Cycle 1
Health 2025-03-13 · Fire 2025-03-13
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
De Soto, MO
Stonebridge Desoto
3-star overall rating with 4-star inspections with $8,278 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1550 Villas Drive, De Soto, MO
(636) 586-6559
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
56
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stonebridge Senior Living
Operator or chain grouping
Approved since
2003-10-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.39
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.57
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.50
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.93
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
68%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,000
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 76.60% · Performance 74.54% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.82
Baseline 4.88 hours · Performance 3.60 hours · Measure score 1.82 · Achievement 1.82 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.98% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 42 · Observed rate 19.05% · Lower 95% interval 8.52% |
| Discharge to community | 39.41% |
50.57%
11.2 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 27.5% · Lower 95% interval 25.96% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 41.94% |
95.27%
53.3 pts worse
|
Numerator 13 · Denominator 31 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 31 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 1 · Denominator 31 · Adjusted rate 3.2% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.15% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 87 |
| Staff flu vaccination coverage | 1.24% |
42%
40.8 pts worse
|
Numerator 2 · Denominator 161 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.4% |
84.8%
2.4 pts worse
|
93.4%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.8% · Q2 88.9% · Q3 86.4% · Q4 80.4% · 4Q avg 82.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
90.9%
2.6 pts better
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
4.1%
0.3 pts better
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.2% · Q3 2.3% · Q4 5.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 38.5% |
14.7%
23.8 pts worse
|
11.4%
27.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 36.4% · Q3 40.9% · Q4 42.6% · 4Q avg 38.5% |
| Percentage of long-stay residents who lose too much weight | 16.4% |
5.5%
10.9 pts worse
|
5.4%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 19.4% · Q3 21.1% · Q4 14.0% · 4Q avg 16.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.3% |
25.3%
5 pts worse
|
19.6%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 24.3% · Q3 33.3% · Q4 41.9% · 4Q avg 30.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.9% |
25.0%
12.1 pts better
|
16.7%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 14.3% · Q3 15.2% · Q4 9.1% · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 33.2% |
20.3%
12.9 pts worse
|
16.3%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.0% |
19.8%
17.2 pts worse
|
14.9%
22.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.2% · Q2 29.4% · Q3 34.2% · Q4 42.5% · 4Q avg 37.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.4%
0.6 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.0% |
2.6%
2.4 pts worse
|
1.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 11.4% · Q3 2.3% · Q4 0.0% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
18.1%
5.4 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 22.9% · Q3 26.0% · Q4 28.0% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.0%
3 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 11.0% · Q3 9.8% · Q4 6.5% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.2% |
66.4%
28.2 pts worse
|
81.7%
43.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 40.0% · Q3 51.0% · Q4 40.5% · 4Q avg 38.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
13.4%
3.8 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.2% · Observed 19.2% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
2.2%
0.4 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.2% · Q3 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.3% |
63.5%
10.2 pts worse
|
79.7%
26.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
25.3%
1.2 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 30.8% · Expected 27.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-09 · Fire 2024-02-09
14 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-08-05 · Fire 2022-08-05
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-13
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-17
F · Potential for more than minimal harm
2025-03-13
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Not marked corrected
F · Potential for more than minimal harm
2025-03-13
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-04-17
F · Potential for more than minimal harm
2025-03-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-17
F · Potential for more than minimal harm
2024-02-09
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-03-15
F · Potential for more than minimal harm
2024-02-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-15
F · Potential for more than minimal harm
2024-02-09
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-09
F · Potential for more than minimal harm
2022-08-05
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-09-06
F · Potential for more than minimal harm
2022-08-05
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-08-05
F · Potential for more than minimal harm
2022-08-05
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-09-06
Inspection history
Recent health citations
G · Actual harm
2025-07-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
D · Potential for more than minimal harm
2025-03-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-17
D · Potential for more than minimal harm
2025-03-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-17
C · Minimal harm
2025-03-13
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-04-17
E · Potential for more than minimal harm
2024-02-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-09
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-03-15
C · Minimal harm
2024-02-09
F574 · Resident Rights Deficiencies
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2024-03-15
D · Potential for more than minimal harm
2023-09-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-12
E · Potential for more than minimal harm
2022-08-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-06
E · Potential for more than minimal harm
2022-08-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-05
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-05
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-08-05
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-09-06
Penalties and ownership
What sits behind the stars
$8,278
2025-07-24
Fine
Fine · fine $8,278
Fine
Ownership
Lierman, Mark
5% Or Greater Direct Ownership Interest · Individual
Bridge Rehabilitation Inc
Operational/Managerial Control · Organization
Busey Corporation
Operational/Managerial Control · Organization
Doerhoff, Eric
Operational/Managerial Control · Individual
Eldercare Management Services Inc
Operational/Managerial Control · Organization
Lessor, Jennie
Operational/Managerial Control · Individual
Lierman, Mark
Operational/Managerial Control · Individual
Lierman, Mark
Corporate Officer · Individual
Lum, Laurence
Operational/Managerial Control · Individual
Miller, Beth
Corporate Officer · Individual
Thayer, Jeanne
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Hillcrest Care Center Inc
De Soto, MO
4-star overall rating with 4-star inspections with $10,845 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Baisch Nursing Center
De Soto, MO
1-star overall rating with 3-star inspections with $22,936 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Superior Manor Of Festus, LLC
Festus, MO
1-star overall rating with 2-star inspections with $86,803 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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