The Bluffs
Nursing Home, Memory Care & Skilled Nursing · Columbia, MO

The Bluffs

Nursing Home, Memory Care & Skilled Nursing · Columbia, MO
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The Bluffs accepts Medicaid and Medicare.

Overview of The Bluffs

Administrator Christina Moore directs the daily operations at The Bluffs, a 132-bed nursing center located on Bluff Creek Drive in Columbia, Missouri, under the management of Boone County Senior Citizen Services Corp. The billing office keeps things straightforward by handling traditional coverage routes, processing payments primarily through Medicare and Medicaid. Family members who plan on dropping by for a visit will notice that the surrounding area secures a walkability score of 98 out of 100, which means the neighborhood layout is highly pedestrian-friendly and lets you easily check off routine errands on foot.

Clinical oversight is maintained by around-the-clock shift rotations and a staff physician who manages daily medical plans. The on-site team is structured to coordinate physical recovery pathways alongside traditional long-term skilled care routines, embedding regular therapeutic goals directly into the resident’s weekly schedule. Because the center functions in a vibrant university town, this setup provides a central hub where clinical monitoring and rehabilitation services remain accessible to families across the region.

State health department inspectors preserve public compliance records that track how well the building matches up with safety guidelines and licensing rules. Regular survey cycles evaluate routine operational procedures and employee workflows over time, keeping the campus’s overall citation rate documented and updated on public databases.

Families looking over local skilled nursing options can inspect the therapy tracking spaces, communal lounges, and shared dining areas. The internal calendar focuses on combining these clinical recovery tracks with essential amenities like daily housekeeping, laundry assistance, and scheduled social opportunities.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Missouri averages

Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
36m
+24% State avg: 29m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
36m
−16% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 6m
+26% State avg: 2h 27m per day · National avg: 2h 24m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 56m
+22% State avg: 3h 13m per day · National avg: 3h 30m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
+15% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
27m
+37% State avg: 20m per day · National avg: 29m per day

1 of 6 metrics below state avg

Capacity and availability

Residents per day
116
Bed community size
132-bed community Rank #71 / 450Bed count — State benchmarkedThis home is ranked 71st out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 98 / 100 Rank #1 / 545Walk Score — State benchmarkedThis home is ranked 1st out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy

Occupancy rate
88%
Rank #49 / 407Occupancy rate — State benchmarkedThis home is ranked 49th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
116 / 132
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceDecember 1, 2025
ExpirationNovember 30, 2027
CountyBoone
License Number053179
CMS Certification Number265498
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

The Bluffs is legally operated by Boone County Senior Citizen Services Corp, and administered by Christina Moore.

Corporate EntityBOONE COUNTY SENIOR CITIZEN SERVICES CORPORATION
Owner NameBoone County Senior Citizen Services Corporation

Type Of Units

Skilled Nursing Facility
132 units
Total beds
132 units

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Memory & Specialized Care

1 service
Dedicated Alzheimer's Unit

Additional Services

1 service
Post Acute Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Touring HoursMonday to Friday, 8:00 AM to 5:00 PM

Contact The Bluffs

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2023 · 3 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 26 deficiencies 7 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Missouri state average
Overall vs. MO average 0 Worse No metrics in this bucket. 2 Better Metrics better than Missouri average:
• Total deficiencies (59% below)
• Deficiencies per inspection (30% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2664 This facility has 59% fewer total deficiencies than a typical Missouri nursing home (26 vs. MO avg 64).↓ 59% better
Deficiencies per inspection Info Average deficiencies per inspection. 3.75.3 This facility has 30% fewer deficiencies per inspection than a typical Missouri nursing home (3.7 vs. MO avg 5.3).↓ 30% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 712 This facility has had 42% fewer total inspections than the Missouri average (7 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 42% fewer

Places of interest near The Bluffs

Address 0.0 miles from city center Info Estimated distance in miles from Columbia's city center to The Bluffs's address, calculated via Google Maps.

Calculate Travel Distance to The Bluffs

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Address

Compare Nursing Homes around Columbia

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Columbia Post Acute
NH
SNF
Columbia
70
Facility 70
MO AVG 96
Rank #302 / 450
95.7%
Facility 95.7%
MO AVG 66.5%
Rank #12 / 407
+44%
3.94
Facility 3.94
MO AVG 3.74
Rank #99 / 268
+49%+5%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
13
Facility 13
MO AVG 36.5
Rank #31 / 274
3.3
Facility 3.3
MO AVG 5.7
Rank #32 / 274
167-
98
Facility 98
MO AVG 46
Rank #1 / 545
Mainstreeidence Developments LLC
$12.8MFiscal year ending 12/2023
Facility $12.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #23 / 251
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #26 / 251
51%Fiscal year ending 12/2023
Facility 51%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #148 / 251
265868
Heritage Hall
NH
HOS
SNF
Centralia
60
Facility 60
MO AVG 96
Rank #340 / 450
71.3%
Facility 71.3%
MO AVG 66.5%
Rank #172 / 407
+7%
3.98
Facility 3.98
MO AVG 3.74
Rank #88 / 268
-23%+7%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
7
Facility 7
MO AVG 36.5
Rank #6 / 274
1.8
Facility 1.8
MO AVG 5.7
Rank #4 / 274
-43-
30
Facility 30
MO AVG 46
Rank #384 / 545
Christina Redmond
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #216 / 251
$2.0MFiscal year ending 12/2023
Facility $2.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #204 / 251
54.4%Fiscal year ending 12/2023
Facility 54.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #120 / 251
265385
The Neighborhoods by TigerPlace
NH
HOS
MC
SNF
Columbia
120
Facility 120
MO AVG 96
Rank #87 / 450
75.8%
Facility 75.8%
MO AVG 66.5%
Rank #138 / 407
+14%
5.62
Facility 5.62
MO AVG 3.74
Rank #13 / 268
-78%+50%
$85.1k
Facility $85.1k
MO AVG $76.9k
Rank #247 / 276
28
Facility 28
MO AVG 36.5
Rank #120 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
491-
20
Facility 20
MO AVG 46
Rank #448 / 545
Lisa Byergo
$12.5MFiscal year ending 12/2023
Facility $12.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #27 / 251
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #32 / 251
48.1%Fiscal year ending 12/2023
Facility 48.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #180 / 251
265840
The Villa at Blue Ridge
NH
HOS
SNF
Columbia
97
Facility 97
MO AVG 96
Rank #195 / 450
86.6%
Facility 86.6%
MO AVG 66.5%
Rank #60 / 407
+30%
3.98
Facility 3.98
MO AVG 3.74
Rank #88 / 268
-45%+7%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
29
Facility 29
MO AVG 36.5
Rank #128 / 274
4.1
Facility 4.1
MO AVG 5.7
Rank #84 / 274
184A+
98
Facility 98
MO AVG 46
Rank #1 / 545
Karin Borning
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #150 / 251
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #152 / 251
55.2%Fiscal year ending 12/2023
Facility 55.2%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #109 / 251
265251

Financial Assistance for
Nursing Home in Missouri

The Bluffs is located in COLUMBIA, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about The Bluffs

Who is the owner of The Bluffs?

The Bluffs is legally operated by Boone County Senior Citizen Services Corp, and administered by Christina Moore.

Is The Bluffs in a walkable area?

The Bluffs has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the license number of The Bluffs?

According to MO state health department records, The Bluffs's license number is 053179.

When does The Bluffs's license expire?

According to MO state health department records, The Bluffs's license expires on November 30, 2027.

What is the occupancy rate at The Bluffs?

The Bluffs's occupancy is 88%.

Are pets allowed at The Bluffs?

No, The Bluffs has a no-pet policy.

Who is the administrator of The Bluffs?

Christina Moore is the administrator of The Bluffs.

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