The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Diversicare of St. Joseph
Registered name: ADVANCED CARE OF ST JOSEPH
SAINT JOSEPH, MO · Medicare-certified · 180 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Diversicare of St. Joseph has a 1-star overall rating, with 1-star staffing and 2-star health inspection results, while quality measures are 4 stars. It also has a recent federal penalty, $29,803 in fines over the last 24 months, and reported nurse staffing of 2.48 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
2.4809 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $29,803recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4809.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.26
- Nurse aides
- 1.83
- Weekend nursing
- 2.20
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
22.5%29.2%Worsening
Residents with a fall causing major injury
2.3%0.7%Improving
Residents with pressure ulcers (bedsores)
1%0.9%No change
Residents with a urinary tract infection
0%0.7%Worsening
Residents who lost too much weight
1.6%2.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.7%14.2%Worsening
Residents whose ability to walk got worse
5.1%11.5%Worsening
Long-stay residents on antianxiety or sleep medication
30.1%29.5%Improving
Short-stay residents newly given an antipsychotic
6.6%6.2%No change
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
20.8%9.3%Improving
Residents with depressive symptoms
75%94.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—73.2%—
Long-stay residents given the pneumonia vaccine
83.3%99.3%Improving
Short-stay residents given the seasonal flu vaccine
—15.6%—
Short-stay residents given the pneumonia vaccine
61.1%88.2%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $29,803 was recorded.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $29,803 in total fines.
- $29,803
Federal fine
Jul 3, 2025
Operator & ownership
Recent ownership change · Jun 1, 2023
Now operated by Advanced Care of St Joseph, previously St Joseph.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VERTICAL HEALTH SERVICES · 16 homes · 1.9 stars avg
- Occupancy
- 155.1 residents on an average day (86% of 180 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.