Stonebridge Adams Street
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (18 vs median 10)
- High staff turnover (66%)
- High RN turnover (57%)
Below average in MO · Below recommended RN staffing · Below chain average · $38,656 in fines
What this means for your family
While the facility has received praise for its recent administrative improvements and therapy team, the history of severe care lapses is concerning. Families should conduct an unannounced visit and specifically observe staff-to-resident ratios and the cleanliness of patient rooms before making a decision.
Google Reviews
Google Reviews
18 reviews on Google“Stonebridge Adams Street receives highly polarized feedback, with some families praising the compassionate, hands-on leadership and therapy teams, while others report severe neglect. Critical concerns include failures in basic hygiene, wound care, and medical monitoring, with multiple reports of understaffing and poor facility maintenance.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Hands-on, accessible administrative leadership
- Effective rehabilitation therapy department
- Homelike environment for long-term residents
Concerns
- Chronic understaffing leading to slow response times (mentioned by 3 reviewers)
- Inadequate hygiene and patient care (turning, wound care) (mentioned by 2 reviewers)
- Facility maintenance issues (HVAC, electricity, hot water) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed the CMS staffing rating is currently lower than average; what specific steps is the leadership team taking to ensure residents receive timely assistance and consistent care throughout the day?
- 2Given the feedback regarding facility maintenance, could you walk us through your current process for addressing urgent repairs like HVAC or hot water issues to ensure resident comfort?
- 3I understand that hygiene and wound care are critical for long-term health; how do you monitor and document these tasks to ensure every resident receives the necessary attention?
- 4What is your current protocol for medication management, and how do you ensure that residents receive their doses accurately and on schedule?
- 5I see that rehabilitation is a strength here; how do you integrate those therapy goals into the daily life and activities of long-term residents?
- 6When a medical emergency occurs, what is the immediate chain of communication to keep family members informed and involved in the decision-making process?
Personalized based on this facility's data
Key Review Excerpts
“Adam's Street Place has improved so much. They have to most compassionate and caring staff. Their administrator, director of nursing, assistant director of nursing, mds nurse, and activities director are all INCREDIBLE along with their amazing floor staff.”
“Numerous complaints, not all listed. Did not turn loved one properly, change him timely(12 or more hrs) or adequate wound care. Air in room didn’t work 4 of 5 days and was miserable, sheets not put on bed, staff not properly trained, short staffed, light turned off then no one returned, etc.”
“My father wasn’t even there for two months and fell multiple times because there was no one monitoring him - a non- walker. I had to make them call an ambulance when he was sick and not getting better…only to find out he had a stroke!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
5
measures
5
measures
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who fell and were seriously hurt
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints leading to 10 deficiencies, signaling ongoing concerns about safety, nursing care, and food service. The facility shows recurring issues with fire safety systems, nursing staffing adequacy, and nutrition/dietary services across multiple surveys. While all deficiencies show correction dates, the pattern of repeated problems in core care areas like staffing and meal quality suggests persistent operational challenges that families should carefully evaluate.
Mar 19, 2026Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 8, 2025Complaint2
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Aug 22, 2025Complaint2
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Dec 4, 2024Routine23
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Oct 17, 2024Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 1, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Dec 4, 2024
$38,656
Ownership & Operations
Who Operates This Facility
Stonebridge Adams Street
for profit
Chain Affiliation
Stonebridge Senior Living
12 facilities nationwide
Chain avg rating: 2.7/5 · Rank 8 of 12
Ownership & Management
Owners
Lierman, Mark
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
18 reviews from families & visitors
Official Website
Visit stonebridgeseniorliving.com
Medicare data downloads
Original nursing home datasets
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