The Bluffs
3105 Bluff Creek Drive, Columbia, MO 65201 · (573) 442-6060
Non profit - Corporation · 132 certified beds
The Bluffs has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 13 citations (the Missouri average is 11.4). It was fined 3 times in the last three years, $37,621 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 30, 2026 found 13 citations. What an inspection citation means
- Ensure services provided by the nursing facility meet professional standards of quality.January 30, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.January 30, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 30, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.January 30, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Implement a program that monitors antibiotic use.January 30, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.January 30, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.January 30, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 30, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 30, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.January 30, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 30, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 30, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 30, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Ensure that residents are free from significant medication errors.February 24, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 14, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.November 1, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 1, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.November 1, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.November 1, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 1, 2024 · F0880 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 20, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 20, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 25, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Respond appropriately to all alleged violations.January 11, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 7, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 7, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 7, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 7, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.December 7, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $9,110January 14, 2025
- Fine of $9,110January 14, 2025
- Fine of $19,401November 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.20 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.59 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.59 | 0.68 | 0.86 |
| Nurse aides | 3.02 | 2.29 | 2.32 |
| Total nursing staff turnover | 61.8% | 56% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 132 |
| Average residents per day | 118.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Columbia Post Acute Columbia · ★★★★★ 5 out of 5 stars
- Lenoir Health Care Center Columbia · ★★★★★ 5 out of 5 stars
- Columbia Manor Health & Rehabilitation Columbia · ★★★★★ 2 out of 5 stars
- Neighborhoods Rehabilitation and Skilled Nursing B Columbia · ★★★★★ 2 out of 5 stars
- The Villa at Blue Ridge Columbia · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Bluffs on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.