Buffalo, MO

Colonial Springs Healthcare Center

3-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

750 West Cooper, Buffalo, MO

(417) 345-2228

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

134

Certified beds

Average residents

112

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Citizens Memorial Health Care

Operator or chain grouping

Approved since

1984-05-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars

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

0.46

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.46

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.61

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.53

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.92

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

3.86

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,731

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.92

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.80

Baseline 21.44% · Performance 19.21% · Measure score 4.80 · Achievement 4.80 · Improvement 4.56

Healthcare-associated infections

4.95

Baseline 6.25% · Performance 6.36% · Measure score 4.95 · Achievement 4.95 · Improvement 0

Total nurse turnover

0

Baseline 46.34% · Performance 63.46% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.82

Baseline 3.43 hours · Performance 3.60 hours · Measure score 1.82 · Achievement 1.82 · Improvement 0.22

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.13%	10.72% 1.4 pts worse	No Different than the National Rate · Eligible stays 64 · Observed rate 18.75% · Lower 95% interval 7.92%
Discharge to community	50.69%	50.57% 0.1 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 45.24% · Lower 95% interval 38.91%
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	93.1%	95.27% 2.2 pts worse	Numerator 27 · Denominator 29
Falls with major injury	6.9%	0.77% 6.1 pts worse	Numerator 2 · Denominator 29
Discharge self-care score	63.64%	53.69% 10 pts better	Numerator 14 · Denominator 22
Discharge mobility score	63.64%	50.94% 12.7 pts better	Numerator 14 · Denominator 22
Pressure ulcers or injuries, new or worsened	3.45%	2.29% 1.2 pts worse	Numerator 1 · Denominator 29 · Adjusted rate 3.34%
Healthcare-associated infections requiring hospitalization	6.36%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 3.3%
Staff COVID-19 vaccination coverage	2.94%	8.2% 5.3 pts worse	Numerator 4 · Denominator 136
Staff flu vaccination coverage	82.95%	42% 41 pts better	Numerator 107 · Denominator 129
Discharge function score	63.64%	56.45% 7.2 pts better	Numerator 14 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	2.1 0.5 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.4	2.3 2.1 pts worse	1.8 2.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 3.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.3%	84.8% 11.5 pts better	93.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 96.0% · Q3 96.0% · Q4 100.0% · 4Q avg 96.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.4%	90.9% 4.5 pts better	95.5% 0.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of long-stay residents experiencing one or more falls with major injury	7.9%	4.1% 3.8 pts worse	3.3% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 9.9% · Q3 7.9% · Q4 7.9% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.8%	14.7% 13.9 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight	7.8%	5.5% 2.3 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 14.1% · Q3 5.4% · Q4 3.9% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.5%	25.3% 7.8 pts better	19.6% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 17.3% · Q3 16.9% · Q4 18.4% · 4Q avg 17.5%
Percentage of long-stay residents who received an antipsychotic medication	18.2%	25.0% 6.8 pts better	16.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.6% · Q3 17.5% · Q4 17.6% · 4Q avg 18.2% · 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	23.1%	20.3% 2.8 pts worse	16.3% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 16.4% · Q3 27.4% · Q4 29.1% · 4Q avg 23.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.3%	19.8% 8.5 pts worse	14.9% 13.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 37.0% · Q3 30.3% · Q4 28.0% · 4Q avg 28.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	1.4% About the same	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	2.6% 0.1 pts better	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.1% · Q3 3.1% · Q4 1.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.1%	18.1% 2 pts better	19.8% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 16.7% · Q3 8.9% · Q4 16.7% · 4Q avg 16.1%
Percentage of long-stay residents with pressure ulcers	5.2%	5.0% 0.2 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.4% · Q3 4.9% · Q4 6.0% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.5%	66.4% 16.1 pts better	81.7% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 78.1% · Q2 81.3% · Q3 86.2% · Q4 83.1% · 4Q avg 82.5%
Percentage of short-stay residents who had an outpatient emergency department visit	9.4%	13.4% 4 pts better	12.0% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 10.3% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	2.2% 0.6 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.1% · Q3 2.1% · Q4 2.4% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.3%	63.5% 17.8 pts better	79.7% 1.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.3%	25.3% 2 pts worse	23.9% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 33.3% · Expected 29.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-06 · Fire 2024-12-06

9 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-01-20 · Fire 2023-01-20

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2019-11-26 · Fire 2019-11-26

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-06

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 2025-01-18

E · Potential for more than minimal harm 2023-01-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-03-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-12-06

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 2025-01-18

F · Potential for more than minimal harm 2024-12-06

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-01-18

E · Potential for more than minimal harm 2024-12-06

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 2025-01-18

E · Potential for more than minimal harm 2024-12-06

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 2025-01-18

E · Potential for more than minimal harm 2024-12-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-18

D · Potential for more than minimal harm 2024-12-06

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-01-18

D · Potential for more than minimal harm 2024-12-06

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-01-18

D · Potential for more than minimal harm 2024-12-06

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-01-18

D · Potential for more than minimal harm 2024-12-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-18

D · Potential for more than minimal harm 2024-09-26

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 2024-11-08

D · Potential for more than minimal harm 2024-09-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-08

D · Potential for more than minimal harm 2023-01-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

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 2023-03-06

D · Potential for more than minimal harm 2023-01-20

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-01-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-03-06

Penalties and ownership