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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $9,110 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $19,401 was recorded.
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.