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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Columbia Post Acute, LLC, owner of Mainstreeidence Developments LLC, and administrator Christopher McClain manage the daily routines at Columbia Post Acute, a 70-bed skilled care center on internal streets in Columbia, Missouri. The administrative desk processes accounts through standard paths, working with private funds, Medicaid, and Medicare. Family members checking the local neighborhood will find a highly pedestrian-friendly grid scoring 98 out of 100 for walkability, meaning you can easily complete everyday errands or walk to nearby services entirely on foot when dropping by.
The facility stays nearly full, but people usually only stay for about 30 days. It is a fast-moving setup built entirely for short-term rehab, not long-term care. To keep up with that pace, the nursing crew gives each resident about three and a half hours of direct, hands-on care every single day. That daily support is shared across registered nurses, practical nurses, and assistants who keep both the inpatient and outpatient therapy schedules running.
Past survey evaluations have highlighted a few specific process areas needing regular administrative attention, including routine medication management, employee qualification checks, and clinical care documentation habits, keeping the overall citation rate above zero.
Older adults can look into the specialized physical therapy spaces, private bathrooms, and dedicated social lounges. The daily routine pairs these recovery tracks with menu choices prepared by the culinary team, alongside regular social events like arts, crafts, bingo, and live entertainment.
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.
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.
This home is ranked 158th out of 276 homes in Missouri for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 51m per day | ▲ 82% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 9m per day | ▲ 68% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 4m per day | ▼ 12% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 23m per day | ▲ 11% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 11m per day | ▲ 459% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 29m per day | ▲ 45% State avg: 20m per day · National avg: 29m per day |
Higher than the Missouri average: 66.6%Columbia Post Acute is legally operated by Columbia Post Acute, Llc, and administrated by Christopher Mcclain.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 59 | 35 | This facility has 69% more total deficiencies than a typical Missouri nursing home (59 vs. MO avg 35).↑ 69% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 14.8 | 8.8 | This facility has 68% more deficiencies per year than a typical Missouri nursing home (14.8 vs. MO avg 8.8).↑ 68% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6.6 | 5 | This facility has 32% more deficiencies per inspection than a typical Missouri nursing home (6.6 vs. MO avg 5).↑ 32% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 7 | This facility has 29% more total inspections than a typical Missouri nursing home (9 vs. MO avg 7).↑ 29% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Feb 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 13 citations resulted from standard inspections; 1 of 13 resulted from complaint investigations; and 1 of 13 came from combined inspections (standard and complaint).
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
99% more staff per resident than Missouri average
7% worse than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
26 total: 12 full-time employees and 14 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
29 total: 14 full-time employees and 15 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
99 total: 43 full-time employees and 56 contractors.
99
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,086 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 56 | 99 | 11,424 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 14 | 15 | 29 | 6,861 | 92 | 100% | 9.5 |
| Registered Nurse | 12 | 14 | 26 | 4,061 | 92 | 100% | 8.7 |
| Physical Therapy Aide | 14 | 0 | 14 | 2,118 | 76 | 83% | 6.3 |
| Speech Language Pathologist | 11 | 0 | 11 | 2,090 | 76 | 83% | 6 |
| Qualified Social Worker | 5 | 0 | 5 | 1,141 | 68 | 74% | 6.1 |
| Respiratory Therapy Technician | 9 | 0 | 9 | 1,114 | 89 | 97% | 5.7 |
| Physical Therapy Assistant | 7 | 0 | 7 | 986 | 83 | 90% | 6.1 |
| Nurse Aide in Training | 2 | 0 | 2 | 573 | 66 | 72% | 8.3 |
| Dietitian | 1 | 0 | 1 | 513 | 65 | 71% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Medication Aide/Technician | 0 | 13 | 13 | 336 | 31 | 34% | 8.6 |
| Administrator | 1 | 0 | 1 | 284 | 64 | 70% | 4.4 |
| Therapeutic Recreation Specialist | 3 | 0 | 3 | 103 | 59 | 64% | 1.7 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 27 | 28 | 30% | 0.8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
37% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.6
31% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.1%
7% worse than Missouri averageMissouri average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.1%
66% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
21% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.7%
51% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
31.4%
145% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
23.5%
7% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
50% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
16% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
49% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
21% better than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.3%
23% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
44% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.7%
22% better than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
71.7%
42% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
65% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Columbia Post Acute based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #42 / 286Payroll — State benchmarkedThis home is ranked 42nd out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Columbia's city center to Columbia Post Acute's address, calculated via Google Maps.
Add your location
Columbia Post Acute is located in COLUMBIA, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| 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
Facility
70
MO AVG
97
Rank
#305 / 454 |
95.7%
Facility
95.7%
MO AVG
66.6%
Rank
#15 / 428 | +44% | 3.58
Facility
3.58
MO AVG
3.74
Rank
#158 / 276 | +49% | -4% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 13
Facility
13
MO AVG
36.5
Rank
#34 / 281 | 3.3
Facility
3.3
MO AVG
5.7
Rank
#34 / 281 | 1 | 65 | - |
98
Facility
98
MO AVG
45
Rank
#1 / 563 | Mainstreeidence Developments LLC | $29.5M
Facility
$29.5M
MO AVG
$8.4M
Rank
#8 / 286 | $6.8M
Facility
$6.8M
MO AVG
$3.3M
Rank
#42 / 286 | 23.1%
Facility
23.1%
MO AVG
45.6%
Rank
#282 / 286 | 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
Facility
120
MO AVG
97
Rank
#89 / 454 |
66.7%
Facility
66.7%
MO AVG
66.6%
Rank
#210 / 428 | 0% | 4.08
Facility
4.08
MO AVG
3.74
Rank
#84 / 276 | -49% | +9% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 48
Facility
48
MO AVG
36.5
Rank
#219 / 281 | 6.0
Facility
6.0
MO AVG
5.7
Rank
#180 / 281 | 1 | 76 | - |
98
Facility
98
MO AVG
45
Rank
#1 / 563 | Elizabeth Bowles | $5.6M
Facility
$5.6M
MO AVG
$8.4M
Rank
#176 / 286 | $3.0M
Facility
$3.0M
MO AVG
$3.3M
Rank
#180 / 286 | 53%
Facility
53%
MO AVG
45.6%
Rank
#159 / 286 | 265302 | ||||
| The Villa at Blue Ridge |
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 | 97
Facility
97
MO AVG
97
Rank
#197 / 454 |
86.6%
Facility
86.6%
MO AVG
66.6%
Rank
#67 / 428 | +30% | 4.71
Facility
4.71
MO AVG
3.74
Rank
#39 / 276 | -45% | +26% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 29
Facility
29
MO AVG
36.5
Rank
#132 / 281 | 4.1
Facility
4.1
MO AVG
5.7
Rank
#88 / 281 | 1 | 84 | A+ |
98
Facility
98
MO AVG
45
Rank
#1 / 563 | Karin Borning | $5.6M
Facility
$5.6M
MO AVG
$8.4M
Rank
#173 / 286 | $4.1M
Facility
$4.1M
MO AVG
$3.3M
Rank
#114 / 286 | 72.4%
Facility
72.4%
MO AVG
45.6%
Rank
#23 / 286 | 265251 | ||||
| South Hampton Place |
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 | 100
Facility
100
MO AVG
97
Rank
#177 / 454 |
62.9%
Facility
62.9%
MO AVG
66.6%
Rank
#243 / 428 | -6% | 3.44
Facility
3.44
MO AVG
3.74
Rank
#184 / 276 | +8% | -8% | $12.7k
Facility
$12.7k
MO AVG
$76.9k
Rank
#157 / 283 | 33
Facility
33
MO AVG
36.5
Rank
#156 / 281 | 6.6
Facility
6.6
MO AVG
5.7
Rank
#204 / 281 | 1 | 75 | - |
5
Facility
5
MO AVG
45
Rank
#523 / 563 | Shauna Adams | $6.6M
Facility
$6.6M
MO AVG
$8.4M
Rank
#131 / 286 | $3.5M
Facility
$3.5M
MO AVG
$3.3M
Rank
#147 / 286 | 52.8%
Facility
52.8%
MO AVG
45.6%
Rank
#161 / 286 | 265618 |
Columbia Post Acute has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to MO state health department records, Columbia Post Acute's license number is 053599.
According to MO state health department records, Columbia Post Acute's license expires on May 6, 2028.
Columbia Post Acute's occupancy is 96%.
Christopher McClain is the administrator of Columbia Post Acute.
Columbia Post Acute has 70 beds.
Yes — there are 16 photos of Columbia Post Acute in the photo gallery on this page.
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