Stonebridge Villa Marie
1030 Edmonds Street, Jefferson City, MO 65109 · Cole County · 120 certified beds · avg 65 residents/day · certified since Oct 3, 1983
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: ★★★☆☆3/5 · CMS overall rating: 1/5
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.
All citations in the current public record (29)
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 |
|---|---|---|
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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, 2026 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Mar 13, 2026 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Jul 17, 2025 | 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. · from a complaint |
| Jul 17, 2025 | 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. · from a complaint |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 9, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Aug 9, 2024 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 9, 2024 | 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. |
| Aug 9, 2024 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Aug 9, 2024 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Aug 9, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Aug 9, 2024 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| May 19, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 19, 2023 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| May 19, 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. |
| May 19, 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. |
| May 19, 2023 | E · Potential for harm, repeated | 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. |
| May 19, 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. |
| May 19, 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. |
| May 19, 2023 | 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. |
| May 19, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 19, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | F |
| 2024 | 7 | 0 | F |
| 2025 | 4 | 0 | E |
| 2026 | 8 | 0 | E |
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) | 3.30 | 3.66 | 3.95 | bottom 36% in Missouri; bottom 27% in the U.S. |
| Registered Nurse hours | 0.41 | 0.49 | 0.69 | bottom 49% in Missouri; bottom 24% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.22 | 3.50 | bottom 39% in Missouri; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.33 | 0.48 | top 32% in Missouri; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 74.3 | 56.0 | 45.8 | bottom 9% in Missouri; bottom 4% 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 3.15, RN 0.39, weekend 2.79. Staffing rating: 1/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lierman, Mark | Individual | 5% or Greater Direct Ownership Interest | 100% | 03/12/2008 |
| Barnes, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
| Barnes, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| 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 |
| 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 | 03/12/2008 |
| 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 VII, 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 |
| McBryant, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "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 |
|---|---|---|---|---|---|
| Capitol River Wellness & Rehabilitation | 0.5 mi | Jefferson City, MO | ★★☆☆☆ | 3/5 | |
| Stonebridge Adams Street | 0.8 mi | Jefferson City, MO | ★★☆☆☆ | 2/5 | |
| Heisinger Bluffs Rehab and Healthcare Center | 1.0 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Heisinger Bluffs Healthcare Western Campus | 1.1 mi | Jefferson City, MO | ★★★★★ | 5/5 | |
| Jefferson City Manor Care Center | 1.4 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| River City Living Community | 2.8 mi | Jefferson City, MO | ★☆☆☆☆ | 1/5 | |
| Stonebridge Oak Tree | 2.8 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Stonebridge Westphalia | 13.7 mi | Westphalia, MO | ★★★☆☆ | 3/5 | |
| Riverview Nursing Center | 18.3 mi | Mokane, MO | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265208.