Stonebridge Desoto
1550 Villas Drive, De Soto, MO 63020 · Jefferson County · 56 certified beds · avg 51 residents/day · certified since Oct 20, 2003
Part of chain: STONEBRIDGE SENIOR LIVING (12 facilities, chain avg rating 3.3★)
4/5
Health inspection rating (on-site)
1
Serious findings on record
$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)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 24, 2025 | ▲ G · Actual harm, one-off | 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 |
| Mar 13, 2025 | D · Potential for harm, one-off | 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. |
| Mar 13, 2025 | D · Potential for harm, one-off | 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. |
| Mar 13, 2025 | D · Potential for harm, one-off | The 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. |
| Mar 13, 2025 | C · Minimal risk, facility-wide | The 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. |
| Feb 9, 2024 | E · Potential for harm, repeated | 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Feb 9, 2024 | C · Minimal risk, facility-wide | The 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. |
| Sep 20, 2023 | D · Potential for harm, one-off | The 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 |
| Aug 5, 2022 | E · Potential for harm, repeated | 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. |
| Aug 5, 2022 | E · Potential for harm, repeated | The 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. |
| Aug 5, 2022 | D · Potential for harm, one-off | The 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. |
| Aug 5, 2022 | D · Potential for harm, one-off | The 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. |
| Aug 5, 2022 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2023 | 1 | 0 | D |
| 2024 | 14 | 0 | E |
| 2025 | 5 | 1 | G ▲ |
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)
1 fine totaling $6,368.
| Date | Type | Amount / length |
|---|---|---|
| Jul 24, 2025 | Fine | $6,368 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.42 | 3.66 | 3.95 | bottom 43% in Missouri; bottom 33% in the U.S. |
| Registered Nurse hours | 0.52 | 0.49 | 0.69 | top 34% in Missouri; bottom 41% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.22 | 3.50 | bottom 46% in Missouri; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.33 | 0.48 | top 39% in Missouri; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 68.4 | 56.0 | 45.8 | bottom 21% in Missouri; bottom 7% in the U.S. |
| RN turnover (%) | 50.0 | 47.8 | 42.9 | top 46% in Missouri; bottom 39% in the U.S. |
Hours are per resident per day, 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. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lierman, Mark | Individual | 5% or Greater Direct Ownership Interest | 100% | 11/01/2021 |
| Bridge Rehabilitation INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Bridge Rehabilitation INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Busey Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/10/2023 |
| Cook, Kellie | Individual | ADP of the SNF | NOT APPLICABLE | 07/07/2011 |
| Doerhoff, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Doerhoff, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2021 |
| Eldercare Management Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/12/2008 |
| Eldercare Management Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/25/2016 |
| Lessor, Jennie | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2023 |
| Lessor, Jennie | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Lierman Family Co IV, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/12/2008 |
| Lierman, Mark | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2021 |
| Lierman, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Lierman, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2021 |
| Lum, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Lum, Laurence | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Miller, Beth | Individual | Corporate Officer | NOT APPLICABLE | 01/17/2023 |
| Thayer, Jeanne | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hillcrest Care Center INC | 4.2 mi | De Soto, MO | ★★★★☆ | 4/5 | |
| Baisch Nursing Center | 4.4 mi | De Soto, MO | ★★☆☆☆ | 3/5 | |
| Superior Manor of Festus, LLC | 10.7 mi | Festus, MO | ★☆☆☆☆ | 2/5 | |
| Crystal Oaks | 11.8 mi | Festus, MO | ★★★★☆ | 4/5 | |
| Fountainbleau Nursing Center | 11.9 mi | Festus, MO | ★★★★☆ | 4/5 | |
| St Joe Manor | 12.1 mi | Bonne Terre, MO | ★☆☆☆☆ | 3/5 | |
| Scenic Wellness and Rehabilitation Center | 14.6 mi | Herculaneum, MO | ★★★★☆ | 5/5 | |
| Gardens Health and Rehab, the | 15.9 mi | Potosi, MO | ★☆☆☆☆ | 3/5 | |
| NHC Healthcare, Desloge | 15.9 mi | Desloge, MO | ★★★★☆ | 4/5 | |
| Country Meadows | 16.1 mi | Park Hills, MO | ★★★★★ | 5/5 | |
| Potosi Manor | 16.6 mi | Potosi, MO | ★★★★☆ | 4/5 | |
| Arbor View Nursing and Rehabilitation | 19.0 mi | Cedar Hill, MO | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265772.