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Colonial Springs Healthcare Center

⌖ Buffalo, MO · Dallas County
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Medicare overall rating 2 of 5 stars
Certified beds134
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Colonial Springs Healthcare Center

Colonial Springs Healthcare Center is a 134-bed nonprofit nursing home in Buffalo, MO. Medicare rates it 2 out of 5 stars overall (below average); the average in Missouri is 2.5. At its last full inspection (Dec 2024), inspectors found 17 problems, more than the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 16 min a day with each resident, about the same as the Missouri average of 3 hr 26 min. About 46% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (1 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameColonial Springs Healthcare Center
LocationDallas County, Missouri
Address750 West Cooper, Buffalo, MO 65622 · Dallas County
CMS provider number265245
Ownership typeNon-profit (corporation)
Operating companyCitizens Memorial Health Care · 6 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 8, 1984 (42 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections3 of 5Average
Quality measures1 of 5Much below average
Staffing3 of 5Average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 4 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2024.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Nursing staff turnover46% a yearMissouri average: 56%
    Strength

About average

  • Nurse staffing per resident3 hr 16 min a dayMissouri average: 3 hr 26 min
    About average
  • Registered nurse time per resident28 min a dayMissouri average: 28 min
    About average

Things to ask about

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  • Health citations at last inspection17 (Dec 2024)Missouri average: 11.4. Most citations are minor and corrected within weeks.
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 2 of 5 (below average)

  • Sent back to the hospital34.2%State average: 26.0%
    Worse than average
  • Needed an emergency room visit13.1%State average: 13.7%
    About average
  • Newly given antipsychotic drugs2.2%State average: 2.2%
    About average

Physical therapist time: about 8 minutes per resident a day. That is more than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 1 of 5 (much below average)

  • Falls with a major injury6.8%State average: 4.1%
    Worse than average
  • Pressure sores (bedsores)6.0%State average: 4.5%
    Worse than average
  • Given antipsychotic drugs18.0%State average: 23.5%
    Better than average
  • Hospital stays per 1,000 resident days2.7State average: 2.1
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.

  • 66% Medicaid
  • 3% Medicare
  • 30% Private pay, insurance and other
Beds in use, on average82%Missouri typical: 71%
Cost of care per resident day$1,761Missouri typical: $254

Shares of resident days, from the home’s Medicare cost report for the year ending May 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 13 times.

Overall rating2★
Health inspections3★
Staffing3★
Quality of care1★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201955453.2
Jan 202055223.0
Jan 202155343.2
Jan 202245213.1
Jan 202322232.9
Jan 202444323.2
Feb 202523133.2
Feb 202633223.5
Sep 202623313.3

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.