Nursing homes across Boone County, Missouri, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Lenoir Health Care Center runs on 4.88 nurse hours per resident day, about 27% above the national average, and its weekend staffing only dips roughly 5% below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 34.8% against a national average near 46%, so the people caring for residents tend to stick around. The trade-off is a longer deficiency record: 13 citations on file, including one abuse-related finding, though none rose to actual harm or jeopardy. Its last inspection was April 2025, and the nonprofit operator posts top marks across health inspections, quality measures, and staffing.
Columbia Post Acute runs about 4.05 nurse hours per resident day, roughly 5% above the national average, and its staffing, inspection, and quality measure ratings all land at 4 out of 5. The catch is consistency: weekend staffing drops about 20% below weekday levels, and annual turnover sits at 52.9% against a national 45.8%. Its current record shows 13 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, with the last inspection in November 2024. For-profit ownership under an LLC is worth keeping in mind when you ask about retention and who's actually on the floor on Saturdays and Sundays.
Heritage Hall runs about 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage drops another 20% below its own weekday levels. Staff turnover sits at 62.8% against a national 45.8%, so aides and nurses are cycling through faster than at the typical home. What keeps this one from sinking is its inspection record: nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent survey in August 2025 and four-star marks across health inspections, quality measures, and staffing. It's a corporation-owned, 60-bed building that looks solid on paper but asks a lot of a thin, churning workforce.
Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.
The Bluffs in Columbia runs a non-profit shop with 132 beds, and its nurse staffing of 4.20 hours per resident day sits about 9% above the national average, a real plus. But that cushion thins on weekends, when coverage drops roughly 9% below its own weekday level, and turnover runs 61.8% against a national 45.8%. The bigger concern is the inspection record: 41 deficiencies, three at harm or jeopardy level, five tied to abuse, and three fines totaling $37,621. Its most recent inspection was January 30, 2026. Strong weekday staffing is doing a lot of work here, but the compliance history is what families should weigh hardest.
Parkside Manor runs about 3.00 nurse staffing hours per resident day, roughly 22% below the national average, and weekend coverage dips another 11% below its own weekday levels. Annual turnover sits at 57.1% against a national 45.8%, so the people around your family member change often. The inspection record shows 51 deficiencies, including one at the harm level and two tied to abuse, with the last visit in December 2024. Columbia has other options, and it's worth comparing them on staffing hours and turnover before deciding.
Nurse staffing at The Villa At Blue Ridge runs about 3.10 hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 12% under its own weekday level. That matters because direct care is what most shapes daily life, and here it's stretched.
The numbers behind the grade tell a clearer story than a letter can. Staff turnover sits at 73.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record, 40 deficiencies, including seven tied to abuse and one at the harm level, was last updated in October 2024, so it's recent, not stale. For-profit, limited-liability ownership. Worth asking hard questions before you decide.
Columbia Manor runs on 2.56 nurse hours per resident per day, roughly a third below the national average, and weekend coverage dips about 6% below its own weekday level. That thin staffing shows up in the numbers: 82% annual turnover, more than double the national rate, and a one-star CMS staffing rating. Inspections turned up 29 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the most recent visit was August 2025, so the record is current. The quality measure rating sits at 2 out of 5. For-profit, limited liability ownership. Ask about direct-care staffing on evenings and weekends before you decide.
South Hampton Place runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends dip roughly 8% below its own weekday level, so the thinnest coverage lands when families are most likely to visit. Turnover tells its own story: 66.7% of nursing staff leaving annually, against a national average of 45.8%. The inspection record is worse. Forty deficiencies, including three tied to abuse and one at the harm or jeopardy level, with a $12,735 fine and the most recent inspection in April 2025. Boone County families comparing options should weigh that record carefully.