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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Found in Jefferson City, Missouri, Stonebridge Adams Street stands as a haven for seniors seeking a graceful and enriching aging experience. Beyond its charming environment, this community offers an array of top-tier skilled care and rehabilitation services. It specializes in providing exceptional skilled nursing care and comprehensive rehabilitation programs, ensuring that residents receive the utmost attention and support they deserve.
Amidst this vibrant community, residents can indulge in a range of exceptional amenities, including home-cooked meals that cater to individual preferences and dietary needs. The availability of state-of-the-art rehabilitative equipment and a carefully crafted multidisciplinary care plan underscores the commitment to holistic well-being. Each day brings an array of engaging activities and fine dining experiences, enhancing the overall quality of life. Moreover, the community’s strategic location offers access to notable attractions, such as the iconic Missouri State Capitol building and the Missouri State Museum. For those seeking outdoor adventures, the nearby Binder State Park invites residents to partake in invigorating activities like hiking and fishing.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 121st out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ■ Avg State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▲ 10% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 11m per day | ▼ 6% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 10m per day | ▲ 4% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 10% State avg: 20m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
19% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #156 / 245Payroll — state benchmarkedThis home is ranked 156th out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%Stonebridge Adams Street is legally operated by Eldercare Of Mid-missouri X, Inc., and administrated by Keri White.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
The most recent inspection on December 8, 2025, identified deficiencies related to feeding tube administration and nursing staff adequacy. Earlier inspections showed a pattern of issues including incomplete care plans, medication and food handling problems, respiratory equipment maintenance, and failure to perform required neurological checks after falls. Complaint investigations substantiated failures in resident transfer assistance, post-fall monitoring, and one case of physical abuse by staff, though enforcement actions such as fines or license suspensions were not listed in the available reports. Most complaints were substantiated, and the facility took corrective actions such as staff termination and education. The inspection history indicates ongoing challenges with clinical care processes and staffing, with no clear improvement trend over time.
Missouri average 6.6
Last Health inspection on Aug 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 37 citations resulted from standard inspections; and 7 of 37 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
1
In line with Missouri averageMissouri average: 1
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 22, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 22, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 04, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 04, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Stonebridge Adams Street is located in Jefferson City, Missouri.
Here are the financial assistance programs available to residents in Missouri.
1.1 miles from city center
Estimated distance in miles from Jefferson City's city center to Stonebridge Adams Street's address, calculated via Google Maps.
— 0.1 miles to nearest hospital (Capital City Medical Associates (CCMA))
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
64% better than Missouri averageMissouri average ratio: 1.71:1
7% worse than Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Total hours from contractors
5,182 contractor hours this quarter
| Certified Nursing Assistant | 19 | 42 | 61 | 6,715 | 91 | 100% | 7.2 |
| Medication Aide/Technician | 14 | 9 | 23 | 3,513 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 12 | 9 | 21 | 2,999 | 91 | 100% | 9.5 |
| Nurse Aide in Training | 12 | 0 | 12 | 1,559 | 85 | 93% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 904 | 65 | 71% | 8 |
| RN Director of Nursing | 3 | 0 | 3 | 875 | 68 | 75% | 8.6 |
| Registered Nurse | 3 | 7 | 10 | 773 | 68 | 75% | 7.6 |
| Dietitian | 1 | 0 | 1 | 512 | 61 | 67% | 8.4 |
| Nurse Practitioner | 1 | 1 | 2 | 480 | 42 | 46% | 8.2 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 401 | 47 | 52% | 8.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 146 | 56 | 62% | 2.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 128 | 50 | 55% | 2.6 |
| Qualified Social Worker | 0 | 2 | 2 | 109 | 62 | 68% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 25 | 27% | 4.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 87 | 29 | 32% | 3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 78 | 36 | 40% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 5.8 |
| Medical Director | 0 | 1 | 1 | 7 | 7 | 8% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
26% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.5
36% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
61% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
8.9%
57% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
15% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
12.0%
197% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
4.2%
16% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.0%
63% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
7.7%
39% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
24.3%
89% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
12.4%
43% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
8% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
In line with Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.8%
12% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
25.0%
61% worse than Missouri averageMissouri average: 63.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
47% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 4, 2024 · $39K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 4, 2024Last updated: Jan 2026
| Jefferson City Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City | 102 | 70.2% | +5% | 3.53 | -26% | -5% | 1 | 34 | 3.4 | 2 | 61 | 4 | Juckette, Cynthia | $13.2M | $2.4M | 18.1% | 265285 | ||||
| Stonebridge Adams Street |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City (Woodcrest) | 120 | 44.9% | -33% | 3.67 | -14% | -2% | 1 | 37 | 4.6 | 1 | 49 | 54 | Volkart, Ruth | $5.1M | $2.3M | 44% | 265810 | ||||
| River City Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City | 87 | 52.6% | -21% | 5.38 | +6% | +44% | 2 | 44 | 4.4 | 2 | 38 | 17 | N & R Of Jefferson City, Llc | $4.1M | $1.7M | 40.4% | 265482 | ||||
| Stonebridge Villa Marie |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City | 120 | 53.0% | -20% | 3.82 | -36% | +2% | 0 | 36 | 5.1 | 1 | 70 | 53 | Lierman, Mark | $6.2M | $2.4M | 38.2% | 265208 | ||||
| Capitol River Wellness & Rehabilitation | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City (Usa) | 120 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Historical financial and operational data for Stonebridge Adams Street based on CMS SNF Cost Reports.
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