Cycle 1
Health 2024-09-13 · Fire 2024-09-13
6 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Marble Hill, MO
Stonebridge Marble Hill
3-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
702 Highway 34 West, Marble Hill, MO
(573) 238-2614
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
98
Certified beds
Average residents
69
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stonebridge Senior Living
Operator or chain grouping
Approved since
1993-10-21
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
0.59
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.34
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.11
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.96
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.38
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
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,850
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9828
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.14
Baseline 19.58% · Performance 17.66% · Measure score 8.14 · Achievement 8.14 · Improvement 7.03
Healthcare-associated infections
0
Baseline 7.92% · Performance 9.01% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.78
Baseline 53.03% · Performance 60.49% · Measure score 0.78 · Achievement 0.78 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.57 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.32% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 70 · Observed rate 12.86% · Lower 95% interval 7.86% |
| Discharge to community | 48.1% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 62 · Observed rate 40.32% · Lower 95% interval 36.71% |
| Medicare spending per beneficiary | 1.33 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 55 · Denominator 55 |
| Falls with major injury | 9.09% |
0.77%
8.3 pts worse
|
Numerator 5 · Denominator 55 |
| Discharge self-care score | 34.15% |
53.69%
19.5 pts worse
|
Numerator 14 · Denominator 41 |
| Discharge mobility score | 36.59% |
50.94%
14.3 pts worse
|
Numerator 15 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 9.09% |
2.29%
6.8 pts worse
|
Numerator 5 · Denominator 55 · Adjusted rate 8.72% |
| Healthcare-associated infections requiring hospitalization | 9.01% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 12.7% · Lower 95% interval 5.32% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 91 |
| Staff flu vaccination coverage | 35.48% |
42%
6.5 pts worse
|
Numerator 44 · Denominator 124 |
| Discharge function score | 39.02% |
56.45%
17.4 pts worse
|
Numerator 16 · Denominator 41 |
| 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 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 26.92% |
25.2%
1.7 pts better
|
Numerator 7 · Denominator 26 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.6 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.3% |
84.8%
7.5 pts worse
|
93.4%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.3% · Q2 77.1% · Q3 71.0% · Q4 73.8% · 4Q avg 77.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.0% |
90.9%
9.9 pts worse
|
95.5%
14.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
4.1%
0.6 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 4.3% · Q3 1.4% · Q4 4.6% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
14.7%
11.9 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.5% · Q3 3.3% · Q4 1.6% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 18.3% |
5.5%
12.8 pts worse
|
5.4%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 18.8% · Q3 19.4% · Q4 19.6% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.1% |
25.3%
4.8 pts worse
|
19.6%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 27.3% · Q3 27.0% · Q4 28.8% · 4Q avg 30.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
25.0%
11.2 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 12.5% · Q3 17.0% · Q4 12.8% · 4Q avg 13.8% · 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 | 30.3% |
20.3%
10 pts worse
|
16.3%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 25.5% · Q3 40.3% · Q4 20.8% · 4Q avg 30.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.4% |
19.8%
0.6 pts worse
|
14.9%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 15.8% · Q3 21.6% · Q4 15.6% · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.4%
0.1 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.9% |
2.6%
2.3 pts worse
|
1.7%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 2.9% · Q3 8.8% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.4% |
18.1%
9.7 pts better
|
19.8%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 10.8% · Q3 15.0% · Q4 5.0% · 4Q avg 8.4% |
| Percentage of long-stay residents with pressure ulcers | 11.6% |
5.0%
6.6 pts worse
|
5.1%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 13.5% · Q3 12.4% · Q4 12.2% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.0% |
66.4%
42.4 pts worse
|
81.7%
57.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 45.5% · Q2 24.1% · Q3 17.9% · Q4 6.5% · 4Q avg 24.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
13.4%
1.7 pts worse
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 14.8% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.5% |
2.2%
2.3 pts worse
|
1.6%
2.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.5% |
63.5%
29 pts worse
|
79.7%
45.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 34.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
25.3%
1 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 22.2% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-09 · Fire 2023-02-09
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2020-01-23 · Fire 2020-01-23
4 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-13
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-10-30
F · Potential for more than minimal harm
2023-02-09
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.
Corrected 2023-02-10
D · Potential for more than minimal harm
2023-02-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-10
F · Potential for more than minimal harm
2020-01-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-01-29
F · Potential for more than minimal harm
2020-01-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-24
F · Potential for more than minimal harm
2020-01-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-01-27
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-11
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.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-10-15
F626 · Resident Rights Deficiencies
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-09-13
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 2024-10-30
D · Potential for more than minimal harm
2024-09-13
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 2024-10-30
D · Potential for more than minimal harm
2024-09-13
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 2024-10-30
D · Potential for more than minimal harm
2024-09-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-09-13
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-09-13
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-30
E · Potential for more than minimal harm
2023-02-09
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.
Corrected 2023-03-24
E · Potential for more than minimal harm
2023-02-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-09
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-09
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 2023-03-24
D · Potential for more than minimal harm
2023-02-09
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-03-24
G · Actual harm
2020-01-23
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.
Corrected 2019-11-17
D · Potential for more than minimal harm
2020-01-23
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2020-02-21
C · Minimal harm
2020-01-23
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2020-02-21
Penalties and ownership
What sits behind the stars
Ownership
Lierman, Mark
5% Or Greater Direct Ownership Interest · Individual
Bridge Rehabilitation Inc
Operational/Managerial Control · Organization
Doerhoff, Eric
Operational/Managerial Control · Individual
Eldercare Management Services Inc
Operational/Managerial Control · Organization
Ellis, Renee
Operational/Managerial Control · Individual
Enterprise Bank & Trust
Operational/Managerial Control · Organization
Jansen, Abbey
Operational/Managerial Control · Individual
Lierman, Mark
Operational/Managerial Control · Individual
Lierman, Mark
Corporate Officer · Individual
Palen, James
Operational/Managerial Control · Individual
Thayer, Jeanne
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Jackson Manor
Jackson, MO
4-star overall rating with 5-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Hubble Creek
Jackson, MO
1-star overall rating with 2-star inspections with $52,622 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Fountainbleau Lodge
Cape Girardeau, MO
4-star overall rating with 4-star inspections with $8,827 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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