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Stonebridge Westphalia
1899 Highway 63, Westphalia, MO 65085 (opens Google Maps) · Osage County · (573) 455-2280· 64 certified beds · avg 58 residents/day · certified since Jan 28, 2004 · 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★)
3/5
Health inspection rating (on-site)
inspected Jul 24, 2025
1
Serious findings on record
most recent Oct 12, 2023
$0
Fines, last 3 years
3.55
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★☆☆3/5 · CMS overall rating: 3/5 · 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 · Oct 12, 2023 · 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.
▲ Actual harm, isolated · Oct 12, 2023 · 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.
Corrected: Nov 8, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
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. F-0880
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. F-0656
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. F-0677
View all 20 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 24, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 24, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Jul 24, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Jul 24, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Sep 13, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0658 |
| May 9, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0761 |
| May 9, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| May 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| May 9, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0847 |
| May 9, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| May 9, 2024 | C · Potential for minimal harm, widespread | 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. · F-0575 |
| Oct 12, 2023 | ▲ 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 |
| Dec 2, 2022 | F · Potential for more than minimal harm, widespread | 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 |
| Dec 2, 2022 | F · Potential for more than minimal harm, widespread | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Dec 2, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0727 |
| Dec 2, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Dec 2, 2022 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Dec 2, 2022 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Dec 2, 2022 | C · Potential for minimal harm, widespread | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
All citationsSerious citations (G–L)
2022
All citations: 7
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 1
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | F |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 7 | 0 | F |
| 2025 | 5 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.55
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.47
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.03
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.55 | 3.66 | 3.95 | bottom 48% in Missouri; bottom 39% in the U.S. |
| Registered Nurse hours | 0.47 | 0.49 | 0.69 | top 39% in Missouri; bottom 34% in the U.S. |
| Weekend total nurse staffing | 3.03 | 3.22 | 3.50 | bottom 43% in Missouri; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.33 | 0.48 | bottom 46% in Missouri; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 56.7 | 56.0 | 45.8 | bottom 49% in Missouri; bottom 22% in the U.S. |
| RN turnover (%) | 20.0 | 47.8 | 42.9 | top 12% in Missouri; top 13% 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 3.63, RN 0.48, weekend 3.09.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.63 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 1/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Stonebridge Westphalia. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lierman, Mark | Individual | 5% or Greater Direct Ownership Interest | 100% | 11/01/2021 |
| Berhorst, Tracy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/25/2024 |
| Berhorst, Tracy | Individual | ADP of the SNF | NOT APPLICABLE | 01/25/2024 |
| 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 |
| Dudenhoeffer, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2014 |
| Dudenhoeffer, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| 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 VI, 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 |
Showing 20 of 25 parties CMS has on file for this facility; 5 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.
- Stonebridge Adams Street — Jefferson City, MO · overall 2/5
- Stonebridge Chillicothe — Chillicothe, MO · overall 5/5
- Stonebridge Desoto — De Soto, MO · overall 4/5
- Stonebridge Florissant — Florissant, MO · overall 2/5
- Stonebridge Hermann — Hermann, MO · overall 5/5
- Stonebridge Lake Ozark — Osage Beach, MO · overall 5/5
- Stonebridge Marble Hill — Marble Hill, MO · overall 4/5
- Stonebridge Maryland Heights — Maryland Heights, MO · overall 2/5
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
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?"
- "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?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "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 I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
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 57% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 25 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)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Stonebridge Adams Street | 13.0 mi | Jefferson City, MO | ★★☆☆☆ | 2/5 | |
| Capitol River Wellness & Rehabilitation | 13.5 mi | Jefferson City, MO | ★★☆☆☆ | 3/5 | |
| Stonebridge Villa Marie | 13.7 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| Jefferson City Manor Care Center | 14.0 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| Heisinger Bluffs Rehab and Healthcare Center | 14.1 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Heisinger Bluffs Healthcare Western Campus | 14.4 mi | Jefferson City, MO | ★★★★★ | 5/5 | |
| River City Living Community | 16.5 mi | Jefferson City, MO | ★☆☆☆☆ | 1/5 | |
| Stonebridge Oak Tree | 16.5 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Maries Manor | 17.5 mi | Vienna, MO | ★★★☆☆ | 3/5 | |
| Riverview Nursing Center | 17.8 mi | Mokane, MO | ★★★★☆ | 5/5 | |
| St Elizabeth Care Center | 19.9 mi | Saint Elizabeth, MO | ★★☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 265777.
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