Stonebridge Oak Tree
3108 West Truman Boulevard, Jefferson City, MO 65109 · Cole County · 42 certified beds · avg 31 residents/day · certified since Feb 29, 2008
Part of chain: STONEBRIDGE SENIOR LIVING (12 facilities, chain avg rating 3.3★)
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 · Apr 18, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 17, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| May 1, 2026 | F · Potential for harm, facility-wide | 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. |
| May 1, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 28, 2025 | F · Potential for harm, facility-wide | 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 28, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Feb 28, 2025 | E · Potential for harm, repeated | 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. |
| Apr 18, 2024 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Nov 22, 2023 | F · Potential for harm, facility-wide | 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. |
| Nov 22, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 22, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 22, 2023 | E · Potential for harm, repeated | 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. |
| Nov 22, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 22, 2023 | C · Minimal risk, facility-wide | The facility did not keep residents' personal and medical information private and confidential. |
| Nov 22, 2023 | C · Minimal risk, facility-wide | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Sep 27, 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 3 | 0 | F |
| 2026 | 2 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 4.33 | 3.66 | 3.95 | top 22% in Missouri; top 28% in the U.S. |
| Registered Nurse hours | 0.58 | 0.49 | 0.69 | top 25% in Missouri; bottom 50% in the U.S. |
| Weekend total nurse staffing | 3.81 | 3.22 | 3.50 | top 23% in Missouri; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.33 | 0.48 | top 23% in Missouri; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 54.0 | 56.0 | 45.8 | top 42% in Missouri; bottom 27% in the U.S. |
| RN turnover (%) | 0.0 | 47.8 | 42.9 | — |
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 4.51, RN 0.61, weekend 3.97. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| 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 |
| Caywood, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/1998 |
| Caywood, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/1998 |
| Ciegel, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Ciegel, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2022 |
| 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 | 05/01/2008 |
| Eldercare Management Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/25/2016 |
| Knight, Kara | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2018 |
| Knight, Kara | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| Lierman Family Co VIII, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2008 |
| 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 |
| Miller, Beth | Individual | Corporate Officer | NOT APPLICABLE | 01/17/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can I see where garbage is stored and how often it's removed?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| River City Living Community | 0.1 mi | Jefferson City, MO | ★☆☆☆☆ | 1/5 | |
| Heisinger Bluffs Healthcare Western Campus | 2.5 mi | Jefferson City, MO | ★★★★★ | 5/5 | |
| Jefferson City Manor Care Center | 2.8 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| Heisinger Bluffs Rehab and Healthcare Center | 2.8 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Stonebridge Villa Marie | 2.8 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| Capitol River Wellness & Rehabilitation | 3.1 mi | Jefferson City, MO | ★★☆☆☆ | 3/5 | |
| Stonebridge Adams Street | 3.6 mi | Jefferson City, MO | ★★☆☆☆ | 2/5 | |
| Stonebridge Westphalia | 16.5 mi | Westphalia, MO | ★★★☆☆ | 3/5 | |
| California Care Center | 18.1 mi | California, MO | ★★★★★ | 5/5 | |
| Riverview Nursing Center | 20.0 mi | Mokane, MO | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265819.