NEIGHBORHOODS REHABILITATION AND SKILLED NURSING B
COLUMBIA, MO · Medicare-certified · 120 beds
Needs attention
For-profitChain member
★★★★★2 of 5 overall
2 of 5 stars overall. This facility has below-average health inspection and quality ratings (both 2 of 5), staffing is 3 of 5 with reported nurse staffing above the federal benchmark (4.59 vs 4.1 hours/resident/day), and it has $85,090 in fines in the last 24 months plus a recent federal penalty.
Last inspection: November 18, 2025Penalties, last 24 months: $85,090recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5944.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
1.35
Nurse aides
2.92
Weekend nursing
4.16
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
38.3%Improving
Residents with a fall causing major injury
3.6%Worsening
Residents with pressure ulcers (bedsores)
10.2%Worsening
Residents with a urinary tract infection
2.9%Improving
Residents who lost too much weight
9.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9%Improving
Residents whose ability to walk got worse
17.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.7%Worsening
Short-stay residents newly given an antipsychotic
2.4%Steady
Residents with a long-term catheter
1.9%Worsening
Residents with new or worsening incontinence
24.8%Improving
Residents with depressive symptoms
0.5%Worsening
Long-stay residents given the seasonal flu vaccine
83.6%Steady
Long-stay residents given the pneumonia vaccine
92.3%Worsening
Short-stay residents given the seasonal flu vaccine
36.7%Steady
Short-stay residents given the pneumonia vaccine
73.6%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 $68,105 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $16,985 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $85,090 in total fines.
Federal fine
Sep 5, 2025
$68,105
Federal fine
Mar 31, 2025
$16,985
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AMERICARE SENIOR LIVING · 23 homes · 3.5 stars avg
Occupancy
91.5 residents on an average day (76% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 14 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.