N & R OF COLUMBIA, LLC
COLUMBIA, MO · Boone County · For profit - Limited Liability company · 120 certified beds
📍 1201 Hunt Avenue, Columbia, MO 65202 · 📞 (573) 449-1448
Medicare ID: 265302 · Last Medicare inspection: Jan 15, 2026
Score Breakdown
What the numbers mean
N & R OF COLUMBIA, LLC scored 54 out of 100 — 5 points below the state average of 59.
📋 Inspections: 38 citations over the last 36 months — 14 more than the state average (24). 1 was rated serious (G+) — an inspector determined it caused or risked harm to a resident. 2 findings recurred across inspection cycles — indicating a problem that was not fixed.
🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.
⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.
💬 Complaints: Some complaint-driven inspections have occurred. These are unannounced visits triggered by formal concerns from residents, families, or staff. Ask the facility how they handle resident grievances.
🚨 Resident quality outcomes: Multiple quality measures are well below national benchmarks — residents may experience higher rates of falls, pain, or hospitalizations than at comparable facilities. Ask management about their improvement plans.
What inspectors found (last 3 surveys)
Top concern areas
⚖ Penalties & Enforcement
Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.
📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.
Resident Wellbeing — Key Indicators
These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.
Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.
See every citation, score history, ownership, and get monthly alerts
Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.