Carriage Square Rehab and Healthcare CenterCMS ratings, inspections and fines
- Address
- 4009 Gene Field Road, Saint Joseph, MO 64506
- CCN
- 265336
- Ownership type
- For-profit, limited liability company
- Certified beds
- 130
- Chain
- Ama Holdings
- Residents per day
- 93
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Carriage Square Rehab and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 14 Mar 2025. The latest survey cycle has 22 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $48,685 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Buchanan County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 14 Mar 2025 | 22 | 9 |
| Cycle 2 | 14 Jul 2023 | 18 | 10 |
| Cycle 3 | No date | 18 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 5 Jun 2026 |
| 4 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 5 Jun 2026 |
| 27 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 28 Jan 2026 |
| 23 Dec 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. | E | Complaint investigation | 24 Dec 2025 |
| 23 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 24 Dec 2025 |
| 3 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Dec 2025 |
| 3 Nov 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. | E | Complaint investigation | 24 Nov 2025 |
| 14 Mar 2025 | 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 | 17 Apr 2025 |
| 14 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 17 Apr 2025 |
| 14 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Mar 2025 |
| 14 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0946 | Provide training in compliance and ethics. | F | Standard survey | 17 Apr 2025 |
| 14 Mar 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 17 Apr 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0584 | 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. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | 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. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | 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 | 20 Sep 2023 |
| 14 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0727 | 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. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Sep 2023 |
| 14 Jul 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 20 Sep 2023 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 14 May 2024 |
| 23 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 May 2024 |
| 23 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 May 2024 |
| 5 Aug 2021 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0584 | 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. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | 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. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0688 | Provide 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. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0700 | Try 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. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0732 | Post nurse staffing information every day. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 30 Sep 2021 |
| 5 Aug 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Sep 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Mar 2025 | Fine | $48,685 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.50 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.31 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.66 | 0.68 | |
| Nurse aides | 2.53 | 2.29 | |
| All nurse staff, weekends | 3.13 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 77.0%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.7% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Carriage Operator LLC
- Chain
- Ama Holdings (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mo Operation Holdings De Spe LLC | 5% or greater direct ownership interest | 99% | 25 Jan 2024 |
| Ama Holdings LLC | 5% or greater indirect ownership interest | 19 Oct 2021 | |
| Def Holdings LLC | 5% or greater indirect ownership interest | 19 Oct 2021 | |
| Mo Operation Holdings De Spe LLC | Operational/managerial control | 25 Jan 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Buchanan County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| St Joseph Manor Health & Rehabilitation | Saint Joseph | 2 of 5 | 11 | $10,414 | 21 Mar 2025 | |
| Living Community of St Joseph | Saint Joseph | 4 of 5 | 3 | $0 | 9 Apr 2026 | |
| Advanced Care of St Joseph | Saint Joseph | 1 of 5 | 19 | $29,803 | 3 Jul 2025 | |
| Belleview Care Center | Saint Joseph | 1 of 5 | 14 | $31,330 | 12 Feb 2025 | |
| St Joseph Chateau | Saint Joseph | 4 of 5 | 2 | $0 | 7 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Carriage Square Rehab and Healthcare Center (CCN 265336). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/carriage-square-rehab-and-healthcare-center-saint-joseph-mo-265336/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Carriage Square Rehab and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 4 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 14 Jul 2023.
- Who operates Carriage Square Rehab and Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Ama Holdings. The CMS ownership file names Mo Operation Holdings De Spe LLC for operational or managerial control. This site does not show the names of persons.
- Is Carriage Square Rehab and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.