CCN 265498 · Boone County, Missouri
Bluffs, the
3105 Bluff Creek Drive, Columbia, MO 65201
Bluffs, the is a 132-bed nonprofit nursing home in Columbia, Missouri, first certified for Medicare or Medicaid in 1992. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 118.1 residents a day, about 90% of its certified beds. It has an active FHA-insured Section 232 loan: $8.6 million originally, at 3.50%, with $5.3 million outstanding as of September 30, 2026 and maturity in October 2040.
Facility facts
- Certified beds
- 132
- Average residents per day
- 118.1 (89.5% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Boone County Senior Citizen Service Corporation
- Certified since
- May 5, 1992
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.20 | 3.36 | 3.68 |
| RN hours per resident per day | 0.59 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 3.83 | ||
| Nursing staff turnover | 61.8% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 89.5% | 74.2% | 85.7% |
| Fines reported by CMS | 3 totaling $37,621 | ||
| Health deficiencies, latest standard survey | 13 (Jan 30, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Bluffs, the does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Gershman Investment Corp.Organization | Mortgage Interest | n/a | 10/24/2011 |
| Fairchild, JuliaIndividual | Operational / Managerial Control | n/a | 03/09/2021 |
| Moore, ChristinaIndividual | Operational / Managerial Control | n/a | 05/01/2019 |
| Sjoblom, BethIndividual | Operational / Managerial Control | n/a | 01/25/2024 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Gershman Investment Corp..
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Oct 24, 2011 | 223(a)(7) refinance of a construction loanHUD project name: Boone Retirement Center dba The Bluffs, 132 beds. Lender at endorsement: Gershman Investment Corp | $8,569,200 | Active: 3.50%, $5,315,391 balanceMatures Oct 1, 2040. Servicer: Gershman Investment Corp | 08543094 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.