Federal inspection record · CMS data as of October 1, 2026
Stonebridge Adams Street
1024 Adams Street, Jefferson City, MO · (573) 635-1320
- Certified beds
- 120
- Residents per day
- 48
- Ownership
- For-Profit
- Chain
- Stonebridge Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 10, 2007
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Stonebridge Adams Street carries 95 inspection points. That is fewer than 42% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure 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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
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.
Resident Assessment and Care Planning8E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary6F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights6F
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
Notify 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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Assure the security of all personal funds of residents deposited with the facility.
- C
Give residents a notice of rights, rules, services and charges.
Pharmacy Service4E
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- E
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.
- D
Implement 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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- C
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Nursing and Physician Services3F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Have 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.
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2024-12-04
18 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-11-17
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2022-06-03
11 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 58 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 58 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 78% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$38,656 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-04 | Fine | $38,656 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts better | 86.6% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts worse | 86.8% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse | 7.5% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 19.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight10.2 pts worse | 15.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better | 25.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.6 pts better | 14.9% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.4 pts better | 8.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts better | 15.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts better | 15.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better | 72.3% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.6 pts better | 7.8% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse | 3.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.2 pts worse | 56.2% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts worse | 27.2% | 25.7% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lierman, Mark | 5% Or Greater Direct Ownership Interest · Individual | 100% | 12 facilities |
| Bridge Rehabilitation Inc | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Bridge Rehabilitation Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Ciegel, Steven | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Ciegel, Steven | Adp Of The SNF · Individual | 0% | 6 facilities |
| Doerhoff, Eric | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Doerhoff, Eric | Adp Of The SNF · Individual | 0% | 12 facilities |
| Eldercare Management Services Inc | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Eldercare Management Services Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Enterprise Bank & Trust | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Knight, Kara | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Knight, Kara | Adp Of The SNF · Individual | 0% | 5 facilities |
| Lierman Family Co X, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lierman, Mark | Corporate Officer · Individual | 0% | 12 facilities |
| Lierman, Mark | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Lierman, Mark | Adp Of The SNF · Individual | 0% | 12 facilities |
| Miller, Beth | Corporate Officer · Individual | 0% | 12 facilities |
| Thayer, Jeanne | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Thayer, Jeanne | Adp Of The SNF · Individual | 0% | 12 facilities |
| Warbritton, Dustin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Warbritton, Dustin | Adp Of The SNF · Individual | 0% | 2 facilities |
| White, Keri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| White, Keri | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
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Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Address subsistence needs for staff and patients.
- F
Implement emergency and standby power systems.
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous4F
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
Stonebridge Villa Marie
Jefferson City, MO · Stonebridge Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 6 min
- Fines
- $0
-
Capitol River Wellness & Rehabilitation
Jefferson City, MO · Norbert Bennett & Donald Denz
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 39 min
- Fines
- $0
-
Heisinger Bluffs Rehab And Healthcare Center
Jefferson City, MO · Green Tree Health Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 52 min
- Fines
- $0