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Nursing HomeMedicaid Investigative

Stonebridge Villa Marie

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1030 Edmonds Street, Jefferson City, MO 65109120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 47 Google reviews

5
4
3
2
1
Stonebridge Villa Marie Nursing Home in Jefferson City, MO — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (70%)

Bottom 25% in MO · Below recommended RN staffing · Very high staff turnover · Worst in STONEBRIDGE SENIOR LIVING chain · No penalties on record

Source: Medicare data

What this means for your family

While some recent residents have had positive experiences with the rehab staff, the facility has a long history of serious complaints regarding communication and resident safety. We strongly recommend that families conduct unannounced visits and ask detailed questions about their protocols for incident reporting and medication management before placing a loved one here.

Google Reviews

Google Reviews

47 reviews on Google
Stonebridge Villa Marie receives highly polarized feedback, with recent positive reports regarding rehab care contrasted by severe, long-standing allegations of neglect and poor communication. Families have reported serious concerns including medication errors, physical injuries, and lack of responsiveness, though some recent residents praise the compassion of individual staff members.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean4.0ActivitiesN/AMeds1.0Memory3.0Comms2.0ValueN/A

Strengths

  • Compassionate individual nursing staff
  • Friendly dietary team
  • Effective post-surgery rehab support

Concerns

  • Poor communication and lack of responsiveness (mentioned by 3 reviewers)
  • Physical neglect and resident injuries (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 3 reviewers)
  • Disorganized facility and poor security/monitoring (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(13)'20(4)'23(2)'25(5)

Distribution · 38 analyzed

5
8
4
8
3
6
2
2
1
14

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on improving communication, what is the best way for our family to stay updated on our loved one's daily status and care needs?
  • 2We noticed some concerns regarding medication management; could you walk us through the specific protocols and double-checks you have in place to ensure residents receive the correct dosages on time?
  • 3With the current staffing levels, how do you ensure that residents receive timely assistance when they press their call buttons or require help with mobility?
  • 4We read that your rehab team is highly regarded; how do you integrate that same level of specialized attention into the daily care of long-term residents?
  • 5Could you describe the security measures in place to monitor resident safety and prevent unauthorized access or wandering throughout the facility?
  • 6How does your team handle the reporting and resolution process if a resident experiences an unexpected injury or fall?

Personalized based on this facility's data


Key Review Excerpts

All the nurses and nursing aids in the people that work in the kitchen have been so super friendly to me. I'm in the Rehab section so I'd like to point out one nurse that I think so I went above and beyond his name Eric.

Rehab patient · 2025★★★★★

Communication is not good! ! Feel like there care is not adequate care always ! No one answers the phone quite a bit! I have talked about important issues & they are not being addressed!

Family member · 2025☆☆☆☆

My mother was in there 2 years ago in the alzheimers unit there was always new bruises on her and they weren't careful with medicines they would lay other people's medicine on table in easy access of other patients.

Memory care family member · 2019☆☆☆☆
Source: 47 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
1/ 5
Better Than Avg

4

measures

Worse Than Avg

13

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility63.2%
Worse than Avg
Here
63.2%
US
93.4%
MO
84.4%
Cole
93.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility34.3%
Worse than Avg
Here
34.3%
US
14.4%
MO
19.1%
Cole
15.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility34.9%
Worse than Avg
Here
34.9%
US
15.5%
MO
23.6%
Cole
20.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
19.5%
MO
25.4%
Cole
23.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility82.9%
Worse than Avg
Here
82.9%
US
95.5%
MO
90.9%
Cole
96.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
15.3%
MO
18.9%
Cole
18.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility23.6%
Worse than Avg
Here
23.6%
US
81.8%
MO
65.9%
Cole
75.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
79.8%
MO
63.5%
Cole
71.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
1.6%
MO
2.2%
Cole
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (12.0)
4 complaint-triggered

This facility has concerning patterns of repeat violations across multiple care areas, with families filing complaint reports triggering 6 deficiencies. The most persistent problems involve nutrition and dietary services, infection control, and medication management, appearing across multiple surveys from 2021-2024. While the facility corrects issues when cited, the recurring nature of deficiencies—particularly in essential areas like food safety and infection prevention—suggests ongoing operational challenges that warrant careful consideration during visits.

Jul 17, 2025Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jan 22, 2025Complaint
2
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Aug 9, 2024Routine
9
0801Potential for harm · WidespreadCorrected

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.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

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

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

May 19, 2023Routine
17
0727Potential for harm · WidespreadCorrected

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.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Oct 15, 2021Routine
15
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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

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.

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0575Minimal · WidespreadCorrected

Resident Rights Deficiencies

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stonebridge Villa Marie

Organization Type

for profit

Chain Affiliation

Chain Name

Stonebridge Senior Living

Chain Size

12 facilities nationwide

Chain avg rating: 2.7/5 · Rank 12 of 12 (Worst)

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

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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