Worth Considering
2
Facilities graded B or better with zero fines
Best Nursing Homes in Columbia, Missouri
2 of 8 nursing homes in Columbia (25%) meet our strict criteria. The Missouri statewide average is 29%.
2 recommended · 0 caution · 6 avoid · data
City Average
2.4
★
+0.00 vs state
Total Beds
747
across 8 facilities
High Risk Facilities
6
4 Grade F
$60,602 in combined fines
Zero Fines
5
/8
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 2?
The nursing home market in Columbia, Missouri, is adequate but has notable concerns, with 6 out of 8 facilities in the avoid tier due to a total of $60,602 in fines. Families should carefully consider their options, as only 2 facilities are recommended for quality care.
Strong (Grade B+, Trust Score 80-89)
- 1 LENOIR HEALTH CARE CENTER (85) — Lenoir Health Care Center stands out with an excellent CMS 5★ rating and an impressive Trust Score of 85/100. As a non-profit facility, it focuses on community-driven care, ensuring residents receive compassionate support in a comfortable environment. Its Grade B+ reflects a commitment to quality, making it a top choice for families seeking reliable nursing care.
Qualified (Grade B, Trust Score 70-79)
- 2 COLUMBIA POST ACUTE (70) — Columbia Post Acute offers a solid CMS 4★ rating and a Trust Score of 70/100, indicating a dependable care environment. With 70 beds, this for-profit facility maintains a Grade B, showcasing a commitment to quality services. Despite its profit-oriented model, residents report satisfactory experiences, making it a viable option in Columbia.
The other 6 Columbia facilities didn't qualify — 6 carry Grade D or F ratings and 3 have fines totaling $60K.
Recommended
Lenoir Health Care Center stands out with an excellent CMS 5★ rating and an impressive Trust Score of 85/100. As a non-profit facility, it focuses on community-driven care, ensuring residents receive compassionate support in a comfortable environment. Its Grade B+ reflects a commitment to quality, making it a top choice for families seeking reliable nursing care.
Columbia Post Acute offers a solid CMS 4★ rating and a Trust Score of 70/100, indicating a dependable care environment. With 70 beds, this for-profit facility maintains a Grade B, showcasing a commitment to quality services. Despite its profit-oriented model, residents report satisfactory experiences, making it a viable option in Columbia.
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Columbia Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 2.4 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 6?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 4 Grade F — critical inspection failures
- Facilities with fines
- 3 Have fines totaling $60,602
- Low-scoring facilities
- 2 Scored below B — Trust Scores under 70
Questions Columbia Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Columbia's city average is 2.4 stars
-
2
"Have you received any fines in the past 3 years?"
3 of 8 Columbia facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Columbia avg is 0 min
-
4
"What were your most recent inspection findings?"
Columbia facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Columbia, MO are recommended?
2 of 8 nursing homes in Columbia (25%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Columbia "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Columbia?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.