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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.
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.
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 39th 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.
| 12m per day | ▼ 57% 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.
| 35m per day | ▼ 14% 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 37m per day | ▲ 13% State avg: 2h 19m per day · National avg: 2h 20m 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 9m per day | ▲ 3% State avg: 3h 3m per day · National avg: 3h 27m 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.
| 1m per day | ▼ 67% State avg: 3m 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.
| 11m per day | ▼ 45% State avg: 20m per day · National avg: 29m per day |
Higher than the Missouri average: 66.6%The Villa at Blue Ridge is legally operated by N & R Of North Columbia, Llc, and administrated by Kimberly Welch.
Key information about the people who lead and staff this community.
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.
| 64 | 35 | This facility has 83% more total deficiencies than a typical Missouri nursing home (64 vs. MO avg 35).↑ 83% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.3 | 5 | This facility has 6% more deficiencies per inspection than a typical Missouri nursing home (5.3 vs. MO avg 5).↑ 6% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 12 | 7 | This facility has 71% more total inspections than a typical Missouri nursing home (12 vs. MO avg 7).↑ 71% worse |
Missouri average 6.6
Last Health inspection on Jun 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.
17 of 29 citations resulted from standard inspections; 11 of 29 resulted from complaint investigations; and 1 of 29 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.
15% fewer staff per resident than Missouri average
6% better 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.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 23 CNA Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,108 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 0 | 23 | 8,061 | 92 | 100% | 9.3 |
| Nurse Aide in Training | 36 | 0 | 36 | 7,853 | 92 | 100% | 9.3 |
| Medication Aide/Technician | 18 | 0 | 18 | 5,375 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 13 | 0 | 13 | 3,949 | 92 | 100% | 9.3 |
| Registered Nurse | 5 | 0 | 5 | 1,422 | 86 | 93% | 10 |
| Dental Services Staff | 2 | 0 | 2 | 872 | 69 | 75% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 814 | 75 | 82% | 10.1 |
| Administrator | 1 | 0 | 1 | 490 | 60 | 65% | 8.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 394 | 70 | 76% | 5.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 364 | 63 | 68% | 5.8 |
| Dietitian | 1 | 0 | 1 | 362 | 58 | 63% | 6.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 215 | 48 | 52% | 4.3 |
| Nurse Practitioner | 3 | 0 | 3 | 189 | 29 | 32% | 6.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 122 | 40 | 43% | 3.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 103 | 13 | 14% | 7.3 |
| Qualified Social Worker | 0 | 1 | 1 | 51 | 27 | 29% | 1.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 48 | 20 | 22% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 3 | 3% | 8.6 |
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.
15.1
38% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
24% worse than Missouri averageMissouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
31.2%
58% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
25.2%
22% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.3%
10% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
42% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
8.2%
63% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
4.3%
56% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.1%
9% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
7.4%
43% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
27.1%
23% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.3%
6% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
5% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.0%
In line with Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
16.7%
652% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.4%
22% better 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.
16% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
53% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for The Villa at Blue Ridge 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 #114 / 286Payroll — State benchmarkedThis home is ranked 114th 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 stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Columbia's city center to The Villa at Blue Ridge's address, calculated via Google Maps.
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The Villa at Blue Ridge 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 |
The legal owner and operator of The Villa at Blue Ridge is N & R Of North Columbia, Llc.
The Villa at Blue Ridge 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, The Villa at Blue Ridge's license number is 052874.
According to MO state health department records, The Villa at Blue Ridge's license expires on July 30, 2027.
The Villa at Blue Ridge's occupancy is 87%.
Kimberly Welch is the administrator of The Villa at Blue Ridge.
The Villa at Blue Ridge has 97 beds.
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