CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER
4009 GENE FIELD ROAD, SAINT JOSEPH, MO 64506 · CCN 265336
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 92.4
- Phone
- 8163641526
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-14 | 20 | 11.9 | 9.5 | +8.1 worse |
| 2 | 2023-07-14 | 21 | 13.0 | 9.8 | +8.0 worse |
| 3 | 2021-08-05 | 17 | 11.0 | 9.3 | +6.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 5 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.56 | 67.5% |
| RN staffing (reported) | 0.38 | 86.7% |
| Total nurse staffing (adjusted) | 3.17 | — |
Fines & penalties
- Total fines
- $48,685
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- AMA HOLDINGS
- Facilities in chain
- 14
- Chain avg overall
- 1.70 / 5
Inspection citations (58)1 immediate jeopardy1 actual harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-27 · Health · corrected 2026-01-28
Potential for minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-23 · Health · corrected 2025-12-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-12-23 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-03 · Health · corrected 2025-12-08
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-03 · Health · corrected 2025-11-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-14 · Health · corrected 2025-04-17
Immediate jeopardy
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-14 · Health · corrected 2025-04-17
Actual harm
- DF0760Ensure that residents are free from significant medication errors.2025-03-14 · Health · corrected 2025-03-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0946Provide training in compliance and ethics.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-03-14 · Health · corrected 2025-04-17
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-23 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-23 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-04-23 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0584Honor 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.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0699Provide care or services that was trauma informed and/or culturally competent.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0727Have 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.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-14 · Health · corrected 2023-09-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-10 · Health · corrected 2023-05-04
Potential for more than minimal harm
- EF0761Ensure 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.2023-03-10 · Health · corrected 2023-05-04
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0567Honor the resident's right to manage his or her financial affairs.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0584Honor 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.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-05 · Health · corrected 2021-09-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MO OPERATION HOLDINGS DE SPE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 2024-01-25 |
| AMA HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-10-19 |
| DEF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-10-19 |
| MARX, ASHER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-10-19 |
| WOLF, JACQUES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-10-19 |
| MO OPERATION HOLDINGS DE SPE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-25 |
| MARX, ASHER | Individual | CORPORATE DIRECTOR | — | 2021-10-19 |
| WOLF, JACQUES | Individual | CORPORATE DIRECTOR | — | 2021-10-19 |
| BYROM, AMY | Individual | W-2 MANAGING EMPLOYEE | — | 2021-10-01 |
Other facilities in SAINT JOSEPH
| Name | Overall | Beds |
|---|---|---|
| LIVING COMMUNITY OF ST JOSEPH | ★★★☆☆ | 96 |
| ADVANCED CARE OF ST JOSEPH | ★★☆☆☆ | 180 |
| ST JOSEPH MANOR HEALTH & REHABILITATION | ★★☆☆☆ | 110 |
| ST JOSEPH CHATEAU | ★★☆☆☆ | 69 |
| BELLEVIEW CARE CENTER | ★☆☆☆☆ | 90 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.