The Bluffs
Nursing home in Columbia, MO
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 3105 Bluff Creek Drive, Columbia, MO 65201
- Phone
- (573) 442-6060
- Listed under
- Nonprofit
- Medicare CCN
- 265498
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 132
- Average residents per day
- 118
- Ownership
- Nonprofit, corporation
- Legal business name
- Boone County Senior Citizen Service Corporation
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- May 5, 1992
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jan 30, 2026. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2023 to Jan 30, 2026): 16 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jan 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Jan 30, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| Jan 30, 2026 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance… | E |
| Jan 30, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E |
| Jan 30, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| Jan 30, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| Jan 30, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in… | E |
| Jan 30, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | F |
| Jan 30, 2026 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F |
| Jan 30, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Jan 30, 2026 | Provide and implement an infection prevention and control program. | F |
| Jan 30, 2026 | Implement a program that monitors antibiotic use. | F |
Fines and payment denials
CMS records 3 fines totalling $37,621 in the last three years.
| Jan 14, 2025 | Fine: $9,110 |
| Jan 14, 2025 | Fine: $9,110 |
| Nov 1, 2024 | Fine: $19,401 |
Staffing
- Total nurse staffing per resident per day
- 4.20 hours
- Registered nurse (RN) time per resident per day
- 0.59 hours
- Nurse aide time per resident per day
- 3.02 hours
- Total nurse staffing on weekends
- 3.83 hours
- Nursing staff turnover (yearly)
- 62%
- RN turnover (yearly)
- 57%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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