ElderGrade
D

45.6/100

Below average

Stonebridge Adams Street

1024 Adams Street, Jefferson City, MO 65101

CMS 2/5 stars #6 of 8 in Cole County (573) 635-1320
Certified beds
120
Occupancy
40%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $38,656 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 72%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

21.1/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -4.9 for 31 total citations against a national median of 17

Staffing

8.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.15 total nurse hours per resident per day (national median 3.77)
  • 0.81 RN hours per resident per day
  • Weekend staffing drops 23% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 72% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $38,656 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.72 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.81 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.85 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 72.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 41 citations

Last standard health inspection: December 4, 2024 (1 year ago).

D Mar 19, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Mar 19, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

F Dec 8, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

D Dec 8, 2025 F0693 From a complaint

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

No actual harm, potential for more than minimal harm

E Aug 22, 2025 F0695 From a complaint

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

E Aug 22, 2025 F0804 From a complaint

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Dec 4, 2024 F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

E Dec 4, 2024 F0700

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Cor...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of STONEBRIDGE SENIOR LIVING, which operates 12 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
LIERMAN, MARK Individual CORPORATE OFFICER
MILLER, BETH Individual CORPORATE OFFICER
BRIDGE REHABILITATION INC Organization OPERATIONAL/MANAGERIAL CONTROL
ELDERCARE MANAGEMENT SERVICES INC Organization OPERATIONAL/MANAGERIAL CONTROL
ENTERPRISE BANK & TRUST Organization OPERATIONAL/MANAGERIAL CONTROL
CIEGEL, STEVEN Individual OPERATIONAL/MANAGERIAL CONTROL
DOERHOFF, ERIC Individual OPERATIONAL/MANAGERIAL CONTROL
KNIGHT, KARA Individual OPERATIONAL/MANAGERIAL CONTROL
LIERMAN, MARK Individual OPERATIONAL/MANAGERIAL CONTROL
THAYER, JEANNE Individual OPERATIONAL/MANAGERIAL CONTROL
WARBRITTON, DUSTIN Individual OPERATIONAL/MANAGERIAL CONTROL
WHITE, KERI Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Stonebridge Adams Street

What is the ElderGrade for Stonebridge Adams Street? +

Stonebridge Adams Street holds an ElderGrade of D (45.6 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Stonebridge Adams Street? +

Residents receive an average of 3.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Stonebridge Adams Street been cited for harming residents? +

Yes. 1 of the 41 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Stonebridge Adams Street accept Medicaid? +

Yes, Stonebridge Adams Street is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.