Columbia Post Acute
3535 Berrywood Drive, Columbia, MO 65201 · Boone County · 70 certified beds · avg 67 residents/day · certified since May 7, 2018
Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 10, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 27, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 7, 2026 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 10, 2025 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 15, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 15, 2024 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Nov 15, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Nov 15, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 15, 2024 | C · Minimal risk, facility-wide | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Aug 11, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 5 | 0 | E |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 1 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.94 | 3.66 | 3.95 | top 36% in Missouri; top 42% in the U.S. |
| Registered Nurse hours | 1.02 | 0.49 | 0.69 | top 3% in Missouri; top 15% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.22 | 3.50 | bottom 49% in Missouri; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.33 | 0.48 | top 14% in Missouri; top 40% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 56.0 | 45.8 | top 40% in Missouri; bottom 30% in the U.S. |
| RN turnover (%) | 38.5 | 47.8 | 42.9 | top 36% in Missouri; top 44% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.05, RN 1.05, weekend 3.24. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mainstreeidence Developments LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2016 |
| Providence Group NH, LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 06/30/2023 |
| Apt, Frederick | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Hancock, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| James, David | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2018 |
| Jergensen, Joshua | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| McClain, Christopher | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/18/2021 |
| McClain, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/18/2021 |
| Mitchell, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Neighborhoods Rehabilitation and Skilled Nursing B | 2.9 mi | Columbia, MO | ★★☆☆☆ | 2/5 | |
| Villa at Blue Ridge, the | 3.0 mi | Columbia, MO | ★☆☆☆☆ | 2/5 | abuse |
| Bluffs, the | 3.0 mi | Columbia, MO | ★☆☆☆☆ | 1/5 | |
| Lenoir Health Care Center | 3.5 mi | Columbia, MO | ★★★★★ | 5/5 | |
| Columbia Manor Health & Rehabilitation | 3.7 mi | Columbia, MO | ★★☆☆☆ | 3/5 | |
| Parkside Manor | 4.0 mi | Columbia, MO | ★☆☆☆☆ | 1/5 | |
| South Hampton Rehabilitation & Health Care Center | 5.0 mi | Columbia, MO | ★☆☆☆☆ | 1/5 | |
| Fulton Nursing & Rehab | 19.6 mi | Fulton, MO | ★★☆☆☆ | 2/5 | |
| Fulton Manor Care Center | 19.6 mi | Fulton, MO | ★☆☆☆☆ | 1/5 | abuse |
| Kingdom Care Senior Living | 19.7 mi | Fulton, MO | ★★★★☆ | 3/5 | |
| Heritage Hall Nursing Center | 19.7 mi | Centralia, MO | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265868.