Stonebridge Maryland Heights: Medication Safety Violation - MO
The Centers for Medicare and Medicaid Services cited the facility under tag F0658, which covers the requirement that services be provided in accordance with professional standards of quality. The level of harm was listed as minimal harm or potential for actual harm. Inspectors noted that some residents were affected, not just one.
The inspection report, which runs eight pages, identifies the core problem in a single phrase: medication had been administered. What follows that phrase in the public record is not available in the portion released. What is clear is that the finding was serious enough to generate a formal deficiency citation during a complaint inspection, meaning someone had already raised concerns before inspectors arrived.
Complaint inspections are not routine. They happen because someone called.
The facility is located at 2963 Doddridge Avenue in Maryland Heights, a suburb west of St. Louis. It carries the federal identification number 265486. The inspection was completed August 20, 2025.
F0658 citations are not paperwork violations. They document a gap between what a licensed professional should have done and what actually happened to a resident in a bed. When that gap involves medication, the consequences can range from a missed dose to a serious adverse event. The inspection record does not specify which end of that range applies here, and it does not name the residents involved.
What the record does say is that more than one resident was affected.
Stonebridge Maryland Heights has not published a public response to this deficiency in the portion of the record available. The CMS form instructs anyone seeking the facility's plan of correction to contact the nursing home or the state survey agency directly.
The inspection was a complaint survey, not an annual recertification visit. That distinction matters. Annual inspections are scheduled and anticipated. Complaint surveys arrive because someone on the inside, or someone who loves a resident on the inside, decided something was wrong enough to report.
The medication deficiency was the finding that emerged.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Stonebridge Maryland Heights from 2025-08-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 16, 2026 · Our methodology
STONEBRIDGE MARYLAND HEIGHTS in MARYLAND HEIGHTS, MO was cited for violations during a health inspection on August 20, 2025.
The level of harm was listed as minimal harm or potential for actual harm.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.