The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
STONEBRIDGE ADAMS STREET
JEFFERSON CITY, MO · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
STONEBRIDGE ADAMS STREET has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings and 3-star quality measures. It has a recent federal penalty, $38,656 in fines over the last 24 months, and reported nurse staffing of 3.72 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.7154 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $38,656recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7154.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.74
- Nurse aides
- 2.16
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.7%13.8%Worsening
Residents with a fall causing major injury
10.9%6.5%Improving
Residents with pressure ulcers (bedsores)
3.7%1.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.9%19.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.3%8.3%No change
Residents whose ability to walk got worse
0%15.9%Worsening
Long-stay residents on antianxiety or sleep medication
22.2%21.6%Improving
Short-stay residents newly given an antipsychotic
4.8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.2%21.3%Improving
Residents with depressive symptoms
32.6%18.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.6%—
Long-stay residents given the pneumonia vaccine
100%84.8%Worsening
Short-stay residents given the seasonal flu vaccine
—25%—
Short-stay residents given the pneumonia vaccine
85.3%64.4%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly protect residents’ personal money that was kept by the facility. Cited June 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 570 — 42 CFR §483.10 — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $38,656 was recorded.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $38,656 in total fines.
- $38,656
Federal fine
Dec 4, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of STONEBRIDGE SENIOR LIVING · 12 homes · 3.2 stars avg
- Occupancy
- 48.5 residents on an average day (40% of 120 beds)
- Medicare history
- Certified for 19 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.