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Nursing HomeMedicaid

Stonebridge Oak Tree

Strong Medicare quality ratings; families often praise select staff members provide compassionate, dedicated care. Still worth an in-person visit.

3108 West Truman Boulevard, Jefferson City, MO 6510942 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 27 Google reviews

5
4
3
2
1
Stonebridge Oak Tree Nursing Home in Jefferson City, MO — Street View
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What this means for your family

While some families report positive experiences with specific staff members, the facility has a concerning pattern of hygiene issues and inconsistent care. We strongly recommend that you conduct an unannounced visit to inspect the cleanliness of the rooms and ask management specifically about their protocols for housekeeping and medication oversight.

Google Reviews

Google Reviews

27 reviews on Google
Stonebridge Oak Tree receives highly polarized feedback, with some families praising individual staff members for compassionate care while others report severe neglect and hygiene issues. Critical concerns include inconsistent housekeeping, poor communication with management, and serious allegations regarding medical oversight and medication management. Families should be aware that experiences appear to vary significantly, with recent reviews highlighting a decline in service quality and cleanliness.

Quality Themes

Tap a score for details
Food4.0Staff3.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms2.0Value2.0

Strengths

  • Select staff members provide compassionate, dedicated care
  • Common areas are generally well-maintained
  • Effective physical and occupational therapy services

Concerns

  • Poor housekeeping and unclean living conditions (mentioned by 4 reviewers)
  • Negligence and lack of adequate patient monitoring (mentioned by 4 reviewers)
  • Unprofessional management and poor communication (mentioned by 4 reviewers)
  • Inappropriate medication management and over-medication (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'18(2)'21(2)'23(5)'25(8)'26(4)

Distribution · 32 analyzed

5
15
4
1
3
2
2
1
1
13

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your dedicated staff members; how do you foster that culture of care within your nursing team?
  • 2Could you walk us through your daily cleaning and housekeeping schedule to ensure the resident rooms and common areas stay fresh and tidy?
  • 3How does the nursing team manage medication administration and monitoring to ensure every resident's needs are met accurately and safely?
  • 4What is your process for communicating important health updates or changes in condition to family members to ensure we are always in the loop?
  • 5Can you tell us more about the physical and occupational therapy services available here and how they help residents maintain their independence?
  • 6What does a typical day of social activities and dining look like for the residents in the common areas?

Personalized based on this facility's data


Key Review Excerpts

Wendy Rimel went above and beyond to keep our family member taken care of during her care there. Wendy kept constant communication with the family and gave us peace that she would love and care for our family all the way until the end.

Family member · 2025★★★★★

Photos below were taken the day we moved IN! This was the chair in his room - filthy! They told me they would cover it with a sheet!!! Horrible care!

Family member · 2023☆☆☆☆

We were pleased with the appearance and cleanliness of the assisted living rooms and dining room; however, after our Mother lived there a few months things became an almost daily battle. The housekeeping and laundry services were non-existent.

Family member · 2025★★☆☆☆
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
4.54hrs
OK
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
12.1%
MO
16.7%
Cole
14.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Cole
88.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.1%
Worse than Avg
Here
13.1%
US
5.3%
MO
5.5%
Cole
7.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
14.4%
MO
19.1%
Cole
18.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.3%
Worse than Avg
Here
22.3%
US
15.3%
MO
18.9%
Cole
18.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.4%
Worse than Avg
Here
11.4%
US
4.9%
MO
4.7%
Cole
6.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.2%
Better than Avg
Here
86.2%
US
79.8%
MO
63.5%
Cole
62.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
81.8%
MO
65.9%
Cole
65.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Cole
3.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (12.0)
2 complaint-triggered

Stonebridge Oak Tree shows concerning patterns with recurring deficiencies in food safety appearing across multiple surveys (2022-2025) and families have filed complaints about care quality and resident notification issues. The facility struggles with fire safety, medication management, and infection control, though all deficiencies have correction dates indicating efforts to address problems.

Feb 28, 2025Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Apr 18, 2024Complaint
1
0580Actual harm · IsolatedCorrected

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.

Nov 22, 2023Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Minimal · WidespreadCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0847Minimal · WidespreadCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Sep 27, 2023Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jun 3, 2022Routine
9
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0606Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0700Potential for harm · PatternCorrected

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.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Minimal · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stonebridge Oak Tree

Organization Type

for profit

Chain Affiliation

Chain Name

Stonebridge Senior Living

Chain Size

12 facilities nationwide

Chain avg rating: 2.7/5 · Rank 3 of 12

Ownership & Management

Owners

Lierman, Mark

Owner

100%

Key personnel

Lierman, MarkOfficer / DirectorMiller, BethOfficer / DirectorBridge Rehabilitation INCManagerBusey CorporationManagerEldercare Management Services INCManager
Source: Medicare provider data

Contact

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References & Resources

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