Stonebridge Maryland Heights
STONEBRIDGE MARYLAND HEIGHTS in MARYLAND HEIGHTS, MO — inspection on August 20, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
medication had been administered. 2591516
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Stonebridge Maryland Heights
2963 Doddridge Avenue Maryland Heights, MO 63043
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 8/20/25 at 11:30 A.M., LPN D said, licensed nurses and/or CMTs should count controlled substances when they came on duty and when they went off duty. He/She tried to make sure the controlled substances were counted each day he/she came in and left work.
Each building had its own narcotic account book.
Each resident had an individual count sheet and then there was a sheet to document how many cards and/or bottles of controlled substances were in each building. He/She had never poured a liquid controlled substance from the bottle into a measuring cup to assure the count was accurate. He/She was aware of the missing controlled substances from [NAME]. He/She worked the morning shift the day prior to the medications going missing.
He/She counted the medications at the end of his/her shift. 11.
During an interview on 8/20/25 at 2:30 P.M., the Administrator and DON said they were unaware staff were not always counting the controlled medications shift to shift.
They were unaware staff routinely left the medication cart keys unattended in the nurse's station.
They were unaware staff were not accounting for liquid medications by pouring it into a measuring cup to assure accuracy.
Controlled medications should be counted shift to shift by the on-coming and off-going nurse or CMT.
The documentation in the narcotics books should be complete and accurate.
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.