Federal inspection record · CMS data as of October 1, 2026
Bluffs, The
3105 Bluff Creek Drive, Columbia, MO · (573) 442-6060
- Certified beds
- 132
- Residents per day
- 120
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 5, 1992
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Bluffs, The carries 162.5 inspection points. That is fewer than 19% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide and implement an infection prevention and control program.
Everything else, by area of care
Resident Rights9E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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 directive.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care7E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning5F
- F
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary5F
- F
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation5E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2E
- E
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 locked compartments, separately locked, compartments for controlled drugs.
- E
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 locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2026-01-30
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-11-01
11 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-06-29
17 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 20 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
4 h 20 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 59% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$37,621 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-14 | Fine | $9,110 |
| 2025-01-14 | Fine | $9,110 |
| 2024-11-01 | Fine | $19,401 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.2 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts worse | 76.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 94.8% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 6.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms19.5 pts better | 0.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts better | 18.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.3 pts better | 13.2% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.1 pts worse | 15.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts worse | 21.4% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts worse | 23.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.9 pts worse | 51.8% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.9 pts worse | 20.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 1.3% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.3 pts better | 69.7% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts better | 19.6% | 25.7% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bacon, Suzette | Corporate Officer · Individual | 0% | 1 facilities |
| Baker, Jennifer | Corporate Officer · Individual | 0% | 1 facilities |
| Dresner, Jessica | Corporate Director · Individual | 0% | 1 facilities |
| Fairchild, Julia | Corporate Officer · Individual | 0% | 1 facilities |
| Fairchild, Julia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fairchild, Julia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Gershman Investment Corp. | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Gilbert, Barry | Corporate Officer · Individual | 0% | 1 facilities |
| Harrington, Ranshell | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kpm Cpas, Pc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Midwest Physical Therapy Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Minner, Donna | Corporate Officer · Individual | 0% | 1 facilities |
| Moore, Christina | Corporate Director · Individual | 0% | 1 facilities |
| Moore, Christina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moore, Christina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Moss, Janet | Corporate Director · Individual | 0% | 1 facilities |
| Prentice-Kuhn, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Prost, Evan | Corporate Director · Individual | 0% | 1 facilities |
| Simpson, Doris | Corporate Director · Individual | 0% | 1 facilities |
| Sjoblom, Beth | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sjoblom, Beth | Adp Of The SNF · Individual | 0% | 2 facilities |
| Velloff-Burris, Tara | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness9F
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
List the names and contact information of those in the facility.
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Provide emergency officials' contact information.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
Smoke8F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems6F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress3E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have properly located and lighted "Exit" signs.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have an externally vented heating system.
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