Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

STONEBRIDGE HERMANN

HERMANN, MO · 118 certified beds · Last Life Safety survey September 19, 2024

CMS Certification Number 265651 · first certified July 1996

Ownership

Operated by STONEBRIDGE SENIOR LIVING · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MO

9 citations — more than 19% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (November 2025 to June 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was September 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

3 of the 9 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility9MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-0512023-0962024-09
Citations at each Life Safety survey
Survey dateCitations
May 19, 20222
September 8, 20231
September 19, 20246

Most-cited tags

Most-cited tags at this facility
K-03451K-03541E-00151E-00261K-07611K-03531K-03461E-00251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-09-19
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12024-09-19
E-0015Address subsistence needs for staff and patients.12024-09-19
E-0026Establish roles under a Waiver declared by secretary.12024-09-19
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-05-19
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-09-08
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12024-09-19
E-0025Create arrangements with other facilities to receive patients.12024-09-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 19, 2024 — 6 citations

Citations issued on September 19, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (October 30, 2024)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (October 30, 2024)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (October 30, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 30, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (October 30, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (October 30, 2024)

September 8, 2023 — 1 citation

Citations issued on September 8, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 5, 2023)

May 19, 2022 — 2 citations

Citations issued on May 19, 2022
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 14, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 14, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.