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Best Nursing Homes in Columbia, MO

Why trust this guide? Our editorial team analyzed 10 nursing homes in Columbia, MO using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
Reviewed by
Last updated
Jun 2026
We analyzed
10 homes
Other senior care options in Columbia:
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Columbia, MO. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.6/ 5The average Staffing Rating across all CMS-certified nursing homes in Columbia, MO. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Columbia, MO. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Columbia (Metro Area)

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

5 facilities compared · CMS & MO Dept. of Health data

Heritage Hall
NH
HC
Centralia
60
Facility 60
MO AVG 97
Rank #343 / 454
59.8%
Facility 59.8%
MO AVG 66.6%
Rank #278 / 434
-10%
3.30
Facility 3.30
MO AVG 3.74
Rank #206 / 282
-23%-12%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
7
Facility 7
MO AVG 36.5
Rank #7 / 287
1.8
Facility 1.8
MO AVG 5.7
Rank #5 / 287
-42-
30
Facility 30
MO AVG 45
Rank #386 / 563
Christina Redmond
$3.7M
Facility $3.7M
MO AVG $8.4M
Rank #256 / 292
$2.0M
Facility $2.0M
MO AVG $3.3M
Rank #253 / 292
54.4%
Facility 54.4%
MO AVG 45.6%
Rank #148 / 292
265385
The Neighborhoods by TigerPlace
NH
HC
Columbia
120
Facility 120
MO AVG 97
Rank #89 / 454
72.7%
Facility 72.7%
MO AVG 66.6%
Rank #168 / 434
+9%
4.93
Facility 4.93
MO AVG 3.74
Rank #35 / 282
-78%+32%
$85.1k
Facility $85.1k
MO AVG $76.9k
Rank #259 / 289
28
Facility 28
MO AVG 36.5
Rank #125 / 287
4.0
Facility 4.0
MO AVG 5.7
Rank #77 / 287
492-
20
Facility 20
MO AVG 45
Rank #451 / 563
Lisa Byergo
$12.5M
Facility $12.5M
MO AVG $8.4M
Rank #58 / 292
$6.0M
Facility $6.0M
MO AVG $3.3M
Rank #58 / 292
48.1%
Facility 48.1%
MO AVG 45.6%
Rank #198 / 292
265840
The Villa at Blue Ridge
NH
HC
Columbia
97
Facility 97
MO AVG 97
Rank #197 / 454
86.6%
Facility 86.6%
MO AVG 66.6%
Rank #66 / 434
+30%
4.71
Facility 4.71
MO AVG 3.74
Rank #41 / 282
-45%+26%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
29
Facility 29
MO AVG 36.5
Rank #133 / 287
4.1
Facility 4.1
MO AVG 5.7
Rank #90 / 287
189A+
98
Facility 98
MO AVG 45
Rank #1 / 563
Karin Borning
$5.1M
Facility $5.1M
MO AVG $8.4M
Rank #179 / 292
$2.8M
Facility $2.8M
MO AVG $3.3M
Rank #119 / 292
55.2%
Facility 55.2%
MO AVG 45.6%
Rank #23 / 292
265251
South Hampton Place
NH
AL
Columbia
100
Facility 100
MO AVG 97
Rank #177 / 454
62.9%
Facility 62.9%
MO AVG 66.6%
Rank #249 / 434
-6%
3.44
Facility 3.44
MO AVG 3.74
Rank #187 / 282
+8%-8%
$12.7k
Facility $12.7k
MO AVG $76.9k
Rank #179 / 289
33
Facility 33
MO AVG 36.5
Rank #158 / 287
6.6
Facility 6.6
MO AVG 5.7
Rank #206 / 287
175-
5
Facility 5
MO AVG 45
Rank #523 / 563
Shauna Adams
$5.3M
Facility $5.3M
MO AVG $8.4M
Rank #137 / 292
$2.9M
Facility $2.9M
MO AVG $3.3M
Rank #151 / 292
54.8%
Facility 54.8%
MO AVG 45.6%
Rank #163 / 292
265618
Columbia Post Acute
NH
Columbia
70
Facility 70
MO AVG 97
Rank #305 / 454
95.7%
Facility 95.7%
MO AVG 66.6%
Rank #16 / 434
+44%
3.58
Facility 3.58
MO AVG 3.74
Rank #161 / 282
+49%-4%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
13
Facility 13
MO AVG 36.5
Rank #34 / 287
3.3
Facility 3.3
MO AVG 5.7
Rank #34 / 287
165-
98
Facility 98
MO AVG 45
Rank #1 / 563
Mainstreeidence Developments LLC
$12.8M
Facility $12.8M
MO AVG $8.4M
Rank #8 / 292
$6.5M
Facility $6.5M
MO AVG $3.3M
Rank #43 / 292
51%
Facility 51%
MO AVG 45.6%
Rank #288 / 292
265868
Overview of Heritage Hall

Receive the care and support you deserve with the distinct senior living community of Heritage Hall Skilled Nursing by Americare set in the harmonious neighborhood of East Highway 22, Centralia, MO, that offers skilled nursing, hospice, home health care, and rehabilitation. With warm and spacious studio floor plans, the community ensures seniors experience unmatched comfort and safety. Live the life you’ve always dreamed of with a kind and highly trained team handling your chores and providing help every step of the way.

Retain your independence while doing the things you love through engaging activities and enjoyable events. Moreover, the community conducts fun wellness programs for residents to maintain an active and well-engaged lifestyle. Delight with healthy and tasty meals catering to dietary needs and preferences. Surround yourself with the care you need with Heritage Hall for a glorious retirement.

Contact Heritage Hall

Overview of Hillcrest Assisted Living

Hillcrest residents of assisted living and memory care housing options have access to personal care that aims to enhance their quality of life. The team of dedicated professionals dedicates itself to ensuring the best quality of service to the residents while equally gaining their independence. The tightly-knit community is a friendly environment that allows seniors to nurture and grow as individuals, regardless of age. The senior living community has a personalized care program that caters to the specific needs of unique individuals– designed to ensure that seniors are able.

The Hillcrest residents offer a personalized care program designed to meet each individual’s unique needs. They offer an exceptional dining experience, innovative programs, and educational activities that all aim to ensure a wonderful experience during your golden years. Staff is committed to enhancing the lives of the residents, so they provide the necessary additional support needed, 24/7.

Contact Hillcrest Assisted Living

Overview of The Neighborhoods by Tigerplace

Revisit old passions at The Neighborhoods by Tigerplace, a remarkable senior living community based in Columbia, MO, offering home care, rehabilitation, skilled nursing, and hospice care. With its comprehensive services, residents are guaranteed to age in place with the comfort of knowing that all of their needs in different phases of their retirement will be met. With physical, occupational and speech therapy, residents are able to maintain or regain their strengths and mobility to continue living a fulfilling and active life.

Stay active, connected and engaged with a plethora of interesting activities, events, and wellness programs offered by the community. The community also provides healthy, delicious meals crafted to give residents the sustenance and nutrition they need to stay energized and healthy. Pets are also warmly welcomed by the community to provide residents the therapeutic value that pets provide, fostering a sense of companionship and purpose from having the responsibility of taking care of another being.

Contact The Neighborhoods by TigerPlace

Overview of The Villa at Blue Ridge

Located in Columbia, Missouri, The Villa at Blue Ridge is a skilled nursing home operated by N & R Of North Columbia, LLC, owned by Karin Borning. The 97-bed facility is led by administrator Kimberly Welch. Its location on Blue Ridge Road has a Walk Score of 98, so the location is a walker’s paradise with excellent access to nearby services and amenities. Medicaid, Medicare, and private pay are accepted, offering families multiple ways to access coverage.

The Villa provides a spectrum of care, from post-acute rehabilitation to longer-term skilled nursing care. Most stay an average of 145 days, including those under shorter-term recovery stays and residents who remain for ongoing nursing support. Total nurse staffing averages 4 hours and 43 minutes per resident each day to provide substantial hands-on clinical support. The facility’s current occupancy rate is 87%, with 84 of its 97 beds currently filled.

The facility’s clinical services are comprehensive, including physical and occupational therapy, dietitian services, behavioral and Alzheimer’s care, and hospice. There’s a physician on staff, and the 24-hour staffing model provides medical coverage and supervision around the clock. The home manages complex care needs, including wound VACs, tracheostomy care, and tube feedings, so it can accommodate residents with intensive nursing needs.

On-site amenities include a barber and beauty shop, four courtyards for outdoor time, and laundry and housekeeping services. Residents dine with a complete range of meals and snacks tailored to their preferences. They also have access to transportation for appointments and outings. Religious services, free cable service, free in-room phones, and an ombudsman program to advocate for resident concerns are also available.

The community has a Walk Score of 98, so visiting family will find the surrounding neighborhood highly accessible on foot. Shops and services are easy to reach.

Contact The Villa at Blue Ridge

The Bluffs

3105 Bluff Creek Dr, Columbia, MO 65201-3529
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.

Contact The Bluffs

Columbia Post Acute

3535 Berrywood Drive, Columbia, MO 65201-6584
Overview of Columbia Post Acute

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.

Contact Columbia Post Acute

Overview of Americare

Americare community is one of the trusted nursing homes in Columbia. They offer a comprehensive residential living that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery.
With a list of branches all over Columbia, Americare ensures that residents thrive and have a relaxing speedy recovery. It specializes in skilled nursing and rehabilitation specialty with long-term and short-term care services. Other community amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Americare

Overview of The Villa at Blue Ridge

Columbia, Missouri, has The Villa at Blue Ridge, a 97-bed skilled nursing operation running at 86.6% census. That occupancy level signals a facility that stays reasonably full without always being packed.

The staffing number is 4.71 nursing hours per resident per day. For skilled nursing in Missouri, that is substantive. The hours include registered nurses, licensed nurses, and nursing aides working together through the daily care cycle. The facility builds therapy into its operation: physical therapy, occupational therapy, and speech therapy are on-site with individualized plans rather than contracted or intermittent.

Operationally, residents choose their meals daily from a variety of options tailored to individual preferences. Daily activities are scheduled: exercise groups, arts and crafts, and structured games.

Barber and beauty services are on-site. Transportation is provided. The Ombudsman Program and Restorative Program are both present. The Walk Score is 48, meaning the area is somewhat walkable, but a car is the practical expectation.

Medicare and Medicaid are both accepted. The facility is built around rehabilitation and skilled care; it offers a throughput model serving residents in recovery, not necessarily permanent placement. The staffing level and on-site therapy are matched to that purpose.

Contact The Villa At Blue Ridge

Overview of Columbia Post Acute

A community built with luxury and flexibility in mind, Columbia Post Acute is undoubtedly one of the premier nursing homes in the city. The upscale nursing home aims to reinvent the meaning of skilled nursing and rehabilitation for seniors through the exceptional care delivered by their patient-friendly staff to offer the best care possible for their residents. Columbia Post Acute is the ideal nursing home for families looking for the best solution to skilled nursing and providing a safe and secure community that cares for every patient’s needs.
The upscale nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost hospitality. Other features include rehabilitative therapies (speech, occupational, physical), personalized care plans, and calendar-filled engaging activities.

Contact Columbia Post Acute

Overview of South Hampton Place

South Hampton Place operates as a 100-bed nursing home in Columbia, Missouri. Owned by Shauna Adams, it accepts Medicare, Medicaid, and private-pay residents, with an average length of stay of 82 days. The facility currently houses 57 residents, reflecting an occupancy rate of 62.9%, below Missouri’s 66.6% average.

The facility’s overall CMS rating is 1 star, a significant performance gap. Health inspection ratings are 1 star, 27.9% below state standards.

Staffing ratings are 1 star, 54.3% below state performance, despite a staff-to-resident ratio that exceeds the state average by 49% at 2.53:1. Adjusted nursing hours average 3 hours 27 minutes per resident daily, 8% below Missouri’s 3 hours 44 minutes. Weekend staffing declines to 2 hours 47 minutes per day.

Walking ability deteriorated in 33.6% of long-stay residents; nearly double the state average of 20.6%. Increased need for assistance with daily activities was documented in 29.5% of residents versus the state average of 19.8%. The facility’s composite functional decline score of 26.5 substantially exceeds the state average of 19.5, a 36% gap. Composite high-risk clinical events scores 14.5 compared to the state average of 10.9.

Balanced against these findings, the facility reports better-than-average performance in preventive outcomes: zero documented depressive symptoms (state average 12.8%), falls with major injury at 2.3% versus the state average of 4.0%, and pressure ulcer rates at 3.5% compared to 5.0% statewide. Influenza and pneumococcal vaccine administration rates exceed state benchmarks.

A federal payment denial was issued April 8, 2025, lasting seven days. The facility issued one $10,000 fine, 87% lower than the state average.

Financially, the facility operates at a loss of $88.4K, with occupancy declining from 81.5% in 2011 to 62.9% in 2023. Payroll constitutes 52.8% of revenue, below the benchmark range for stable long-term care operations.

South Hampton Place serves primarily Medicaid-covered long-term residents, with Medicare short-stay rehabilitation and private-pay admissions comprising smaller portions of census.

Contact South Hampton Place

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Columbia, MO

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover nursing home care?

Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 10 nursing homes in Columbia, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Columbia, MO?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Columbia, MO, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Columbia, MO?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.