Skilled nursing
BLUFFS, THE
0.00 reviews · 0 verifiedCOLUMBIA, MOLic. 265498
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
VBP-SLow SNF VBP readmission measure score (1.5)Source: CMS SNF VBP (PDC)
FINECMS fine: $9,110Source: CMS Penalties
FINECMS fine: $9,110Source: CMS Penalties
FINECMS fine: $19,401Source: CMS Penalties
Provided by facility
The Bluffs is a non-profit skilled nursing care facility established in 1934, dedicated to serving the needs of senior citizens from diverse backgrounds and economic statuses. More than just a place for care, it fosters a family-like environment among staff and residents, creating a true home. Located in Columbia, MO, The Bluffs emphasizes community and support for its residents.
CMS Care CompareView on Medicare.gov →
Medicare overall
2/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.29 total HPRDRN 0.50 · weekend 90%Oct 2025 – Dec 2025
Survey history
12 inspections73 deficiencies on record
Federal IDs
CCN 265498
Overall: 2/5 · Health: 2/5 · Staffing: 3/5 · QM: 2/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Health surveyJan 2026 · CMS13 deficiencies
- F-550SS E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-578SS E — Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F-580SS E — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-607SS E — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-657SS E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F-658SS F — Ensure services provided by the nursing facility meet professional standards of quality.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-761SS E — Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F-803SS F — Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS F — Provide and implement an infection prevention and control program.
- F-881SS F — Implement a program that monitors antibiotic use.
- F-887SS F — Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Fire safetyJan 2026 · STATE FIRE MARSHAL5 deficiencies
- E-13SS F — Develop Emergency Preparedness policies and procedures.
- E-18SS F — Establish procedures for tracking staff and patients during an emergency.
- E-30SS F — List the names and contact information of those in the facility.
- K-372SS F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-920SS E — Ensure proper usage of power strips and extension cords.
Health surveyFeb 2025 · CMS1 deficiencies
- F-760SS G — Ensure that residents are free from significant medication errors.
Health surveyJan 2025 · CMS1 deficiencies
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyNov 2024 · CMS9 deficiencies
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-584SS E — 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.
- F-623SS E — Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F-625SS E — 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.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-658SS E — Ensure services provided by the nursing facility meet professional standards of quality.
- F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-880SS J — Provide and implement an infection prevention and control program.
Fire safetyNov 2024 · STATE FIRE MARSHAL9 deficiencies
- E-30SS F — List the names and contact information of those in the facility.
- E-37SS F — Establish staff and initial training requirements.
- E-39SS F — Conduct testing and exercise requirements.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-372SS F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-712SS F — Have simulated fire drills held at unexpected times.
- K-761SS F — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-920SS E — Ensure proper usage of power strips and extension cords.
Health surveyMay 2024 · CMS2 deficiencies
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Health surveyApr 2024 · CMS1 deficiencies
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Health surveyJan 2024 · CMS1 deficiencies
- F-610SS D — Respond appropriately to all alleged violations.
Health surveyDec 2023 · CMS5 deficiencies
- F-584SS D — 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.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-880SS E — Provide and implement an infection prevention and control program.
Health surveyJun 2023 · CMS8 deficiencies
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-677SS E — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F-761SS E — Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
Fire safetyJun 2023 · STATE FIRE MARSHAL18 deficiencies
- E-31SS F — Provide emergency officials' contact information.
- E-6SS F — Conduct risk assessment and an All-Hazards approach.
- E-7SS F — Address patient/client population and determine types of services needed.
- K-222SS E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-291SS D — Install emergency lighting that can last at least 1 1/2 hours.
- K-293SS E — Have properly located and lighted "Exit" signs.
- K-346SS F — Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- K-353SS E — Inspect, test, and maintain automatic sprinkler systems.
- K-354SS F — Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-374SS D — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- K-511SS E — Have properly installed electrical wiring and gas equipment.
- K-522SS D — Have an externally vented heating system.
- K-712SS F — Have simulated fire drills held at unexpected times.
- K-761SS E — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-920SS E — Ensure proper usage of power strips and extension cords.
- K-926SS F — Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
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Write a reviewOperated by Unverified operator (CMS) (privately held) since 1992.