Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
STONEBRIDGE WESTPHALIA
WESTPHALIA, MO · 64 certified beds · Last Life Safety survey July 24, 2025
CMS Certification Number 265777 · first certified January 2004
Ownership
Operated by STONEBRIDGE SENIOR LIVING · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within MO
17 citations — more than 46% 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
The latest survey found 5 citations; the earlier surveys in the window averaged 4. With 4 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: September 2026 to April 2027. This facility’s last Life Safety survey was July 2025. 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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2 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
7 of the 17 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)
6 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 17 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 17 |
| Median facility in MO | 18 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 2, 2022 | 8 |
| May 9, 2024 | 3 |
| November 20, 2024 | 1 |
| July 24, 2025 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0037 | Establish staff and initial training requirements. | 3 | 2025-07-24 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2024-05-09 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2025-07-24 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2022-12-02 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2024-11-20 |
| E-0035 | Provide family notifications of emergency plan. | 1 | 2025-07-24 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2022-12-02 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2022-12-02 |
What the citations cover
- Emergency Preparedness Deficiencies 7
- Smoke Deficiencies 4
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Miscellaneous Deficiencies 2
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 7 |
| Smoke Deficiencies | 4 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 24, 2025 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (September 9, 2025) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (September 9, 2025) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (September 6, 2025) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (August 31, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 9, 2025) |
November 20, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (December 30, 2024) |
May 9, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (June 20, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (June 20, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 20, 2024) |
December 2, 2022 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (January 6, 2023) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (January 6, 2023) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (December 15, 2022) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (December 5, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 10, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 6, 2023) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (December 19, 2022) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Waiver has been granted (March 1, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.