Senior CareScorecard

Nursing homes in Columbia, MO

All 9 Medicare-certified nursing homes in Boone County, ranked by our Scorecard score, a 0 to 100 rating built from government inspection, staffing and fine data.

55Average score 559 scored homes · Missouri average 54
88Lenoir Health Care CenterHighest score in the area
9Nursing homes9 accept Medicaid
3Fined by Medicarein the past 3 years

All 9 nursing homes

Pins show each home’s Scorecard score. Map data © OpenStreetMap contributors.

Scores use CMS Provider Data processed Sep 1, 2026. Fines and serious citations (actual harm or immediate jeopardy) are from Medicare inspections.

The data at a glance

How the 9 nursing homes in the Columbia area compare, from the same government data as the list.

Homes by Scorecard score

9 scored homes. New homes and short-stay hospital units are not scored.

Top tier 75–1002
Above average 60–741
Middle of the pack 45–591
Below average 30–445
Bottom tier 0–290

Federal fines, past three years

3 homes fined, $110,727 in total.

  1. Neighborhoods Rehabilitation and Skilled Nursing B$64,828
  2. The Bluffs$37,621
  3. South Hampton Rehabilitation & Health Care Center$8,278

Most common citation areas

Health inspection citations in the past three years.

  1. Resident Assessment and Care Planning43
  2. Resident Rights33
  3. Quality of Life and Care30
  4. Infection Control27
  5. Freedom from Abuse, Neglect, and Exploitation19
  6. Nutrition and Dietary14

Medicare star ratings

Medicare's own 1 to 5 star rating, for reference.

  1. ★★★★★2
  2. ★★★★★1
  3. ★★★★★0
  4. ★★★★★2
  5. ★★★★★4

How to choose a nursing home in Columbia

Start with the record

Use the score to build a short list, then open each home's page. Read the latest inspection and ask about any serious citation or fine directly.

Check staffing

Ask how many residents each aide cares for on nights and weekends, and how long the director of nursing has been there. High turnover is worth a question.

Plan for Medicaid

Medicare covers only short rehab stays. 9 of 9 homes here accept Medicaid, which pays for most long stays, so ask whether a Medicaid bed will be available if savings run out.

Visit, then visit again

Go at a mealtime and once unannounced. Notice how staff speak to residents, how fast call lights are answered and how the building smells.

More for Columbia families: What care costs · Paying with Medicaid

Columbia nursing home questions

Answers computed from the same data as this page.

How many nursing homes are in Columbia, MO?

There are 9 Medicare-certified nursing homes in Boone County. 9 of them accept Medicaid.

What are the best nursing homes in Columbia?

By Scorecard score, the highest scoring homes are Lenoir Health Care Center (88), Columbia Post Acute (77), Heritage Hall Nursing Center (70). Scores run from 0 to 100 and use government inspection, staffing and fine data.

How do Columbia nursing homes compare with the rest of Missouri?

The average Scorecard score here is 55, compared with 54 across Missouri. 3 homes score 60 or higher, and 5 score below 45.

How many Columbia nursing homes have been fined?

3 of the 9 homes were fined by Medicare in the past three years, totaling $110,727. The largest total was $64,828 at Neighborhoods Rehabilitation and Skilled Nursing B.

Which nursing homes in Columbia accept Medicaid?

9 of 9 homes are certified for Medicaid. Check “Accepts Medicaid” above the list to see only those homes.

What is the Scorecard score?

It's our 0 to 100 rating built from CMS data on staffing, health inspections, resident outcomes, fines and staff stability. Homes with recent serious harm citations are capped, and each facility page shows the breakdown.