GoodStanding

Nursing home report

BLUFFS, THE

COLUMBIA, MO · Medicare-certified · 132 beds

Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall

1-star nursing home with a 1-star health inspection rating, 3-star staffing and quality ratings, and reported nurse staffing slightly above the federal benchmark (4.20 vs 4.1 hours/resident/day). It has a recent federal penalty, $37,621 in fines over the last 24 months, and recent inspection citations for infection control, medication errors, and accident hazards/supervision.

Facility ratings

Health inspections

Staffing

4.1965 hrs/resident/day

Quality measures

Last inspection: January 30, 2026Penalties, last 24 months: $37,621recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1965.

Staffing detail

Registered nurses
0.59
Licensed practical nurses
0.59
Nurse aides
3.02
Weekend nursing
3.83

Hours per resident per day.

Total staff turnover: 62%
Registered nurse turnover: 57%

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

7.2%12.7%Worsening

Residents with a fall causing major injury

4.9%7.5%Worsening

Residents with pressure ulcers (bedsores)

0.8%4%Worsening

Residents with a urinary tract infection

5%2.9%Improving

Residents who lost too much weight

6%7.9%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.5%22.2%No change

Residents whose ability to walk got worse

26.5%9.6%Improving

Long-stay residents on antianxiety or sleep medication

15.1%20.4%Worsening

Short-stay residents newly given an antipsychotic

2.9%1.4%Improving

Residents with a long-term catheter

4.9%0.6%Improving

Residents with new or worsening incontinence

22.6%25.1%Worsening

Residents with depressive symptoms

2%0%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

70.9%76.6%Improving

Short-stay residents given the seasonal flu vaccine

30%

Short-stay residents given the pneumonia vaccine

19.3%59.7%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 nursing home failed to provide services that met professional standards of quality. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: F

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $9,110 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal fine of $19,401 was recorded.

  8. 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
118.1 residents on an average day (89% 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.