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Nursing home report

BLUFFS, THE

COLUMBIA, MO · Medicare-certified · 132 beds

Needs attention
Non-profit
2 of 5 overall

The Bluffs (Columbia, MO) has a 2-star overall rating, with 2-star health inspection and quality ratings and 3-star staffing. It has a recent federal penalty, $37,621 in fines over the last 24 months, and reported nurse staffing of 4.14 hours per resident per day, just above the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

4.1421 hrs/resident/day

Quality measures

Last inspection: February 24, 2025Penalties, last 24 months: $37,621recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1421.

Staffing detail

Registered nurses
0.50
Licensed practical nurses
0.62
Nurse aides
3.03
Weekend nursing
3.70

Hours per resident per day.

Total staff turnover: 62%
Registered nurse turnover: 62%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

8.2%15.5%Worsening

Residents with a fall causing major injury

2.9%5.6%Worsening

Residents with pressure ulcers (bedsores)

3.4%5.3%Worsening

Residents with a urinary tract infection

6.1%0.9%Improving

Residents who lost too much weight

9%7.6%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

31.6%22.2%Improving

Residents whose ability to walk got worse

31.8%18.7%Improving

Long-stay residents on antianxiety or sleep medication

14.5%17.2%Worsening

Short-stay residents newly given an antipsychotic

1.6%1.2%No change

Residents with a long-term catheter

2.2%4.5%Worsening

Residents with new or worsening incontinence

36%28%Improving

Residents with depressive symptoms

4.3%1.1%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

58.4%

Long-stay residents given the pneumonia vaccine

82.7%75%Worsening

Short-stay residents given the seasonal flu vaccine

30%

Short-stay residents given the pneumonia vaccine

22.7%53%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: J

The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited November 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $9,110 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $19,401 was recorded.

  6. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $37,621 in total fines.

  • Federal fine

    Jan 14, 2025

    $9,110
  • Federal fine

    Nov 1, 2024

    $19,401

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
121.9 residents on an average day (92% of 132 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.