Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Stonebridge Health Campus during CMS and state inspections, most recent first.
A resident with CKD, COPD, and chronic respiratory failure had an admission MDS completed after the 14-day deadline. The Corporate Nurse Consultant acknowledged the MDS was late, and the DON stated the facility had no policy for completing MDS assessments and staff followed the RAI manual.
Failure to complete an updated PASARR after a new mental health diagnosis was added for a resident with dementia, major depressive disorder, anxiety disorder, and schizoaffective disorder. The PASARR Level I on file did not include the new diagnosis, and the DHS stated the record lacked an updated Level II and the facility had no PASARR Level II policy, relying instead on the RAI manual.
A resident’s record listed schizoaffective disorder, but the admission paperwork, PASARR Level One assessments, and psych discharge documents did not support that diagnosis. The Corporate Nurse Consultant stated there was no supporting documentation for the diagnosis before a later progress note, and the DHS said there was no policy for supporting documentation for a new diagnosis.
The facility did not ensure accurate and current nurse staffing information was posted, as observed on a survey day when the staffing sheet was outdated by six days. The Executive Director acknowledged the issue, and the Clinical Support Nurse indicated the scheduler was responsible for posting the daily staffing sheet. The facility's policy requires daily updates to reflect the number and hours of nursing personnel providing direct care.
Late Admission MDS Assessment
Penalty
Summary
The facility failed to complete a comprehensive admission assessment within 14 calendar days after a resident’s admission. Resident 59 was admitted with diagnoses including chronic kidney disease, COPD, and chronic respiratory failure. The resident’s admission MDS assessment for the 9/4/25 admission was completed on 9/14/25, which was 4 days after day 14. During interview, the Corporate Nurse Consultant stated the MDS assessment was completed late, and the Director of Health Services stated the facility lacked a policy for completing MDS assessments and that staff followed the RAI manual. The CMS Long-Term Care Facility Resident Assessment Instrument dated 10/1/24 states that the admission assessment is a comprehensive assessment for a new resident and must be completed by the end of day 14, counting the date of admission as day 1.
Failure to Complete Updated PASARR After New Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure a PASARR was completed when a new mental health diagnosis was added for one resident reviewed for unnecessary medications. The resident’s diagnoses included schizoaffective disorder, dementia, brief psychotic disorder, major depressive disorder, and anxiety disorder, with the schizoaffective disorder added on 4/12/25. A PASARR Level I screen dated 10/2/23 listed major depressive disorder without psychotic features and anxiety disorder, but did not include schizoaffective disorder as a mental health diagnosis, and it stated that if a status change occurred or other information suggested a potential serious mental illness, an updated Level I must be submitted to reevaluate the need for a PASARR Level II behavioral health evaluation. During interview, the DHS stated the clinical record lacked an updated PASARR Level II for the new diagnosis of schizoaffective disorder. She also stated the facility did not have a PASARR Level II policy and followed the RAI manual. The RAI 3.0 User’s Manual indicated that if a Significant Change in Status Assessment occurs for an individual known or suspected to have a mental illness, a referral to the State Mental Health or ID/DD authority for a possible Level II PASRR evaluation must promptly occur.
Lack of Supporting Documentation for New Schizoaffective Disorder Diagnosis
Penalty
Summary
The facility failed to provide supporting documentation for a new diagnosis of schizoaffective disorder for one resident reviewed for unnecessary medication. The resident’s clinical record listed diagnoses including dementia with psychotic disturbance, schizoaffective disorder, major depression, and anxiety, but the admission paperwork dated 12/1/23 did not document schizoaffective disorder. The resident was observed ambulating with a walker in the hallway and later sitting on the bed looking at books during the survey. The resident’s PASARR Level One assessments dated 9/5/23 and 10/2/23 identified current mental health diagnoses of major depression, depression, and anxiety, but not schizoaffective disorder. A psychiatric hospital discharge medication reconciliation dated 4/14/24 listed lithium carbonate for mood disorder and Seroquel for bipolar disorder, and the discharge diagnoses also lacked schizoaffective disorder. A progress note dated 4/11/25 documented past medical history of schizoaffective disorder, and the Corporate Nurse Consultant stated there was no supporting documentation for that diagnosis prior to that note. The DHS stated there was no policy for supporting documentation for a new diagnosis of schizoaffective disorder.
Inaccurate Nurse Staffing Information Posted
Penalty
Summary
The facility failed to ensure that the posted nurse staffing information was accurate and current for one of the six days during the survey. On Tuesday, October 16, 2024, at 10:10 a.m., an observation revealed that the staff posting sheet was dated for Friday, October 10, 2024, indicating it was not up-to-date. During an interview at 10:11 a.m., the Executive Director (ED) acknowledged that the staffing sheet was outdated and stated that an updated version would be posted. The Clinical Support Nurse, interviewed at 10:15 a.m., indicated that the scheduler was responsible for posting the daily staffing sheet. The facility's policy, 'Guidelines for Staff Posting,' reviewed on December 31, 2023, was provided by the ED, which outlined the requirement to post the number and hours of licensed nurses and nursing personnel providing direct care to residents at the beginning of each day.
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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 Bedford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| White River Lodge | 0.6 mi | ★★★★★ | 15 | 0 |
| Majestic Care Of Bedford | 0.9 mi | ★★★★★ | 10 | 0 |
| Westview Nursing And Rehabilitation Center | 1.3 mi | ★★★★★ | 3 | 0 |
| Core Of Bedford | 2.7 mi | ★★★★★ | 20 | 0 |
| Mitchell Manor | 8.3 mi | ★★★★★ | 24 | 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 July 2026) and official state health department websites.