The Bluffs
Nursing Home Facility
3105 Bluff Creek Drive, Columbia, MO 65201
The Bluffs is a senior care community located in Columbia, MO. It provides nursing home care and senior living for older adults in the Columbia area. To learn more or schedule a tour, call (573) 442-6060.
With 132 beds, The Bluffs is one of the larger communities in the area, senior care communities in Columbia average about 92 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 89% of its licensed beds. That is above the Columbia average of roughly 79%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Columbia average about 1.8 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in January 2026 and recorded 13 deficiencies.
Residents receive about 4.2 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Columbia average about 3.5 hours. Nursing staff turnover over the past year was about 62%, which is high and can affect continuity of care.
The community is located in Boone County, MO.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 41 problems at The Bluffs. 3 findings involved harm to a resident, including 1 that put residents in immediate danger. 16 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 3 times, a total of $37,621.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
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.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Infection Control
Implement a program that monitors antibiotic use.
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Could cause more than minimal harm, widespread
Infection Control
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.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
The Bluffs offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 132
- Occupancy 89%
- Nursing hours per resident/day 4.2
- Annual staff turnover 62%
- Last health inspection January 2026
Resident & family reviews
No one has shared a review of The Bluffs yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.