Nursing home · St. Joseph, MO
Carriage Square Rehab and Healthcare Center
4009 Gene Field Road, St. Joseph, MO 64506 · 130 certified beds · for profit ownership · part of Ama Holdings
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 4, 2026, when they cited 2 problems from complaint investigations. The most common area was resident assessment and care planning (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 2 are marked corrected in the CMS data. At its most recent standard inspection (Mar 14, 2025) it had 22 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 3.50 hours per resident per day here, about the same as the Missouri average (3.43) and 9% less than the U.S. average (3.86). Registered nurses account for 0.31 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 77% over the past year, 21 points higher than Missouri (56%) and 31 points higher than the U.S. (46%).
How Carriage Square Rehab and Healthcare Center 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 | 3.50 | 3.18 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.31 | 0.39 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.13 | 2.87 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 77% | 54% | 56% | 46% |
| Registered nurse turnover (past year) | 75% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 22 | 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 58 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 4, 2026 | 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 4, 2026 | Provide and implement an infection prevention and control program. Infection control · complaint | E | Deficient, Provider has date of correction |
| Jan 27, 2026 | 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 · complaint | B | Deficient, Provider has plan of correction |
| Dec 23, 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 | E | Deficient, Provider has date of correction |
| Dec 23, 2025 | Provide and implement an infection prevention and control program. Infection control · complaint | E | Deficient, Provider has date of correction |
| Dec 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 · complaint | D | Deficient, Provider has date of correction |
| Nov 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 · complaint | E | Deficient, Provider has date of correction |
| Mar 14, 2025 | Provide training in compliance and ethics. Administration | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Implement a program that monitors antibiotic use. Infection control | D | Deficient, Provider has date of correction |
| Mar 14, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Past Non-Compliance |
| Mar 14, 2025 | 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 |
| Mar 14, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Mar 14, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Mar 14, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Mar 14, 2025 | Conduct mandatory training, for all staff, on the facilityâs Quality Assurance and Performance Improvement Program. Administration | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection control | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration | F | Deficient, Provider has date of correction |
| Mar 14, 2025 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Mar 14, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Apr 23, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Apr 23, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Apr 23, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | 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 14, 2023 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | 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 14, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | 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 | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Jul 14, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental | F | Deficient, Provider has date of correction |
| Jul 14, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Mar 14, 2025 | Fine | $48,685 |
Location
Map data © OpenStreetMap contributors.
We don't have licensed photos yet. See photos on Google Maps.
Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
Read Google reviews (opens Google Maps).
Questions about Carriage Square Rehab and Healthcare Center
Answers computed from CMS data for this facility.
What is Carriage Square Rehab and Healthcare Center's Medicare rating?
Medicare rates Carriage Square Rehab and Healthcare Center 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 Carriage Square Rehab and Healthcare Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 4, 2026, when they cited 2 problems from complaint investigations. The most common area was resident assessment and care planning (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 2 are marked corrected in the CMS data. At its most recent standard inspection (Mar 14, 2025) it had 22 citations, compared with an average of 10.6 for St. Joseph-area homes, 11.4 in Missouri and 9.2 nationally.
Has Carriage Square Rehab and Healthcare Center been fined?
Yes. CMS reports 1 fine totaling $48,685 in the past three years.
Does Carriage Square Rehab and Healthcare Center accept Medicaid?
Carriage Square Rehab and Healthcare Center is certified for both Medicare and Medicaid. Call (816) 364-1526 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
- 1/5Advanced Care of St JosephSt. Joseph · 180 beds
- 1/5Belleview Care CenterSt. Joseph · 90 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.