Missouri ›De Soto

Stonebridge Desoto

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1550 Villas Drive, De Soto, MO 63020 (opens Google Maps) · Jefferson County · (636) 586-6559· 56 certified beds · avg 51 residents/day · certified since Oct 20, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: STONEBRIDGE SENIOR LIVING (12 facilities, chain avg rating 3.3★)

4/5
Health inspection rating (on-site)
inspected Mar 13, 2025
1
Serious findings on record
most recent Jul 24, 2025
$6,368
Fines, last 3 years
3.42
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jul 24, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. F-0695

  3. D · Potential for more than minimal harm, isolated

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

View all 25 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 24, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Mar 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 13, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Mar 13, 2025C · Potential for minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Feb 9, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Feb 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Feb 9, 2024C · Potential for minimal harm, widespreadThe facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · F-0574
Sep 20, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Aug 5, 2022E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 5, 2022E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Aug 5, 2022D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Aug 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 5
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 14
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202250E
202310D
2024140E
202551G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $6,368.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jul 24, 2025Fine$6,368

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.42
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.52
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.08
Missouri average: 3.22
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.423.663.95bottom 43% in Missouri; bottom 33% in the U.S.
Registered Nurse hours0.520.490.69top 34% in Missouri; bottom 41% in the U.S.
Weekend total nurse staffing3.083.223.50bottom 46% in Missouri; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)0.310.330.48top 39% in Missouri; bottom 34% in the U.S.
Total nursing staff turnover (%)68.456.045.8bottom 21% in Missouri; bottom 7% in the U.S.
RN turnover (%)50.047.842.9top 46% in Missouri; bottom 39% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.87, RN 0.59, weekend 3.48.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.87 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Stonebridge Desoto. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Lierman, MarkIndividual5% or Greater Direct Ownership Interest100%11/01/2021
Bridge Rehabilitation INCOrganizationOperational/Managerial ControlNOT APPLICABLE02/01/2024
Bridge Rehabilitation INCOrganizationADP of the SNFNOT APPLICABLE04/22/2025
Busey CorporationOrganizationOperational/Managerial ControlNOT APPLICABLE09/10/2023
Cook, KellieIndividualADP of the SNFNOT APPLICABLE07/07/2011
Doerhoff, EricIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2021
Doerhoff, EricIndividualADP of the SNFNOT APPLICABLE11/01/2021
Eldercare Management Services INCOrganizationOperational/Managerial ControlNOT APPLICABLE03/12/2008
Eldercare Management Services INCOrganizationADP of the SNFNOT APPLICABLE07/16/2025
Forvis Mazars LLPOrganizationADP of the SNFNOT APPLICABLE01/25/2016
Lessor, JennieIndividualOperational/Managerial ControlNOT APPLICABLE03/16/2023
Lessor, JennieIndividualADP of the SNFNOT APPLICABLE03/16/2023
Lierman Family Co IV, LLCOrganizationADP of the SNFNOT APPLICABLE03/12/2008
Lierman, MarkIndividualCorporate OfficerNOT APPLICABLE11/01/2021
Lierman, MarkIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2021
Lierman, MarkIndividualADP of the SNFNOT APPLICABLE11/01/2021
Lum, LaurenceIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2020
Lum, LaurenceIndividualADP of the SNFNOT APPLICABLE01/01/2020
Miller, BethIndividualCorporate OfficerNOT APPLICABLE01/17/2023
Thayer, JeanneIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2021

Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Stonebridge Senior Living — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Where do you post your latest state inspection results and the ombudsman's contact information?"
  • "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
  • "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 68% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 22 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Hillcrest Care Center INC4.2 miDe Soto, MO★★★★☆4/5
Baisch Nursing Center4.4 miDe Soto, MO★★☆☆☆3/5
Superior Manor of Festus, LLC10.7 miFestus, MO★☆☆☆☆2/5
Crystal Oaks11.8 miFestus, MO★★★★☆4/5
Fountainbleau Nursing Center11.9 miFestus, MO★★★★☆4/5
St Joe Manor12.1 miBonne Terre, MO★☆☆☆☆3/5
Scenic Wellness and Rehabilitation Center14.6 miHerculaneum, MO★★★★☆5/5
Gardens Health and Rehab, the15.9 miPotosi, MO★☆☆☆☆3/5
NHC Healthcare, Desloge15.9 miDesloge, MO★★★★☆4/5
Country Meadows16.1 miPark Hills, MO★★★★★5/5
Potosi Manor16.6 miPotosi, MO★★★★☆4/5
Arbor View Nursing and Rehabilitation19.0 miCedar Hill, MO★☆☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Jefferson, MO — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in De Soto →

Facility data as of CMS processing date 2026-08-01. CCN 265772.

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