | E | Deficient, Provider has date of correction |
| Dec 7, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Jun 29, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jun 29, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 29, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 29, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 29, 2023 | 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Jun 29, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jun 29, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jan 14, 2025 | Fine | $9,110 |
| Jan 14, 2025 | Fine | $9,110 |
| Nov 1, 2024 | Fine | $19,401 |
Location
Map data © OpenStreetMap contributors.
We don't have licensed photos yet. See photos on Google Maps.
Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
Read Google reviews (opens Google Maps).
Questions about The Bluffs
Answers computed from CMS data for this facility.
What is The Bluffs's Medicare rating?
Medicare rates The Bluffs 1 out of 5 stars overall (much below average). The average for Columbia-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.
How did The Bluffs do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jan 30, 2026, when they cited 13 problems. The most common area was resident rights (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 13 are marked corrected in the CMS data. At its most recent standard inspection (Jan 30, 2026) it had 13 citations, compared with an average of 12.0 for Columbia-area homes, 11.4 in Missouri and 9.2 nationally.
Has The Bluffs been fined?
Yes. CMS reports 3 fines totaling $37,621 in the past three years.
Does The Bluffs accept Medicaid?
The Bluffs is certified for both Medicare and Medicaid. Call (573) 442-6060 to ask whether a Medicaid bed is open.
Other nursing homes near Columbia
- 5/5Columbia Post AcuteColumbia · 70 beds
- 5/5Lenoir Health Care CenterColumbia · 56 beds
- 2/5Columbia Manor Health & RehabilitationColumbia · 52 beds
- 2/5Neighborhoods Rehabilitation and Skilled Nursing BColumbia · 120 beds
- 1/5Parkside ManorColumbia · 120 beds
- 1/5South Hampton Rehabilitation & Health Care CenterColumbia · 100 beds
Compare all 9 Columbia-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · Columbia guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.