B85

COLUMBIA POST ACUTE

Grade B 85/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

70

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

3535 BERRYWOOD DRIVE, COLUMBIA, MO 65201
5733977144

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.81h
LPN
0.96h
CNA
1.89h
Total
3.65h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MAINSTREEIDENCE DEVELOPMENTS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2016

100%

PACS GROUP, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

PACS HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

PROVIDENCE GROUP NH, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

HANCOCK, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2024

MURRAY, JASON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2024

MCCLAIN, CHRISTOPHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2021

APT, FREDERICK

IndividualCORPORATE OFFICERSince Jan 2024

HANCOCK, MARK

IndividualCORPORATE OFFICERSince Jan 2024

JERGENSEN, JOSHUA

IndividualCORPORATE OFFICERSince Jan 2024

MITCHELL, JOHN

IndividualCORPORATE OFFICERSince Jan 2024

JAMES, DAVID

IndividualCONTRACTED MANAGING EMPLOYEESince Mar 2018

MCCLAIN, CHRISTOPHER

IndividualW-2 MANAGING EMPLOYEESince Jan 2021

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (13)

February 10, 2025Health1 deficiency1 severe
0760GActual harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Feb 27, 2025
November 15, 2024Health5 deficiencies
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 30, 2024
0680CNo harm, Widespread

Ensure the activities program is directed by a qualified professional.

Quality of Life and Care Deficiencies

Corrected Dec 30, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Dec 30, 2024
0909EMinimal harm, Pattern

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies

Corrected Dec 30, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 30, 2024
August 11, 2023Health5 deficiencies
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 1, 2023
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 1, 2023
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 1, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 1, 2023
0909EMinimal harm, Pattern

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies

Corrected Sep 1, 2023
April 28, 2022Health2 deficiencies
0623EMinimal harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jun 10, 2022
0838CNo harm, Widespread

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Administration Deficiencies

Corrected Jun 10, 2022

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Frequently Asked Questions

What is the CareGrader rating for COLUMBIA POST ACUTE?

COLUMBIA POST ACUTE in COLUMBIA, Missouri has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COLUMBIA POST ACUTE?

COLUMBIA POST ACUTE has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COLUMBIA POST ACUTE have?

COLUMBIA POST ACUTE has 13 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does COLUMBIA POST ACUTE have?

COLUMBIA POST ACUTE has 70 certified beds with approximately 64 current residents (91% occupancy). The facility is located at 3535 BERRYWOOD DRIVE, COLUMBIA, Missouri 65201. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.