Osage Beach, MO

Stonebridge Lake Ozark

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

872 College Boulevard, Osage Beach, MO

(573) 302-0900

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stonebridge Senior Living

Operator or chain grouping

Approved since

2004-01-30

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

0.69

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.14

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.55

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

0.71

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,074

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.49

Composite VBP score used to determine payment impact.

Payment multiplier

0.9907

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.80

Baseline 19.89% · Performance 20.14% · Measure score 2.80 · Achievement 2.80 · Improvement 0

Healthcare-associated infections

6.01

Baseline 7.16% · Performance 6.04% · Measure score 6.01 · Achievement 6.01 · Improvement 4.69

Total nurse turnover

0

Baseline 37.78% · Performance 74.07% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

6.19

Baseline 4.57 hours · Performance 4.84 hours · Measure score 6.19 · Achievement 6.19 · Improvement 1.73

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.02%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 74 · Observed rate 13.51% · Lower 95% interval 7.94%
Discharge to community	54.34%	50.57% 3.8 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 52.46% · Lower 95% interval 40.78%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	93.48%	95.27% 1.8 pts worse	Numerator 43 · Denominator 46
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 46
Discharge self-care score	47.06%	53.69% 6.6 pts worse	Numerator 16 · Denominator 34
Discharge mobility score	41.18%	50.94% 9.8 pts worse	Numerator 14 · Denominator 34
Pressure ulcers or injuries, new or worsened	2.17%	2.29% 0.1 pts better	Numerator 1 · Denominator 46 · Adjusted rate 2.67%
Healthcare-associated infections requiring hospitalization	6.04%	7.12% 1.1 pts better	No Different than the National Rate · Eligible stays 39 · Observed rate 0% · Lower 95% interval 2.27%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 88
Staff flu vaccination coverage	6.36%	42% 35.6 pts worse	Numerator 7 · Denominator 110
Discharge function score	47.06%	56.45% 9.4 pts worse	Numerator 16 · Denominator 34
Transfer of health information to provider	86.36%	95.95% 9.6 pts worse	Numerator 19 · Denominator 22
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	12%	25.2% 13.2 pts worse	Numerator 3 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.5	2.1 1.6 pts better	1.9 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	2.3 About the same	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.2%	84.8% 2.4 pts better	93.4% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 69.4% · Q2 83.0% · Q3 97.9% · Q4 100.0% · 4Q avg 87.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.8%	90.9% 1.1 pts worse	95.5% 5.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	4.1% About the same	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.8% · Q3 4.2% · Q4 4.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.0%	14.7% 7.7 pts better	11.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.0% · Q3 6.5% · Q4 11.1% · 4Q avg 7.0%
Percentage of long-stay residents who lose too much weight	6.2%	5.5% 0.7 pts worse	5.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 9.8% · Q3 3.2% · Q4 3.2% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.1%	25.3% 3.2 pts better	19.6% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 26.8% · Q3 12.9% · Q4 16.1% · 4Q avg 22.1%
Percentage of long-stay residents who received an antipsychotic medication	12.4%	25.0% 12.6 pts better	16.7% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 12.9% · Q3 7.4% · Q4 8.7% · 4Q avg 12.4% · 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	31.3%	20.3% 11 pts worse	16.3% 15 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.4% · Q3 29.8% · 4Q avg 31.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.6%	19.8% 3.8 pts worse	14.9% 8.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.5% · Q2 17.1% · Q3 6.5% · Q4 26.7% · 4Q avg 23.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	1.4% 0.7 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	2.6% 1.1 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.4%	18.1% 8.3 pts worse	19.8% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.4% · Q2 25.6% · Q3 22.9% · Q4 23.7% · 4Q avg 26.4%
Percentage of long-stay residents with pressure ulcers	8.8%	5.0% 3.8 pts worse	5.1% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 9.1% · Q3 5.2% · Q4 9.4% · 4Q avg 8.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.3%	66.4% 18.9 pts better	81.7% 3.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 59.3% · Q2 77.8% · Q3 98.5% · Q4 98.8% · 4Q avg 85.3%
Percentage of short-stay residents who had an outpatient emergency department visit	10.9%	13.4% 2.5 pts better	12.0% 1.1 pts better	Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 10.8% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	2.2% 1.6 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	75.9%	63.5% 12.4 pts better	79.7% 3.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 75.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.9%	25.3% 5.6 pts worse	23.9% 7 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 29.7% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-02 · Fire 2024-08-02

7 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-07-14 · Fire 2023-07-14

4 health deficiencies

Top issue: Infection Control (1 deficiency)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2022-05-05 · Fire 2022-05-05

5 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-02

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-08-02

F · Potential for more than minimal harm 2024-08-02

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-09

F · Potential for more than minimal harm 2023-07-14

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-09-05

F · Potential for more than minimal harm 2023-07-14

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 2023-09-05

F · Potential for more than minimal harm 2023-07-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-05

F · Potential for more than minimal harm 2023-07-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-05

F · Potential for more than minimal harm 2023-07-14

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-09-05

E · Potential for more than minimal harm 2023-07-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-09-05

D · Potential for more than minimal harm 2023-07-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-05

D · Potential for more than minimal harm 2023-07-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-05

F · Potential for more than minimal harm 2022-05-05

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-07-08

F · Potential for more than minimal harm 2022-05-05

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-07-08

E · Potential for more than minimal harm 2022-05-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-08

E · Potential for more than minimal harm 2022-05-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-07-08

E · Potential for more than minimal harm 2022-05-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-07-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-03-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-03-27

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 2025-05-08

D · Potential for more than minimal harm 2024-08-02

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-08-02

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 2024-09-09

D · Potential for more than minimal harm 2024-08-02

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 2024-09-09

D · Potential for more than minimal harm 2024-08-02

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 2024-09-09

F · Potential for more than minimal harm 2023-07-14

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 2023-09-05

E · Potential for more than minimal harm 2023-07-14

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-09-05

E · Potential for more than minimal harm 2023-07-14

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 2023-09-05

D · Potential for more than minimal harm 2023-07-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-05

E · Potential for more than minimal harm 2022-05-05

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-07-08

E · Potential for more than minimal harm 2022-05-05

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-07-08

D · Potential for more than minimal harm 2022-05-05

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 2022-07-08

C · Minimal harm 2022-05-05

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-07-08

C · Minimal harm 2022-05-05

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2022-07-08

Penalties and ownership

What sits behind the stars

Ownership

Lierman, Mark

5% Or Greater Direct Ownership Interest · Individual

100% 12 facilities 2021-11-01

Bridge Rehabilitation Inc

Operational/Managerial Control · Organization

0% 12 facilities 2024-02-01

Busey Corporation

Operational/Managerial Control · Organization

0% 8 facilities 2023-09-10

Ciegel, Steven