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

STONEBRIDGE ADAMS STREET

JEFFERSON CITY, MO · 120 certified beds · Last Life Safety survey December 4, 2024

CMS Certification Number 265810 · first certified March 2007

Ownership

Operated by STONEBRIDGE SENIOR LIVING · For profit - Corporation

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

24
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
6
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within MO

24 citations — more than 64% of the 486 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 CMS's current file.

The latest survey found 9 citations; the earlier surveys on file averaged 7.5. 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 (February 2026 to August 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was December 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 523 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 about three years in Virginia. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 24 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)

5 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 24 Life Safety citations above. The Physical Environment Index

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

How that compares

Citations in CMS's current file

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

This facility24MO median18National median11
Citations in CMS's current file, compared
MeasureCitations
This facility24
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
72022-0682023-1192024-12
Citations at each Life Safety survey
Survey dateCitations
June 3, 20227
November 17, 20238
December 4, 20249

Most-cited tags

Most-cited tags at this facility
K-09262K-03452K-09182E-00152K-07122K-03532K-07811K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.22024-12-04
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-12-04
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-11-17
E-0015Address subsistence needs for staff and patients.22024-12-04
K-0712Have simulated fire drills held at unexpected times.22023-11-17
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-12-04
K-0781Have restrictions on the use of portable space heaters.12024-12-04
K-0511Have properly installed electrical wiring and gas equipment.12023-11-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Emergency Preparedness Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies5
Miscellaneous Deficiencies4
Egress Deficiencies1
Services Deficiencies1

Every citation on file

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

December 4, 2024 — 9 citations

Citations issued on December 4, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (January 10, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 23, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (December 24, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 10, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 10, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (January 10, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (December 5, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 10, 2025)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (January 10, 2025)

November 17, 2023 — 8 citations

Citations issued on November 17, 2023
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (November 18, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (November 18, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 18, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 22, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 18, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 18, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 18, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (December 12, 2023)

June 3, 2022 — 7 citations

Citations issued on June 3, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 11, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (July 11, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 11, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 11, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 11, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 11, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 11, 2022)

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