Starfile

Starfile / Missouri

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.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12025-03-142011.99.5+8.1 worse
22023-07-142113.09.8+8.0 worse
32021-08-051711.09.3+6.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning3
Nursing and physician services1
Nutrition and dietary1
Pharmacy service1
Administration5
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5667.5%
RN staffing (reported)0.3886.7%
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

  1. 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

  2. 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

  3. EF0880Provide and implement an infection prevention and control program.2025-12-23 · Health · corrected 2025-12-24

    Potential for more than minimal harm

  4. 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

  5. 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

  6. 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

  7. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-14 · Health · corrected 2025-04-17

    Immediate jeopardy

  8. 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

  9. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-14 · Health · corrected 2025-04-17

    Actual harm

  10. DF0760Ensure that residents are free from significant medication errors.2025-03-14 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  11. 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

  12. 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

  13. EF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-04-17

    Potential for more than minimal harm

  14. DF0881Implement a program that monitors antibiotic use.2025-03-14 · Health · corrected 2025-04-17

    Potential for more than minimal harm

  15. 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

  16. 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

  17. 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

  18. 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

  19. FF0946Provide training in compliance and ethics.2025-03-14 · Health · corrected 2025-04-17

    Potential for more than minimal harm

  20. 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

  21. 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

  22. 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

  23. DF0610Respond appropriately to all alleged violations.2024-04-23 · Health · corrected 2024-05-14

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. EF0759Ensure medication error rates are not 5 percent or greater.2023-07-14 · Health · corrected 2023-09-20

    Potential for more than minimal harm

  38. 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

  39. 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

  40. FF0880Provide and implement an infection prevention and control program.2023-07-14 · Health · corrected 2023-09-20

    Potential for more than minimal harm

  41. 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

  42. 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

  43. 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

  44. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-08-05 · Health · corrected 2021-09-30

    Potential for more than minimal harm

  45. DF0558Reasonably accommodate the needs and preferences of each resident.2021-08-05 · Health · corrected 2021-09-30

    Potential for more than minimal harm

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. 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

  53. 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

  54. 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

  55. 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

  56. DF0732Post nurse staffing information every day.2021-08-05 · Health · corrected 2021-09-30

    Potential for more than minimal harm

  57. 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

  58. 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

OwnerTypeRolePercentSince
MO OPERATION HOLDINGS DE SPE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST99%2024-01-25
AMA HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-10-19
DEF HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-10-19
MARX, ASHERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-10-19
WOLF, JACQUESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-10-19
MO OPERATION HOLDINGS DE SPE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-01-25
MARX, ASHERIndividualCORPORATE DIRECTOR2021-10-19
WOLF, JACQUESIndividualCORPORATE DIRECTOR2021-10-19
BYROM, AMYIndividualW-2 MANAGING EMPLOYEE2021-10-01

Other facilities in SAINT JOSEPH

NameOverallBeds
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.