STONEBRIDGE ADAMS STREET
CMS
Actual Harm
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Penalty
$38,656
Outcome
STONEBRIDGE ADAMS STREET in JEFFERSON CITY, MO was fined $38,656 by CMS following 39 deficiency citations identified during federal surveys.
Details
STONEBRIDGE ADAMS STREET (JEFFERSON CITY, MO) — $38,656 in CMS Fines
Outcome: STONEBRIDGE ADAMS STREET in JEFFERSON CITY, MO was fined $38,656 by CMS following 39 deficiency citations identified during federal surveys.
Deficiency areas cited:
- 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.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Provide safe and appropriate respiratory care for a resident when needed.
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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