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
2 of 5 overall
STONEBRIDGE ADAMS STREET has an overall rating of 2 out of 5 stars. Its staffing rating is 1 star, reported nurse staffing is below the federal benchmark (3.64 vs 4.1 hours per resident day), and it has $38,656 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.644 hrs/resident/day
Quality measures
Last inspection: December 8, 2025Penalties, last 24 months: $38,656recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.644.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.32
- Weekend nursing
- 2.86
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.2%Steady
Residents with a fall causing major injury
8.7%Improving
Residents with pressure ulcers (bedsores)
5.5%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
9.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.4%Improving
Residents whose ability to walk got worse
10.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
21.3%Improving
Short-stay residents newly given an antipsychotic
3.6%Steady
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
18.7%Improving
Residents with depressive symptoms
20.8%Worsening
Long-stay residents given the seasonal flu vaccine
92.6%Steady
Long-stay residents given the pneumonia vaccine
94.9%Worsening
Short-stay residents given the seasonal flu vaccine
25%Steady
Short-stay residents given the pneumonia vaccine
81.6%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
- 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 · 2.8 stars avg
- Occupancy
- 53 residents on an average day (44% 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.