Stonebridge Adams Street
1024 Adams Street · Jefferson City, MO · 65101 · 5736351320
120 certified beds For profit - Corporation Chain: Stonebridge Senior Living
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $38,656 |
Inspection citations (41 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 24, 2026 · Infection Control
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Potential for harm · D December 8, 2025 · found via complaint
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.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · F December 8, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 16, 2026 · Nursing and Physician Services
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Potential for harm · E August 22, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 16, 2025 · Quality of Life and Care
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Potential for harm · E August 22, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · E December 4, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · E December 4, 2024
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.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · E December 4, 2024
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.
Corrected December 5, 2024 · Nursing and Physician Services
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Potential for harm · D December 4, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 10, 2025 · Pharmacy Service
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Potential for harm · D December 4, 2024
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 January 10, 2025 · Pharmacy Service
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Potential for harm · E December 4, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected January 10, 2025 · Nutrition and Dietary
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Potential for harm · E December 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2025 · Nutrition and Dietary
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Potential for harm · E December 4, 2024
Provide and implement an infection prevention and control program.
Corrected January 10, 2025 · Infection Control
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No harm found · C December 4, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 9, 2024 · Resident Rights
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No harm found · C December 4, 2024
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 January 10, 2025 · Resident Rights
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No harm found · C December 4, 2024
Post nurse staffing information every day.
Corrected December 5, 2024 · Nursing and Physician Services
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No harm found · C December 4, 2024
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.
Corrected December 11, 2024 · Nutrition and Dietary
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Potential for harm · D October 17, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 7, 2024 · Resident Rights
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Potential for harm · D October 17, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 1, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 22, 2024 · Resident Assessment and Care Planning
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Actual harm · G February 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D November 17, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 22, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 4, 2024 | Fine | $38,656 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265810 · certified since March 10, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.