Nursing home
The Bluffs
3105 Bluff Creek Drive, Columbia, MO 65201 · Map
Non profit - Corporation · 132 certified beds
The Bluffs is a Medicare-certified nursing home in Columbia, Missouri. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.16 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 1, 2024 cited 9 deficiencies.
- 3 fines totaling $37,621In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Bluffs compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.16 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.01 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 63.1% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $37,621, 3 total penalties.
What inspectors found at The Bluffs
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Feb 24, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 14, 2025 · Full report (PDF) - Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 1, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 20, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3105 Bluff Creek Drive
Columbia, MO 65201 - CMS certification #
- 265498
- Ownership
- Non profit - Corporation
- Certified beds
- 132
- Avg residents/day
- 118.4
- Provider type
- Medicare and Medicaid
- First certified
- 1992-05-05
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Bluffs using Google Maps.
Other public records
- Website says A memory care unit, respite stays, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What The Bluffs says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
We are proud of our secured memory care neighborhood for individuals with dementia and Alzheimer’s disease.
(page, checked Oct 15, 2026) - Offers respite or short-term stays.
Respite services are available pending bed availability.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We work with multiple local hospice companies to provide end-of-life care for our residents.
(page, checked Oct 12, 2026) - Provides transportation.
For any specialty appointments, such as Cardiology or Neurology, we arrange transportation to and from The Bluffs.
(page, checked Oct 12, 2026) - Apartment types named: companion suite, private room, semi-private room.
We offer private rooms, semi-private suites, and semi-private companion rooms.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Boone Hospital Center, Columbia. 2.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Neighborhoods Rehabilitation and Skilled Nursing B, Columbia. 0.2 miles away, straight line.
- Nearest home health agency office
- Compassus Home Health, Columbia. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 65201 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Columbia Home Training, Columbia, 0.1 miles away, straight line
Dialysis Clinics, Inc - Columbia, Columbia, 0.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Davita Rtc-Columbia Dialysis, Columbia, 2.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 65201.
Acg Hospice, office in Columbia, 2.3 miles away, straight line
Hospice Compassus-North Central Missouri, office in Columbia, 2.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Alternative Hospice Of Western Missouri, LLC, office in Columbia, 3.4 miles away, straight line - Nearest geriatric medicine practice
- The Curators Of The University Of Missouri, Columbia. 3.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is The Bluffs a good nursing home?
CMS gives The Bluffs an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Bluffs staffed?
The Bluffs reports 4.16 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has The Bluffs had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does The Bluffs have?
The Bluffs is certified for 132 beds.