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Complaint Investigation

Stonebridge Maryland Heights

March 26, 2026 · Maryland Heights, MO · 2963 Doddridge Avenue
Citations 1
CMS Rating 2/5
Beds 223
Provider ID 265486
Healthcare Facility
Stonebridge Maryland Heights
Maryland Heights, MO  ·  View full profile →
Inspection Summary

STONEBRIDGE MARYLAND HEIGHTS in MARYLAND HEIGHTS, MO — inspection on March 26, 2026.

Found 1 citation. 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies

During an interview on 3/26/26 at 12:43 P.M., LPN D

12:00 A.M. and was told the resident had been trying to get out all night.

When LPN D saw the

rooms providing care when the alarm went off. CNA B heard the alarm, turned it off, then did not check on Resident #1. LPN D believed the resident had gotten out recently about a month ago and they had the resident on 15 minute checks.

The staff has been in-serviced on elopement and mock drills have been done.

The nurse would have expected staff to make sure the resident they were providing care to was safe and then go check on the alarm.

The alarm could be heard in resident rooms.

There were two different alarms.

One for the wander guard and then one when the door was opened.

During an interview on 3/26/26 at 2:30 P.M., the Administrator and DON said they would expect staff to follow policy. It was not appropriate for staff to ignore any alarm.

They would expect staff to respond, go outside and check, do a head count. If someone was missing, then call the supervisor.

During an interview on 3/27/26 at 6:30 P.M., CNA C said he/she was in the front of his/her building when he/she saw Resident #1 stand at the door.

The resident was dressed. CNA C recognized the resident and brought him/her back to Cypress then notified the charge nurse for both buildings. He/She was not sure why the staff did not hear the alarm. He/She was not sure if Resident #1 had gotten out before this incident. CNA C believes it was around 6:00 A.M. when the resident was outside. CNA C said if an alarm was going off, then they were supposed to check outside and then do a head count. 2964555

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.


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