The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
STONEBRIDGE DESOTO
DE SOTO, MO · Medicare-certified · 56 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
4 of 5 overall
STONEBRIDGE DESOTO (De Soto, MO) has a 4-star overall rating, with stronger health inspection results than staffing and quality measures, both rated 2 stars. Staffing is below the federal benchmark (3.87 vs. 4.1 hours per resident per day), and the facility has had $6,368 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.866 hrs/resident/day
Quality measures
Last inspection: June 26, 2026Penalties, last 24 months: $6,368recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.866.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.83
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 50%
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
13.8%18.2%Worsening
Residents with a fall causing major injury
2.3%4.1%Worsening
Residents with pressure ulcers (bedsores)
9.8%10.8%Worsening
Residents with a urinary tract infection
2.3%0%Improving
Residents who lost too much weight
21.1%11.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.2%22%Improving
Residents whose ability to walk got worse
—39.7%—
Long-stay residents on antianxiety or sleep medication
33.3%18.6%Improving
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
1.6%0%Improving
Residents with new or worsening incontinence
26%24.4%Improving
Residents with depressive symptoms
40.9%39.5%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
—93.5%—
Long-stay residents given the pneumonia vaccine
86.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—53.3%—
Short-stay residents given the pneumonia vaccine
51%52.3%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $6,368 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $6,368 in total fines.
- $6,368
Federal fine
Jul 24, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of STONEBRIDGE SENIOR LIVING · 12 homes · 3.3 stars avg
- Occupancy
- 51.3 residents on an average day (92% of 56 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.