Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Stonebridge Florissant during CMS and state inspections, most recent first.
A resident was not protected from a significant medication error due to a failure in the medication administration process.
A resident who was totally dependent for care and had significant medical conditions fell from bed after a CNA left them unattended on their side on a low air loss mattress. The CNA did not immediately report the fall, delaying assessment and notification to the nurse, PCP, responsible party, and IDT, contrary to facility policy. The resident later reported neck pain and was diagnosed with a head injury at the hospital.
A facility failed to implement timely interventions to prevent falls, resulting in a resident's injury. The facility did not complete required post-fall assessments and documentation for several residents, nor did it update care plans and kardexes with necessary interventions. Staff were unsure of fall prevention measures, contributing to inadequate supervision and increased fall risk.
Significant Medication Error Occurred
Penalty
Summary
Residents were not ensured to be free from significant medication errors. The report identifies that there was at least one instance where a resident experienced a significant medication error, indicating a failure in the medication administration process. Specific details regarding the actions or inactions that led to the error, as well as information about the resident's medical history or condition at the time, are not provided in the report.
Failure to Prevent Accident and Ensure Timely Reporting After Resident Fall
Penalty
Summary
A deficiency occurred when a Certified Nurse Assistant (CNA) left a resident unattended and positioned on their side on a low air loss mattress, resulting in the resident falling out of bed onto a fall mat. The CNA had been providing incontinence care, rolled the resident to their side, and then left the room to care for other residents. Upon returning, the CNA found the resident on the floor. The bed was not in the lowest position at the time of the incident. The resident was totally dependent on staff for all activities of daily living, had quadriplegia, a traumatic brain injury, and a seizure disorder, and was cognitively intact and able to communicate what had happened. The CNA did not immediately report the fall to the charge nurse or any other staff member. Instead, the CNA checked the resident for injuries, used a Hoyer lift to return the resident to bed without assistance, and only later mentioned the incident, with uncertainty about whom it was reported to and when. The lack of immediate notification meant that the resident was not promptly assessed by a nurse for injuries, and the Primary Care Physician (PCP), responsible party, and Interdisciplinary Team (IDT) were not notified in a timely manner as required by facility policy. Facility policy required that all accidents or incidents be promptly investigated and reported, with the nurse supervisor or charge nurse completing an incident report and notifying appropriate parties within 24 hours. In this case, the policy was not followed, as the fall was not immediately reported, and the required assessments and notifications were delayed. The resident later complained of neck pain and was eventually sent to the hospital for evaluation, where a head injury was diagnosed. Interviews confirmed that the CNA was unaware of the requirement to provide care in pairs for this resident and did not know to report falls immediately.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to implement timely and appropriate interventions to prevent potential falls and injury for a resident who had a fall mat only on one side of the bed. This resident fell from the side of the bed that did not have a fall mat, resulting in injury. The facility did not adequately assess resident falls by failing to complete post-fall 72-hour monitoring reports, including neurological checks, for several residents. Additionally, the facility did not complete post-fall initial clinical assessments, skin assessments, or incident follow-up documentation for multiple residents. The facility's policies on managing falls and fall risk were not followed, as evidenced by the lack of documentation and updates to care plans and kardexes with interventions for fall prevention. The facility's fall documentation policy requires a full body assessment, 72-hour follow-up, and updated fall risk assessments after each fall, which were not completed for the residents involved. The facility also failed to notify physicians and resident representatives in a timely manner and did not update care plans with necessary interventions. Observations and interviews revealed that staff were unsure of the interventions in place for residents and did not consistently ensure that fall mats were correctly positioned. The facility's failure to provide adequate supervision and implement necessary interventions contributed to the residents' falls and injuries. The lack of proper documentation and communication further exacerbated the issue, as staff were not fully informed of the residents' fall risks and necessary precautions.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Florissant
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pillars Of North County Health & Rehab Center, The | 2.3 mi | — | 2 | 0 |
| Hidden Lake Health Care Center | 2.5 mi | — | 1 | 0 |
| Lakeview Post Acute | 2.8 mi | — | 1 | 0 |
| Delmar Gardens North | 2.8 mi | — | 17 | 0 |
| Atrium Place Health And Rehabilitation | 2.8 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.