Total Health inspections
12
82% above Missouri average
Missouri average:
6.6
Last Health inspection on Feb 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Bluffs
The Bluffs is a Nursing Home in Missouri
The Bluffs is a Nursing Home in Missouri
The Bluffs
The Bluffs is a Nursing Home in Missouri
The Bluffs is a Nursing Home in Missouri
The Bluffs is a non-profit skilled healthcare provider located in Columbia, MO. It serves the needs of senior citizens, regardless of economic status, offering a range of services including post-acute care, long-term care, and memory care. The facility is committed to providing quality care and enriching the lives of its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
132
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.4%
Residents per day (avg)
118
Occupancy rate
89.4%
Residents per day (avg)
118
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
68% of new residents, usually for short-term rehab.
Typical stay
4 days
Private pay
17% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Finances and operations
Voluntary non-profit home
Other
Home revenue
$12.5M
Surplus of revenue
$1.1M
Voluntary non-profit home
Other
Home revenue
$12,544,256.00
Surplus of revenue
$1,139,313.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.4M
132-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265498
Certification type:
Medicare/Medicaid
County:
BOONE
Ownership & operating entity
The Bluffs is administrated by CHRISTINA MOORE.
Owner name:
BOONE COUNTY SENIOR CITIZEN SERVICES CORPORATION
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Our Services, Admission Application, Careers, Events
Operating Hours
Monday to Friday, 8:00 AM to 5:00 PM
Pricing & Financial Information
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Columbia
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Columbia Post Acute
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
-
No
31
MAINSTREEIDENCE DEVELOPMENTS LLC
91.5%
$29,484,769.00
$5,607,734.00
19%
64.40
4/5
3.5833
4/5
3/5
4/5
-
Columbia Post Acute
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65201-6584
70
No
-
MAINSTREEIDENCE DEVELOPMENTS LLC
91.5%
$29,484,769.00
$5,607,734.00
19%
64.40
4/5
3.5833
4/5
3/5
4/5
-
Parkside Manor
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65202-1367
120
No
-
BOWLES, ELIZABETH
56.2%
$5,556,433.00
$2,423,775.00
43.6%
74.50
2/5
4.0754
2/5
2/5
3/5
-
The Bluffs
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65201-3529
132
No
-
BENTON, CHRISTINA
89.4%
$12,138,054.00
$6,460,239.00
53.2%
117.70
1/5
4.3603
2/5
3/5
1/5
3
Americare
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
-
No
46
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near The Bluffs
0.0 miles from city center
COLUMBIA, MO 65201-3529
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
240
Total Staff
182
Employees
58
Contractors
48,101
Total Hours (Quarter)
67
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 19 | 9.7 | Yes |
| Licensed Practical Nurse | 30 | 8.9 | Yes |
| Certified Nursing Assistant | 112 | 7.5 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.3hs shift avg
Nursing Staff ⓘ
207 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.6hs shift avg
Therapy Services ⓘ
19 staff
5.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
5.6hs shift avg
Dietary Services ⓘ
4 staff
7.6hs shift avg
Other Services ⓘ
2 staff
7.5hs shift avg
Contractor Analysis
8%
of total hours from contractors
3,859 contractor hours this quarter
Licensed Practical Nurse: 5
Certified Nursing Assistant: 17
Medication Aide/Technician: 8
Respiratory Therapy Technician: 5
Registered Nurse: 5
Qualified Social Worker: 3
Physical Therapy Assistant: 2
Occupational Therapy Aide: 1
Speech Language Pathologist: 5
Physical Therapy Aide: 4
Occupational Therapy Assistant: 2
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 95 | 17 | 112 | 19,593 | 91 | 100% | 7.5 |
| Medication Aide/Technician | 29 | 8 | 37 | 8,853 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 25 | 5 | 30 | 6,794 | 91 | 100% | 8.9 |
| Registered Nurse | 14 | 5 | 19 | 3,831 | 91 | 100% | 9.7 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,943 | 86 | 95% | 8.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,193 | 90 | 99% | 7.7 |
| Mental Health Service Worker | 2 | 0 | 2 | 930 | 64 | 70% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 737 | 63 | 69% | 7.6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 657 | 65 | 71% | 6.4 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Dietitian | 1 | 0 | 1 | 438 | 59 | 65% | 7.4 |
| Speech Language Pathologist | 0 | 5 | 5 | 407 | 72 | 79% | 5.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 405 | 72 | 79% | 5.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 388 | 67 | 74% | 5.8 |
| Qualified Social Worker | 0 | 3 | 3 | 363 | 64 | 70% | 5.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 60 | 18 | 20% | 3.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 58 | 47 | 52% | 1.1 |
| Medical Director | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
Health Inspection History
Total Health citations
39
7% above Missouri average
Missouri average:
36.5
3.25 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
25 citations
Complaint investigations
20 citations
Breakdown of citations
Critical Health citations
1
43% above Missouri average
Missouri average:
0.7
Serious Health citations
2
100% above Missouri average
Missouri average:
1.0
Moderate Health citations
33
Minor Health citations
3
Citations history (last 3 years)
Pharmacy serious citation
Feb 24, 2025
Corrected
Quality of Care serious citation
Jan 14, 2025
Corrected
Infection Control critical citation
Nov 01, 2024
Corrected
Nutrition moderate citation
Nov 01, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
117
Total Residents
Medicare
4
(3.4%)
ⓘ
Medicaid
59
(50.4%)
ⓘ
Private Pay/Other
54
(46.2%)
ⓘ
Specialized Care Beds
16
Total Specialty Beds
12.1%
of Bed Capacity
16
Alzheimer's / Dementia Beds ⓘ
12.1%
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
14.3
30% worse than Missouri average
Missouri average:
10.9
Functional decline score
29.5
52% worse than Missouri average
Missouri average:
19.5
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
30.4%
54% above Missouri average.
Walking Ability Worsened
30.4%
48% above Missouri average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
27.7%
53% above Missouri average.
Safety & clinical stability
Falls with Major Injury
3.6%
11% below Missouri average.
High Risk Residents with Pressure Ulcers
1.5%
71% below Missouri average.
Urinary Tract Infection
4.9%
81% above Missouri average.
Emotional & behavioral wellbeing
Depressive Symptoms
1.6%
87% below Missouri average.
Antipsychotic Use
11.8%
46% below Missouri average.
Preventive care
Pneumococcal Vaccine
82.5%
3% below Missouri average.
Influenza Vaccine
58.4%
36% below Missouri average.
Nutrition & physical health
Lost Too Much Weight
5.4%
4% below Missouri average.Short-stay resident measures
Pneumococcal Vaccine
25.4%
62% worse than Missouri average
Antipsychotic medication increase
2.2%
Near Missouri average
Influenza Vaccine
30.0%
53% worse than Missouri average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$38K
This home paid 48% less in fines than the state average.
Missouri average:
$73K
Number of Fines
3
This home received 23% more fines than the state average.
Missouri average:
2.4
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Missouri average:
0.7
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Jan 14, 2025
$9K
Civil Money Penalty
Jan 14, 2025
$9K
Civil Money Penalty
Nov 1, 2024
$19K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Bluffs based on CMS SNF Cost Reports.
Occupancy Rate
89.4%
↓ 1.8pp vs 2022
Net Income
$1,139,313
↑ ~$437K vs 2022
Total Payroll
$8,502,615
↑ ~$1.0M vs 2022
Profit Margin
9.4%
↑ 3.2pp vs 2022
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Guides for Better Senior Living
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Financial Aid for Missouri Seniors
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