Cycle 1
Health 2024-11-01 · Fire 2024-11-01
9 health deficiencies
Top issue: Resident Rights (4 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Columbia, MO
Bluffs, The
2-star overall rating with 2-star inspections with $37,621 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
3105 Bluff Creek Drive, Columbia, MO
(573) 442-6060
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
118
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-05-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.36
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.01
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.16
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
4.43
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,532
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9855
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.52
Baseline 18.44% · Performance 20.72% · Measure score 1.52 · Achievement 1.52 · Improvement 0
Healthcare-associated infections
0
Baseline 5.33% · Performance 8.93% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.46
Baseline 60.32% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 3.69
Adjusted total nurse staffing
5.82
Baseline 3.30 hours · Performance 4.73 hours · Measure score 5.82 · Achievement 5.82 · Improvement 5.28
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.14% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 163 · Observed rate 10.43% · Lower 95% interval 8.08% |
| Discharge to community | 55.59% |
50.57%
5 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 51.88% · Lower 95% interval 46.23% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 61.76% |
95.27%
33.5 pts worse
|
Numerator 42 · Denominator 68 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 68 |
| Discharge self-care score | 46.15% |
53.69%
7.5 pts worse
|
Numerator 24 · Denominator 52 |
| Discharge mobility score | 48.08% |
50.94%
2.9 pts worse
|
Numerator 25 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 68 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.93% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 82 · Observed rate 10.98% · Lower 95% interval 5.74% |
| Staff COVID-19 vaccination coverage | 4.04% |
8.2%
4.2 pts worse
|
Numerator 9 · Denominator 223 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 42.31% |
56.45%
14.1 pts worse
|
Numerator 22 · Denominator 52 |
| Transfer of health information to provider | 86.36% |
95.95%
9.6 pts worse
|
Numerator 19 · Denominator 22 |
| Transfer of health information to patient | 80% |
96.28%
16.3 pts worse
|
Numerator 20 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 28.13% |
25.2%
2.9 pts better
|
Numerator 9 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.1
0.3 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.3
1 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.8% |
84.8%
5 pts worse
|
93.4%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.7% · Q2 82.7% · Q3 70.9% · Q4 77.7% · 4Q avg 79.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 58.4% |
90.9%
32.5 pts worse
|
95.5%
37.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 58.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
4.1%
0.2 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.9% · Q3 4.9% · Q4 6.8% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
14.7%
13.1 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 2.0% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.5%
0.6 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 9.0% · Q3 6.0% · Q4 1.2% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.1% |
25.3%
10.2 pts better
|
19.6%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.5% · Q3 15.1% · Q4 16.1% · 4Q avg 15.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
25.0%
15.9 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 8.2% · Q3 7.0% · Q4 10.4% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.7% |
20.3%
8.4 pts worse
|
16.3%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.3% · Q2 31.8% · Q3 26.5% · Q4 20.7% · 4Q avg 28.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.7% |
19.8%
8.9 pts worse
|
14.9%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 31.6% · Q3 22.5% · Q4 22.0% · 4Q avg 28.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
1.4%
1.6 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.2% · Q3 4.9% · Q4 4.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.2% |
2.6%
2.6 pts worse
|
1.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.1% · Q3 5.0% · Q4 2.1% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.6% |
18.1%
8.5 pts worse
|
19.8%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 36.0% · Q3 22.6% · Q4 20.2% · 4Q avg 26.6% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
5.0%
2.9 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 3.4% · Q3 0.8% · Q4 3.4% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.1% |
66.4%
38.3 pts worse
|
81.7%
53.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 22.7% · Q3 19.3% · Q4 43.1% · 4Q avg 28.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 26.8% |
13.4%
13.4 pts worse
|
12.0%
14.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 23.7% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.2%
0.3 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.6% · Q3 2.9% · Q4 1.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 30.0% |
63.5%
33.5 pts worse
|
79.7%
49.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% |
25.3%
2.8 pts better
|
23.9%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 17.1% · Expected 18.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-29 · Fire 2023-06-29
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2021-06-04 · Fire 2021-06-04
16 health deficiencies
Top issue: Resident Rights (4 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-01
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-09
F · Potential for more than minimal harm
2024-11-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-09
F · Potential for more than minimal harm
2023-06-29
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-13
F · Potential for more than minimal harm
2023-06-29
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-13
D · Potential for more than minimal harm
2023-06-29
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-13
D · Potential for more than minimal harm
2023-06-29
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-13
D · Potential for more than minimal harm
2023-06-29
K522 · Services Deficiencies
Fire Safety
Have an externally vented heating system.
Corrected 2023-08-13
F · Potential for more than minimal harm
2021-06-04
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-07-19
F · Potential for more than minimal harm
2021-06-04
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2021-07-19
Inspection history
Recent health citations
G · Actual harm
2025-02-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-05
G · Actual harm
2025-01-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-19
J · Immediate jeopardy
2024-11-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-09
E · Potential for more than minimal harm
2024-11-01
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-01
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-05-20
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-05-20
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-21
F · Potential for more than minimal harm
2024-04-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-11
D · Potential for more than minimal harm
2024-01-11
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-12
E · Potential for more than minimal harm
2023-12-07
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-21
E · Potential for more than minimal harm
2023-12-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-21
D · Potential for more than minimal harm
2023-12-07
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-01-21
D · Potential for more than minimal harm
2023-12-07
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-21
D · Potential for more than minimal harm
2023-12-07
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-21
F · Potential for more than minimal harm
2023-06-29
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-08-13
E · Potential for more than minimal harm
2023-06-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-13
D · Potential for more than minimal harm
2023-06-29
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-13
D · Potential for more than minimal harm
2023-06-29
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-13
D · Potential for more than minimal harm
2023-04-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-11
E · Potential for more than minimal harm
2023-03-09
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-04-03
E · Potential for more than minimal harm
2021-06-04
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2021-07-19
E · Potential for more than minimal harm
2021-06-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-07-19
E · Potential for more than minimal harm
2021-06-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-19
D · Potential for more than minimal harm
2021-06-04
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-07-19
D · Potential for more than minimal harm
2021-06-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-07-19
B · Minimal harm
2021-06-04
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2021-07-19
B · Minimal harm
2021-06-04
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2021-07-19
B · Minimal harm
2021-06-04
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2021-07-19
Penalties and ownership
What sits behind the stars
$9,110
2025-01-14
Fine
Fine · fine $9,110
Fine
$9,110
2025-01-14
Fine
Fine · fine $9,110
Fine
$19,401
2024-11-01
Fine
Fine · fine $19,401
Fine
Ownership
Bacon, Suzette
Corporate Officer · Individual
Baker, Jennifer
Corporate Officer · Individual
Dresner, Jessica
Corporate Director · Individual
Fairchild, Julia
Operational/Managerial Control · Individual
Fairchild, Julia
Corporate Officer · Individual
Gershman Investment Corp.
5% Or Greater Mortgage Interest · Organization
Gilbert, Barry
Corporate Officer · Individual
Minner, Donna
Corporate Officer · Individual
Moore, Christina
Operational/Managerial Control · Individual
Moore, Christina
Corporate Director · Individual
Moss, Janet
Corporate Director · Individual
Prost, Evan
Corporate Director · Individual
Simpson, Doris
Corporate Director · Individual
Sjoblom, Beth
Operational/Managerial Control · Individual
Velloff-Burris, Tara
Corporate Director · Individual
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5-star overall rating with 5-star inspections with 2 recent health deficiencies
#3
Columbia Manor Health & Rehabilitation
Columbia, MO
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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