Nursing home · St. Joseph, MO
Advanced Care of St Joseph
3002 North 18Th St, St. Joseph, MO 64505 · 180 certified beds · for profit ownership · part of Vertical Health Services
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 20, 2025, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 3, 2025) it had 18 citations, compared with an average of 10.6 for St. Joseph-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.48 hours per resident per day here, 28% less than the Missouri average (3.43) and 36% less than the U.S. average (3.86). Registered nurses account for 0.40 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 52% over the past year, 4 points lower than Missouri (56%) and 6 points higher than the U.S. (46%).
How Advanced Care of St Joseph compares
This home's latest CMS figures next to the averages for St. Joseph-area homes (16), Missouri (487) and the U.S. (14,680).
| This home | St. Joseph area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.48 | 3.18 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.40 | 0.39 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.20 | 2.87 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 52% | 54% | 56% | 46% |
| Registered nurse turnover (past year) | 36% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 10.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 45 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 20, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Aug 27, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jul 3, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Jul 3, 2025 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 3, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 3, 2025 | Assist a resident in gaining access to vision and hearing services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 3, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jul 3, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Dec 12, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jul 3, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights · complaint | B | Deficient, Provider has date of correction |
| Jul 3, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Jun 20, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Jun 20, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 20, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Jun 20, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jun 20, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | F | Deficient, Provider has date of correction |
| Jun 20, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| May 6, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Jan 11, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Jan 11, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service · complaint | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jul 3, 2025 | Fine | $29,803 |
Location
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Reviews
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Questions about Advanced Care of St Joseph
Answers computed from CMS data for this facility.
What is Advanced Care of St Joseph's Medicare rating?
Medicare rates Advanced Care of St Joseph 1 out of 5 stars overall (much below average). The average for St. Joseph-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Advanced Care of St Joseph do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 20, 2025, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 3, 2025) it had 18 citations, compared with an average of 10.6 for St. Joseph-area homes, 11.4 in Missouri and 9.2 nationally.
Has Advanced Care of St Joseph been fined?
Yes. CMS reports 1 fine totaling $29,803 in the past three years.
Does Advanced Care of St Joseph accept Medicaid?
Advanced Care of St Joseph is certified for both Medicare and Medicaid. Call (816) 364-4200 to ask whether a Medicaid bed is open.
Other nursing homes near St. Joseph
- 4/5Living Community of St JosephSt. Joseph · 96 beds
- 4/5St Joseph ChateauSt. Joseph · 69 beds
- 2/5St Joseph Manor Health & RehabilitationSt. Joseph · 110 beds
- 1/5Belleview Care CenterSt. Joseph · 90 beds
- 1/5Carriage Square Rehab and Healthcare CenterSt. Joseph · 130 beds
- 3/5Gower Convalescent CenterGower · 82 beds
Compare all 16 St. Joseph-area nursing homes · · St. Joseph guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.