Missouri › Buchanan County › Saint Joseph
Advanced Care of St Joseph
3002 North 18th St, Saint Joseph, MO 64505
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Advanced Care of St Joseph, in Saint Joseph, Missouri, is certified for 180 beds under for-profit, limited liability company ownership and belongs to the Vertical Health Services chain.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (19, 13, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $30K.
Reported nurse staffing is 2.5 hours per resident per day (0.4 RN), below the Missouri median of 3.4; nursing staff turnover is 51.7%.
Compared with county, state and nation
| Measure | This facility | Buchanan Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 45 | 53 | 31 | 28.7 |
| Citations per 100 beds | 25.0 | 54.5 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 51.7% | 59.8% | 56.1% | 45.8% |
| Fines listed | $29,803 | $29,803 | $0 | — |
County and state figures are medians across facilities (6 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jul 2025, 20 Jun 2024.
Severity mix: G ×1 D ×18 E ×21 F ×3 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 21 Nov 2025 |
| 27 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 17 Sep 2025 |
| 3 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 4 Aug 2025 |
| 3 Jul 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 4 Aug 2025 |
| 3 Jul 2025 | F0585 | 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. | E | Complaint investigation | 4 Aug 2025 |
| 3 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 4 Aug 2025 |
| 3 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0761 | 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. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 4 Aug 2025 |
| 3 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 4 Aug 2025 |
| 3 Jul 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 4 Aug 2025 |
| 12 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Dec 2024 |
| 3 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 23 Jul 2024 |
| 3 Jul 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | Complaint investigation | 23 Jul 2024 |
| 20 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0625 | Notify 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. | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0758 | 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. | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0761 | 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. | D | Standard survey | 23 Jul 2024 |
| 20 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 23 Jul 2024 |
| 6 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 May 2024 |
| 15 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Mar 2024 |
| 15 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Mar 2024 |
| 11 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 15 Jan 2024 |
| 11 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 15 Jan 2024 |
| 11 Jan 2024 | F0761 | 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. | E | Complaint investigation | 18 Mar 2024 |
| 11 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Mar 2024 |
| 11 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Mar 2024 |
| 28 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jan 2024 |
| 28 Feb 2022 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 1 Apr 2022 |
| 28 Feb 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Apr 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Jul 2025 | Fine | $29,803 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 51.7%, RNs 35.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.9% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: North 18th Street Healthcare Llc. Chain: Vertical Health Services (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| North 18th Street Consulting LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| North 18th Street Consulting LLC | Adp of the snf | NOT APPLICABLE | 03/17/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Buchanan County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Living Community of St Joseph | Saint Joseph | 96 | 4 | 4 | 4 | 26 | 27.1 | — | 9 Apr 2026 |
| St Joseph Chateau | Saint Joseph | 69 | 4 | 4 | 2 | 52 | 75.4 | — | 11 Sep 2025 |
| St Joseph Manor Health & Rehabilitationabuse icon | Saint Joseph | 110 | 2 | 2 | 2 | 60 | 54.5 | $10K | 25 Jun 2026 |
| Belleview Care Centerabuse icon | Saint Joseph | 90 | 1 | 2 | 1 | 53 | 58.9 | $31K | 4 Dec 2025 |
| Carriage Square Rehab and Healthcare Center | Saint Joseph | 130 | 1 | 1 | 1 | 58 | 44.6 | $49K | 4 Jun 2026 |
All 6 facilities in Buchanan County
Questions and answers
How many deficiencies has Advanced Care of St Joseph been cited for?
45 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Advanced Care of St Joseph been fined?
Yes. CMS lists fines totalling $30K in the period covered.
How does staffing at Advanced Care of St Joseph compare?
Reported total nurse staffing is 2.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Advanced Care of St Joseph?
It is part of the Vertical Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include North 18th Street Consulting LLC. Individual owners and managers are not listed on this site.
When was Advanced Care of St Joseph last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 3 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.