What is Stonebridge Chillicothe's Medicare star rating?

CMS rates Stonebridge Chillicothe 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Stonebridge Chillicothe get at its last inspection?

1 health deficiency at the standard inspection on April 24, 2026. The Missouri average is 11.4.

Has Stonebridge Chillicothe been fined?

CMS lists no fines in the last three years.

Does Stonebridge Chillicothe accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Stonebridge Chillicothe?

CMS lists 21 owners and managers, and links the home to Stonebridge Senior Living. Legal business name: ELDERCARE OF MID-MISSOURI IX INC.

Stonebridge Chillicothe: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 24, 2026, inspectors cited 1 health deficiency (the Missouri average is 11.4, the national average 9.2).

Of 7 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.52 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

40.0% of nursing staff left within the year CMS measured (Missouri average 56.0%).

CMS links it to Stonebridge Senior Living, an affiliated group of 12 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

506/23

001/25

104/25

104/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 24, 2026Standard inspection · 1 citation

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety when staff stored two clear plastic bags of raw chicken on the second from the top shelf of the freezer with two boxes of garlic bread stored on the shelf underneath the raw chicken, failed to identify seven packages of hamburger and four bags of hotdog buns that contained mold and failed to maintain the ice machine to avoid condensation and ice buildup. The facility census was 57. Review of the facility policy titled Food Receiving and Storage, dated July 2014, showed uncooked and raw animal products and fish would be stored separately in drip-proof containers and below fruits, vegetables, and other ready to eat foods; When food was delivered to the facility it would be inspected for safe transport and quality before being accepted. [...]

April 14, 2025Complaint inspection · 1 citation

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2025

Inspectors wroteBased on interview and record review, the facility failed to protect one resident's right to be free from physical abuse when Resident #1 swatted (hit swiftly with a sharp slap or blow) Resident #2 on the arm. Resident #2 sustained a red mark on his/her left arm. The facility census was 55. Review of the facility policy titled, Abuse, Neglect, and Exploitation, Program Responsibilities, dated September 2022, showed: -Each resident has the right to be free from abuse; - Abuse means the willful infliction of injury and intimidation resulting in physical harm, pain or mental anguish; - Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish; - Willful means the individual deliberately, not that the individual must have intended, to inflict injury or harm; [...]

January 10, 2025Standard inspection · 0 citations

June 2, 2023Standard inspection · 5 citations

E

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2023

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure base line care plans were completed within 48 hours of admission for two residents (Resident #23 and Resident #41) out of sixteen sampled residents. The facility census was 62. There was no facility policy provided for base line care plans. Review of Resident #23 Prospective Payment Schedule 5 day Minimum Data Set (PPS MDS a federally mandated assessment tool completed by facility staff. ) showed: -Brief Interview of Mental Status (BIMS) of 13 which indicated minimal cognitive loss. -Limited assistance from staff for Activities of Daily Living (ADL's: the tasks of everyday life. [...]
E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure they developed a comprehensive person-centered plan of care consistent with measurable objectives and timeframe to meet the residents medical, nursing, mental, and psychosocial needs for four (Resident #12,#23,#27, and #41) of 16 sampled residents. The facility census was 62. Review of the facility's Care Plan Policy, dated September 2022., showed: - It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and time frames to meet a resident's medical, nursing, and mental as well as psychosocial needs that are identified in the resident's comprehensive assessment. 1. [...]
E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2023

Inspectors wroteBased on observation, interview, record review, the facility failed to provide reliable pharmaceutical services to establish and maintain a system to ensure medications were available for the licensed and certified nursing staff to provide to the residents and according to the physician orders. This affected four Residents ( #4, #13, #18, #210) out of the 16 sampled residents. This additionally placed other residents at risk of not receiving medications as ordered. The facility census was 62. There was no medication or pharmacy policy provided. 1. Review of Resident #4's quarterly MDS (Minimum Data Set), a federally mandated assessment, completed by facility staff, dated 3/11/23., showed: - BIMS ( Brief Interview of Metal Status) score of 15, cognitively intact; - Diagnoses: Heart failure, insulin dependent diabetic, high blood pressure, irregular heart beat. [...]
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2023

Inspectors wroteBased on observation, record review and interview, the facility failed to prepare and serve food in accordance with professional standards for food service safety when staff failed to label and date food when it was received, opened for use with the year, did not wash hands before serving food, failed to record food cooking temperatures, failed to document food temperatures before meal service, and only had one inch of water in sanitizer container. The facility census was 54. Review of the facility policy, food preparation and service, revised 7/14, included -The 'danger zone' for food temperatures is 41 degrees -135 degrees Fahrenheit (F). This temperature range promotes the rapid growth of pathogenic microorganisms that cause food borne illness. [...]
D

Assess the resident when there is a significant change in condition

F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 26, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a Significant Change Minimum Data Set (MDS - a federally mandated assessment instrument completed by facility staff) was completed and submitted when one resident (Resident #41) had a significant change in two or more care areas out of 16 sampled residents. The facility census was 62. There was no MDS policy provided by the facility. Review of Change in a Resident's Condition Policy, Revised May 2017, showed: - If a significant change in the residents physical or mental condition occurs, a comprehensive assessment of the residents condition will be conducted as required by current regulation as outlined in the MDS, RAI instruction manual. 1. Review of Resident #41's quarterly MDS dated [DATE] showed: - Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. [...]

Fire safety inspections

18 fire safety citations on file: 5 on April 24, 2026, 3 on January 10, 2025, 10 on June 2, 2023.

Every fire safety citation18 citations

F
Have simulated fire drills held at unexpected times.

K 712 · April 24, 2026 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · April 24, 2026 · Corrected (the home has a date of correction)
E
Have properly located and lighted "Exit" signs.

K 293 · April 24, 2026 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · April 24, 2026 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · April 24, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 10, 2025 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · January 10, 2025 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · January 10, 2025 · Corrected (the home has a date of correction)
F
Have horizontal exits used in accordance with safety requirements.

K 226 · June 2, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · June 2, 2023 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · June 2, 2023 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · June 2, 2023 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · June 2, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 2, 2023 · Corrected (the home has a date of correction)
E
Have exits that are accessible at all times.

K 271 · June 2, 2023 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 2, 2023 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · June 2, 2023 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · June 2, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Missouri	United States
All nursing staff (RN, LPN and aides)	3.52	3.43	3.86
Registered nurses	0.63	0.46	0.69
All nursing staff on weekends	2.93	3.01	3.42
Nurse aides	2.43
Licensed practical nurses	0.45
Nursing staff turnover (share who left in a year)	40.0%	56.0%	45.8%
Registered nurse turnover	0.0%	47.8%	42.9%
Administrators who left	0

CMS expects 4.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.76 on weekdays and 2.93 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.84 in April to June 2025 to 3.52 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.52	0.63	3.76	2.93	0.0%	0 of 90	56
Oct to Dec 2025	3.39	0.62	3.59	2.88	0.0%	0 of 92	59
Jul to Sep 2025	3.55	0.61	3.75	3.05	0.0%	0 of 92	59
Apr to Jun 2025	3.84	0.62	4.10	3.19	0.0%	0 of 91	57
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Missouri, Jan to Mar 2026	3.34	0.40	3.50	2.93	3.9%	1.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Missouri

Job	Median	Middle half	Employed
Missouri, all employers
CNAs (nursing assistants)	$18.11	$17.02 to $20.00	34,050
LPNs and LVNs	$29.58	$27.06 to $33.77	14,700
Registered nurses	$39.32	$36.56 to $47.39	76,310
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Missouri	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	16.6	18.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.9	1.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.6	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.6	4.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	2.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	23.7	17.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.7	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	22.7	23.5	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	13.4	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	4.2	13.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.8	2.3	1.8

Owners and operators

Legal business name: ELDERCARE OF MID-MISSOURI IX INC. CMS links this home to Stonebridge Senior Living, a group of 12 nursing homes averaging 3.3 stars overall.

Name	Role	Type	Share	Since
Lierman, Mark	5% or greater direct ownership interest	Individual	100%	11/01/2021
Lierman, Mark	Corporate officer	Individual		11/01/2021
Miller, Beth	Corporate officer	Individual		01/17/2023
Bridge Rehabilitation Inc	Operational/managerial control	Organization		02/01/2024
Busey Corporation	Operational/managerial control	Organization		09/10/2023
Eldercare Management Services Inc	Operational/managerial control	Organization		03/12/2008
Doerhoff, Eric	Operational/managerial control	Individual		11/01/2021
Lierman, Mark	Operational/managerial control	Individual		11/01/2021
Smith, Richard	Operational/managerial control	Individual		05/15/2023
Thayer, Jeanne	Operational/managerial control	Individual		11/01/2021
West, Jamie	Operational/managerial control	Individual		03/01/2019
Bridge Rehabilitation Inc	Adp of the SNF	Organization		04/22/2025
Eldercare Management Services Inc	Adp of the SNF	Organization		04/22/2025
Forvis Mazars LLP	Adp of the SNF	Organization		01/25/2016
Lierman Family Co IX, LLC	Adp of the SNF	Organization		05/01/2008
Wipfli LLP	Adp of the SNF	Organization		01/01/2025
Doerhoff, Eric	Adp of the SNF	Individual		11/01/2021
Lierman, Mark	Adp of the SNF	Individual		11/01/2021
Smith, Richard	Adp of the SNF	Individual		05/15/2023
Thayer, Jeanne	Adp of the SNF	Individual		11/01/2021
West, Jamie	Adp of the SNF	Individual		03/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 2, 2023: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 24, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 14, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 2, 2023: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Missouri average of 3.01.

Other nursing homes nearby

Morningside Center
Chillicothe, 0.7 mi · 2 of 5 stars · 22 citations
Grand River Health Care
Chillicothe, 1.1 mi · 1 of 5 stars · 60 citations
Livingston Manor Care Center
Chillicothe, 1.5 mi · 1 of 5 stars · 55 citations
Eastview Manor Care Center
Trenton, 19.7 mi · 1 of 5 stars · 106 citations
Sunnyview Nursing Home & Apartments
Trenton, 19.7 mi · 1 of 5 stars · 35 citations
Golden Age Nursing Home
Braymer, 20.1 mi · 4 of 5 stars · 23 citations
Daviess County Nursing and Rehabilitation
Gallatin, 23.7 mi · 3 of 5 stars · 20 citations
Hill Crest Manor
Hamilton, 23.8 mi · 1 of 5 stars · 47 citations

Missouri contacts for a concern about a nursing home

These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Missouri Long-Term Care Ombudsman Program, 800-309-3282. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Show Me Long Term Care in Missouri, where Missouri publishes its own records on licensed homes.

Common questions

What is Stonebridge Chillicothe's Medicare star rating?: CMS rates Stonebridge Chillicothe 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Stonebridge Chillicothe get at its last inspection?: 1 health deficiency at the standard inspection on April 24, 2026. The Missouri average is 11.4.
Has Stonebridge Chillicothe been fined?: CMS lists no fines in the last three years.
Does Stonebridge Chillicothe accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Stonebridge Chillicothe?: CMS lists 21 owners and managers, and links the home to Stonebridge Senior Living. Legal business name: ELDERCARE OF MID-MISSOURI IX INC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.