Missouri › Buchanan County › Saint Joseph
St Joseph Chateau
811 North 9th Street, Saint Joseph, MO 64501
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.
St Joseph Chateau is a For-profit, limited liability company nursing home in Saint Joseph, Missouri, certified for 69 beds and caring for about 68 residents a day.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 52 health deficiencies across the three most recent survey cycles (2, 17, 33 by cycle, most recent first), none at the actual-harm level. That is 75.4 per 100 beds, more than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.7 hours per resident per day (0.5 RN), below the Missouri median of 3.4; nursing staff turnover is 40.7%.
Compared with county, state and nation
| Measure | This facility | Buchanan Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 52 | 53 | 31 | 28.7 |
| Citations per 100 beds | 75.4 | 54.5 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 40.7% | 59.8% | 56.1% | 45.8% |
| Fines listed | $0 | $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: 7 May 2025, 5 Apr 2024.
Severity mix: D ×15 E ×33 F ×3 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 |
|---|---|---|---|---|---|
| 11 Sep 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 5 Oct 2025 |
| 11 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 5 Oct 2025 |
| 27 Aug 2024 | 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 | Complaint investigation | 17 Sep 2024 |
| 5 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | 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 May 2024 |
| 5 Apr 2024 | 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 May 2024 |
| 5 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | 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. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | 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 May 2024 |
| 5 Apr 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 May 2024 |
| 5 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 May 2024 |
| 19 Dec 2023 | F0562 | Provide immediate access to any resident. | F | Complaint investigation | 7 Feb 2024 |
| 19 Dec 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 | Complaint investigation | 11 Jan 2024 |
| 19 Dec 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 | Complaint investigation | 11 Jan 2024 |
| 19 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 11 Jan 2024 |
| 5 Oct 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 17 Oct 2023 |
| 5 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Oct 2023 |
| 17 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 Sep 2023 |
| 29 Apr 2022 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | F | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | 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 | 28 Jun 2022 |
| 29 Apr 2022 | 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 | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | 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. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | 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. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | 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 | 28 Jun 2022 |
| 29 Apr 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0572 | Give residents a notice of rights, rules, services and charges. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Jun 2022 |
| 29 Apr 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 28 Jun 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 40.7%, RNs 25.0%; 0 administrators 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 | 5.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 68.9% | 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 9th Street Healthcare Llc. Chain: Vertical Health Services (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Vhs Mo Opco Holdings LLC | Direct ownership interest | NOT APPLICABLE | 06/01/2023 |
| North 9th Street Consulting LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| North 9th Street Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/14/2025 |
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 Manor Health & Rehabilitationabuse icon | Saint Joseph | 110 | 2 | 2 | 2 | 60 | 54.5 | $10K | 25 Jun 2026 |
| Advanced Care of St Joseph | Saint Joseph | 180 | 1 | 2 | 1 | 45 | 25.0 | $30K | 20 Nov 2025 |
| 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 St Joseph Chateau been cited for?
52 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has St Joseph Chateau been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at St Joseph Chateau compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates St Joseph Chateau?
It is part of the Vertical Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Vhs Mo Opco Holdings LLC and North 9th Street Consulting LLC. Individual owners and managers are not listed on this site.
When was St Joseph Chateau last inspected?
The most recent survey or investigation in the CMS record is dated 11 Sep 2025; the most recent standard health survey was 7 May 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.