Stonebridge Maryland Heights
Inspection Findings
F-Tag F0658
F 0658
medication had been administered. 2591516
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Stonebridge Maryland Heights
2963 Doddridge Avenue Maryland Heights, MO 63043
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
how to do a thorough controlled substance count. He/She had never poured out a liquid controlled substance to account for the exact amount of liquid in the bottle. Sometimes the count wasn't done because only one person was available for all four buildings. 10. 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.
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Facility ID:
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STONEBRIDGE MARYLAND HEIGHTS in MARYLAND HEIGHTS, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MARYLAND HEIGHTS, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from STONEBRIDGE MARYLAND HEIGHTS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.