Bluffs, the
3105 Bluff Creek Drive · Columbia, MO · 65201 · 5734426060
132 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $37,621 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.70 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 3 · $37,621 |
Inspection citations (41 in the current record)
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Potential for harm · E January 30, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 16, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
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.
Corrected March 16, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 16, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 30, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · F January 30, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · E January 30, 2026
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 March 16, 2026 · Pharmacy Service
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Potential for harm · F January 30, 2026
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.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · F January 30, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · F January 30, 2026
Provide and implement an infection prevention and control program.
Corrected March 16, 2026 · Infection Control
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Potential for harm · F January 30, 2026
Implement a program that monitors antibiotic use.
Corrected March 16, 2026 · Infection Control
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Potential for harm · F January 30, 2026
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.
Corrected March 16, 2026 · Infection Control
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Actual harm · G February 24, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 5, 2025 · Pharmacy Service
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Actual harm · G January 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2025 · Quality of Life and Care
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Immediate jeopardy · J November 1, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 9, 2024 · Infection Control
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Potential for harm · E November 1, 2024
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 December 9, 2024 · Resident Rights
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Potential for harm · E November 1, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · E November 1, 2024
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 December 9, 2024 · Resident Rights
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Potential for harm · E November 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D November 1, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · E November 1, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 1, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 1, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 9, 2024 · Nutrition and Dietary
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Potential for harm · D May 20, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 14, 2025 | Fine | $9,110 |
| January 14, 2025 | Fine | $9,110 |
| November 1, 2024 | Fine | $19,401 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265498 · certified since May 5, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.