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
2 of 5 overall
STONEBRIDGE DESOTO (De Soto, MO) has an overall rating of 2 out of 5 stars, with stronger health inspection results (4 stars) but very weak staffing and quality ratings (1 star each). It also has a recent federal penalty and $6,368 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: July 24, 2025Penalties, last 24 months: $6,368recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 71%
Registered nurse turnover: 60%
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
14.3%15.2%Worsening
Residents with a fall causing major injury
2.2%4.3%Worsening
Residents with pressure ulcers (bedsores)
11%8.9%Improving
Residents with a urinary tract infection
11.4%0%Improving
Residents who lost too much weight
19.4%7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.4%24.4%Improving
Residents whose ability to walk got worse
—34.2%—
Long-stay residents on antianxiety or sleep medication
24.3%20.9%Improving
Short-stay residents newly given an antipsychotic
3.2%0%Improving
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
22.9%21%Improving
Residents with depressive symptoms
36.4%26.2%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
88.9%95.7%Improving
Short-stay residents given the seasonal flu vaccine
—53.3%—
Short-stay residents given the pneumonia vaccine
40%45.9%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 and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited February 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: D
Recent history
- 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 - Limited Liability company
- Chain
- Part of STONEBRIDGE SENIOR LIVING · 12 homes · 2.8 stars avg
- Occupancy
- 50.8 residents on an average day (91% 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.