Stonebridge Desoto
1550 Villas Drive · De Soto, MO · 63020 · 6365866559
56 certified beds For profit - Limited Liability company Chain: Stonebridge Senior Living
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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
71% 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: 2 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $6,368 |
Inspection citations (25 in the current record)
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Actual harm · G July 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2025 · Nutrition and Dietary
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Potential for harm · D March 13, 2025
Provide and implement an infection prevention and control program.
Corrected April 17, 2025 · Infection Control
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No harm found · C March 13, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D February 9, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 15, 2024 · Resident Rights
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Potential for harm · D February 9, 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 March 15, 2024 · Resident Rights
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Potential for harm · D February 9, 2024
Ensure each resident receives an accurate assessment.
Corrected March 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 15, 2024 · Quality of Life and Care
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Potential for harm · D February 9, 2024
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 March 15, 2024 · Quality of Life and Care
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Potential for harm · D February 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 15, 2024 · Quality of Life and Care
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Potential for harm · D February 9, 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 March 15, 2024 · Pharmacy Service
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Potential for harm · E February 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 15, 2024 · Nutrition and Dietary
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Potential for harm · D February 9, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 15, 2024 · Administration
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Potential for harm · D February 9, 2024
Provide and implement an infection prevention and control program.
Corrected March 15, 2024 · Infection Control
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Potential for harm · D February 9, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 15, 2024 · Infection Control
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No harm found · C February 9, 2024
The resident has the right to receive notices in a format and a language he or she understands.
Corrected March 15, 2024 · Resident Rights
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Potential for harm · D September 20, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 6, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 5, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected September 6, 2022 · Pharmacy Service
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Potential for harm · D August 5, 2022
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 September 6, 2022 · Pharmacy Service
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Potential for harm · E August 5, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 6, 2022 · Nutrition and Dietary
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Potential for harm · E August 5, 2022
Provide and implement an infection prevention and control program.
Corrected September 6, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2025 | Fine | $6,368 |
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 265772 · certified since October 20, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.