22 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Columbia, MO
1-star overall rating with 2-star inspections with abuse icon flag with 22 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
701 Blue Ridge Road, Columbia, MO
(573) 474-6111
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
97
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
James & Judy Lincoln
Operator or chain grouping
Approved since
1984-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
58 facilities
Chain averages 3 overall / 3 health / 2 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
RN hours / resident day
0.32
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.53
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
3.46
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.85
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
4.02
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
10,378
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0.83
Baseline 75.00% · Performance 68.35% · Measure score 0.83 · Achievement 0 · Improvement 0.83
Adjusted total nurse staffing
3.29
Baseline 4.54 hours · Performance 4.01 hours · Measure score 3.29 · Achievement 3.29 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 96% |
95.27%
0.7 pts better
|
Numerator 24 · Denominator 25 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 25 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4% |
2.29%
1.7 pts worse
|
Numerator 1 · Denominator 25 · Adjusted rate 2.71% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 7.69% |
8.2%
0.5 pts worse
|
Numerator 8 · Denominator 104 |
| Staff flu vaccination coverage | 14.8% |
42%
27.2 pts worse
|
Numerator 33 · Denominator 223 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| 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 2.6 · 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 3.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
84.8%
4.4 pts better
|
93.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.1% · Q2 100.0% · Q3 95.1% · Q4 93.3% · 4Q avg 89.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
90.9%
4.3 pts better
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
4.1%
0.3 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.8% · Q3 2.5% · Q4 4.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.1% |
14.7%
7.6 pts better
|
11.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.3% · Q3 12.7% · Q4 10.3% · 4Q avg 7.1% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.5%
2.3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.0% · Q3 4.2% · Q4 0.0% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.2% |
25.3%
6.9 pts worse
|
19.6%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 38.9% · Q3 26.0% · Q4 23.5% · 4Q avg 32.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 43.9% |
25.0%
18.9 pts worse
|
16.7%
27.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 46.4% · Q3 46.3% · Q4 42.9% · 4Q avg 43.9% · 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 | 30.1% |
20.3%
9.8 pts worse
|
16.3%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 50.1% · Q3 21.4% · Q4 30.2% · 4Q avg 30.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.8% |
19.8%
14 pts worse
|
14.9%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 40.6% · Q3 40.0% · Q4 35.9% · 4Q avg 33.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.4%
0.4 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.1% · Q3 2.1% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.6%
About the same
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
18.1%
3.4 pts worse
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 12.5% · Q3 27.5% · Q4 36.1% · 4Q avg 21.5% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
5.0%
0.6 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.8% · Q3 7.7% · Q4 1.6% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.3% |
66.4%
14.1 pts worse
|
81.7%
29.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 63.3% · Q3 57.1% · Q4 33.3% · 4Q avg 52.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
13.4%
2.6 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 17.4% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 16.3% |
2.2%
14.1 pts worse
|
1.6%
14.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 16.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.4% |
63.5%
13.9 pts better
|
79.7%
2.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
25.3%
1.5 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 30.4% · Expected 30.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (7 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-11-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-21
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-11-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-21
Fire Safety
Use approved construction type or materials.
Corrected 2024-11-21
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-11-21
Fire Safety
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2024-11-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-16
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-06-16
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-06-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-16
Fire Safety
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2023-06-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-09-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-09-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-09-13
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Not marked corrected
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Not marked corrected
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Not marked corrected
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-31
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-31
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-06-20
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 2025-06-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-20
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-11-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-21
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-21
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-11-21
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-21
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-11-21
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-11-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-21
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-11-21
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 2024-11-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-19
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-06-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-16
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-06-16
Health
Post nurse staffing information every day.
Corrected 2023-06-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Nearby options
Columbia, MO
2-star overall rating with 2-star inspections with 16 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Columbia, MO
4-star overall rating with 4-star inspections with 5 recent health deficiencies
Columbia, MO
2-star overall rating with 2-star inspections with $68,105 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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