The Bluffs
Nursing Home · Columbia, MO
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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 · Columbia, MO
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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The Bluffs accepts Medicaid, Medicare, and private pay.

Overview of The Bluffs

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.
(573) 442-6060

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 62.0% Below MO avg.
Health Inspection Info 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.
▼ 31.0% Below MO avg.
Staffing Info 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.
▲ 38.9% Above MO avg.
Quality Measures Info 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.
▼ 64.2% Below MO avg.

Staffing hours breakdown

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 — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 50th out of 256 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
Rank #50 / 256Nurse hours — state benchmarkedThis home is ranked 50th out of 256 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 256 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Missouri avg (3h 48m per day)
vs Missouri avg
+15%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) 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 25m per day

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the Missouri average: 66.6%
Occupancy rate 89.4% Rank #42 / 262Occupancy rate — state benchmarkedThis home is ranked 42nd out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 75 days
Occupancy rate
89.4% Rank #42 / 262Occupancy rate — state benchmarkedThis home is ranked 42nd out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
75 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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 Rank #53 / 263Revenue — state benchmarkedThis home is ranked 53rd out of 263 homes in Missouri.Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$1.1M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #12 / 263Payroll — state benchmarkedThis home is ranked 12th out of 263 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.
$8.5M
67.8% of revenue Rank #53 / 263Payroll % — state benchmarkedThis home is ranked 53rd out of 263 homes in Missouri.Shows payroll as a percentage of revenue versus the Missouri average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
Total costs $11.4M
Bed community size
132-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 98 / 100 Rank #1 / 264Walk Score — state benchmarkedThis home is ranked 1st out of 264 homes in Missouri.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

License Details

Facility TypeSnf
CountyBoone
CMS Certification Number265498
Certification TypeMedicare/Medicaid

Ownership & Operating Entity

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

Owner NameBoone County Senior Citizen Services Corporation

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
Post Acute Care

Amenities & Lifestyle

Specific ProgramsOur Services, Admission Application
Operating 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.

Inspection Scorecard Info 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.

Overall vs. MO average 0 Worse No metrics in this bucket. 1 Better Metrics better than Missouri average:
• Total inspections (100% below)

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

MetricThis FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 07 This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better

Health Inspection History

Inspections
Total health inspections 12

Missouri average 6.6


Last Health inspection on Feb 2025

Total health citations
39 Rank #172 / 261Health citations — state benchmarkedThis home is ranked 172nd out of 261 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri state average, with a ranking across all 261 MO SNFs. Lower citation counts earn a better rank.

Missouri average 36.5

Citations per inspection
3.25 Rank #31 / 261Citations per inspection — state benchmarkedThis home is ranked 31st out of 261 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 261 SNFs with citation data. Lower is better.

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 5 years)
Critical Health citations More info
1
43% worse than Missouri average

Missouri average: 0.7


Serious Health citations More info 2
100% worse than Missouri average

Missouri average: 1

1 critical citation More info Missouri average: 0.7

2 serious citations More info Missouri average: 1

33 moderate citations More info Missouri average: 33.6

3 minor citations More info Missouri average: 1.2
Citations history (last 5 years)
Pharmacy serious citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Feb 24, 2025
Corrected

Quality of Care serious citation Info 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 Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 01, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 01, 2024
Corrected

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)

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

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 average

Missouri average ratio: 1.71:1

Avg staff/day 67
Average shift 7.9 hours
0% compared with Missouri average

Missouri 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 112
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This 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 Assistant951711219,59391100%7.5
Medication Aide/Technician298378,85391100%8.8
Licensed Practical Nurse255306,79491100%8.9
Registered Nurse145193,83191100%9.7
Nurse Aide in Training8081,9438695%8.3
Other Dietary Services Staff3031,1939099%7.7
Mental Health Service Worker2029306470%7.5
Clinical Nurse Specialist2027376369%7.6
Respiratory Therapy Technician0556576571%6.4
Administrator1014806470%7.5
Nurse Practitioner1014806470%7.5
RN Director of Nursing1014806470%7.5
Dietitian1014385965%7.4
Speech Language Pathologist0554077279%5.2
Physical Therapy Aide0444057279%5.6
Physical Therapy Assistant0223886774%5.8
Qualified Social Worker0333636470%5.6
Occupational Therapy Aide011601820%3.3
Occupational Therapy Assistant022584752%1.1
Medical Director0111233%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.

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.5
52% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.4%
54% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.4%
48% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.7%
53% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.6%
11% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.5%
71% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.9%
81% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.4%
In line with Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.6%
87% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.8%
46% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.5%
In line with Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 58.4%
36% worse than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 25.4%
62% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.2%
In line with Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 30.0%
53% worse than Missouri average

Missouri average: 63.5%

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 average

Missouri average: $73K

Number of fines 3
23% more fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri 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.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 14, 2025
$9K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 14, 2025
$9K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 1, 2024
$19K

Last updated: Jan 2026

Compare Nursing Home around Columbia

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

3 facilities compared · CMS & MO Dept. of Health data · Updated May 2026

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.

Columbia70 91.5% +37%3.58 +12%-4%0133.3164 98 Mainstreeidence Developments LLC$29.5M$5.6M19%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.

Columbia120 56.2% -16%4.08 -51%+9%0486.0175 98 Elizabeth Bowles$5.6M$2.4M43.4%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.

Columbia132 89.4% +34%4.36 +1%+17%3393.33118 98 Christina Benton$12.5M$6.5M51.5%265498

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Frequently Asked Questions about The Bluffs

Who is the owner of The Bluffs?

The legal owner and operator of The Bluffs is Boone County Senior Citizen Services Corp.

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.

Who is the administrator of The Bluffs?

Christina Moore is the administrator of The Bluffs.

How many beds does The Bluffs have?

The Bluffs has 132 beds.

Are there photos of The Bluffs?

Yes — there is 1 photo of The Bluffs in the photo gallery on this page.

What is the address of The Bluffs?

The Bluffs is located at 3105 BLUFF CREEK DR.

What is the phone number of The Bluffs?

(573) 442-6060 will put you in contact with the team at The Bluffs.

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