Total health inspections
12
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
Nursing Home in Columbia
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Bluffs
Nursing Home in Columbia
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 44th out of 251 homes in Missouri.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 44th out of 251 homes in Missouri.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 22m per day
vs Missouri avg
+15%
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%
Avg. Length of Stay
75 days
Occupancy rate
89.4%
Avg. Length of Stay
75 days
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 community
Home revenue
$12.5M
Surplus of revenue
$1.1M
Voluntary non-profit community
Home revenue
$12.5M
Surplus of revenue
$1.1M
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 TypeSnf
CountyBoone
CMS Certification Number265498
Certification TypeMedicare/Medicaid
The Bluffs is legally operated by Boone County Senior Citizen Services Corp, and administrated by Christina Moore.
Owner NameBOONE COUNTY SENIOR CITIZEN SERVICES CORPORATION
Accept Medicaid
Accept Medicare
Rehabilitation Services
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Post Acute Care
Long Term Care
Specific ProgramsOur Services, Admission Application, Careers, Events
Operating HoursMonday to Friday, 8:00 AM to 5:00 PM
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.
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.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Health Inspection History
Inspections
Total health citations
39
Missouri average 36.5
Citations per inspection
3.25
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 39 citations resulted from standard inspections; 14 of 39 resulted from complaint investigations; and 6 of 39 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
2
2
100% worse than Missouri averageMissouri average: 1
1 critical citation
2 serious citations
33 moderate citations
3 minor citations
Citations history (last 3 years)
Pharmacy serious citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 24, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 24, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 14, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 14, 2025
Corrected
Infection Control critical citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 01, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 01, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 01, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 01, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Columbia The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Columbia Post Acute |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Columbia | - | 91.5% | - | 3.58 | - | - | 0 | 13 | 3.3 | 1 | 64 | - | 31 | Mainstreeidence Developments Llc | $29.5M | $5.6M | 19% | 265868 | ||||
| Columbia Post Acute |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Columbia | 70 | 91.5% | +37% | 3.58 | +12% | -4% | 0 | 13 | 3.3 | 1 | 64 | - | - | Mainstreeidence Developments Llc | $29.5M | $5.6M | 19% | 265868 | ||||
| Parkside Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Columbia | 120 | 56.2% | -16% | 4.08 | -51% | +9% | 0 | 48 | 6.0 | 1 | 75 | - | - | Bowles, Elizabeth | $5.6M | $2.4M | 43.6% | 265302 | ||||
| The Bluffs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Columbia | 132 | 89.4% | +34% | 4.36 | +1% | +17% | 3 | 39 | 3.3 | 3 | 118 | - | - | Benton, Christina | $12.1M | $6.5M | 53.2% | 265498 | ||||
| Americare | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Columbia | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 46 | - | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
240
Employees
182
Contractors
58
Staff to resident ratio
2.05:1
20% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
67
Average shift
7.9 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
48,101
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
30
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
112
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8%
3,859 contractor hours this quarter
Certified Nursing Assistant: 17
Medication Aide/Technician: 8
Licensed Practical Nurse: 5
Respiratory Therapy Technician: 5
Registered Nurse: 5
Speech Language Pathologist: 5
Physical Therapy Aide: 4
Qualified Social Worker: 3
Physical Therapy Assistant: 2
Occupational Therapy Assistant: 2
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
| 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 |
112 Certified Nursing Assistant
% of Days
100%
37 Medication Aide/Technician
% of Days
100%
30 Licensed Practical Nurse
% of Days
100%
19 Registered Nurse
% of Days
100%
8 Nurse Aide in Training
% of Days
95%
3 Other Dietary Services Staff
% of Days
99%
2 Mental Health Service Worker
% of Days
70%
2 Clinical Nurse Specialist
% of Days
69%
5 Respiratory Therapy Technician
% of Days
71%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 RN Director of Nursing
% of Days
70%
1 Dietitian
% of Days
65%
5 Speech Language Pathologist
% of Days
79%
4 Physical Therapy Aide
% of Days
79%
2 Physical Therapy Assistant
% of Days
74%
3 Qualified Social Worker
% of Days
70%
1 Occupational Therapy Aide
% of Days
20%
2 Occupational Therapy Assistant
% of Days
52%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117
Medicare
4
3.4% of residents
Medicaid
59
50.4% of residents
Private pay or other
54
46.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
30% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
52% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.4%
Percent of long-stay residents whose need for help with daily activities has increased
30.4%
54% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.4%
Percent of long-stay residents whose ability to move independently worsened
30.4%
48% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.7%
53% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
11% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.5%
Percent of long-stay high risk residents with pressure ulcers
1.5%
71% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
81% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.4%
Percent of long-stay residents who lose too much weight
5.4%
In line with Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
Percent of long-stay residents who have depressive symptoms
1.6%
87% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.8%
Percent of long-stay residents who received an antipsychotic medication
11.8%
46% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
58.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
58.4%
36% worse than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.4%
62% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
In line with Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.0%
53% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
48% lower than Missouri averageMissouri average: $73K
Number of fines
3
23% more fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$38K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 14, 2025
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 14, 2025
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
$1.1M
↑ ~$437.0K vs 2022
Total Payroll
$8.5M
↑ ~$1.0M vs 2022
Profit Margin
9.4%
↑ 3.2pp vs 2022
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