Neighborhoods Rehabilitation and Skilled Nursing B
3003 Falling Leaf Court · Columbia, MO · 65201 · 5732564620
120 certified beds For profit - Corporation Chain: Americare Senior Living Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $85,344 in fines in the last 24 months.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$85,344 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $85,344 |
Inspection citations (29 in the current record)
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Potential for harm · D November 18, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 19, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 5, 2025 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · E April 15, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 21, 2025 · Infection Control
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Immediate jeopardy · J March 31, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D March 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 15, 2024
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.
Corrected December 24, 2024 · Pharmacy Service
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Potential for harm · E November 15, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 24, 2024 · Environmental
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Potential for harm · D October 27, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · E October 27, 2023
Keep residents' personal and medical records private and confidential.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · E October 27, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · D October 27, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · E October 27, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected December 8, 2023 · Pharmacy Service
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Potential for harm · D October 27, 2023
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.
Corrected December 8, 2023 · Pharmacy Service
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Potential for harm · F October 27, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2023 · Nutrition and Dietary
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Potential for harm · E October 27, 2023
Provide and implement an infection prevention and control program.
Corrected December 8, 2023 · Infection Control
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Actual harm · G July 6, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 5, 2022
Assure the security of all personal funds of residents deposited with the facility.
Corrected June 17, 2022 · Resident Rights
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Potential for harm · E May 5, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 17, 2022 · Resident Assessment and Care Planning
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Potential for harm · E May 5, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 17, 2022 · Resident Assessment and Care Planning
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Potential for harm · E May 5, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 17, 2022 · Quality of Life and Care
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Potential for harm · E May 5, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 17, 2022 · Quality of Life and Care
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Potential for harm · D May 5, 2022
Post nurse staffing information every day.
Corrected June 17, 2022 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2025 | Fine | $68,105 |
| March 31, 2025 | Fine | $17,239 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265840 · certified since September 1, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.