Nursing homeActive
Stonebridge Adams Street
1024 Adams Street, Jefferson City, MO 651015736351320120 certified beds · 49 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2022
Deficiencies
41
● 6● 34● 1
Penalties · 3 yrs
$38,656
1 fine
Last survey
2026-03-19
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-08-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-12-04 | Standard | 4100 | CMS-2567 (Care Compare) | — |
| 2024-10-17 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-15 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-11-17 | Standard | 160 | CMS-2567 (Care Compare) | — |
| 2023-08-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-06-03 | Standard | 180 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 265810-20260319-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 265810-20260319-F880
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 265810-20251208-F693
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 265810-20251208-F725
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 265810-20250822-F695
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 265810-20250822-F804
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-09Record 265810-20241204-F607
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-10Record 265810-20241204-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F689
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F700
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-05Record 265810-20241204-F727
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F761
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F800
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 265810-20241204-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-12-09Record 265810-20241204-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-01-10Record 265810-20241204-F625
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-12-05Record 265810-20241204-F732
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2024-12-11Record 265810-20241204-F801
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-07Record 265810-20241017-F580
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-07Record 265810-20241017-F658
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-22Record 265810-20240701-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-18Record 265810-20240215-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 265810-20231117-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 265810-20231117-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 265810-20231117-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-13Record 265810-20231117-F695
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 265810-20231117-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 265810-20231117-F812
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2023-12-07Record 265810-20231117-F882
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-27Record 265810-20230809-F600
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F570
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F690
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F700
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-11Record 265810-20220603-F812
F572Give residents a notice of rights, rules, services and charges.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2022-07-11Record 265810-20220603-F572
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-12-04 | Civil money penalty | $38,656 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.81
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.72
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.85
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover72%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover75%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.7% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.9% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.0% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.2% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 11.7% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.9% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Lierman, Mark Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bridge Rehabilitation Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ciegel, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Doerhoff, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Eldercare Management Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Enterprise Bank & Trust Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Knight, Kara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lierman, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thayer, Jeanne Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Warbritton, Dustin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| White, Keri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bridge Rehabilitation Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ciegel, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Doerhoff, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eldercare Management Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Forvis Mazars LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Knight, Kara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lierman Family Co X, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lierman, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lierman, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Beth Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thayer, Jeanne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Warbritton, Dustin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White, Keri Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Stonebridge Senior Living — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Cole.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Stonebridge Villa Marie Jefferson City | 0.8 mi | 2026-03-13 | 1180 |
| Capitol River Wellness & Rehabilitation Jefferson City | 0.8 mi | 2026-05-21 | 0241 |
| Heisinger Bluffs Rehab And Healthcare Center Jefferson City | 1.4 mi | 2025-03-28 | 0110 |
| Heisinger Bluffs Healthcare Western Campus Jefferson City | 1.6 mi | 2026-04-03 | 0100 |
| Jefferson City Manor Care Center Jefferson City | 1.8 mi | 2026-04-07 | 3241 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |