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
ADVANCED CARE OF ST JOSEPH
SAINT JOSEPH, MO · Medicare-certified · 180 beds
Needs attention
For-profitChain member
2 of 5 overall
Advanced Care of St Joseph in Saint Joseph, MO has a 2 out of 5 overall rating, with a 2-star health inspection rating and 1-star staffing rating, though quality measures are 5 stars. Reported nurse staffing is 2.61 hours per resident per day versus the 4.1-hour federal benchmark, and the facility has had $29,803 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.6096 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 2.6096.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.28
- Nurse aides
- 1.88
- Weekend nursing
- 2.34
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 31%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.4%Worsening
Residents with a fall causing major injury
2.1%Worsening
Residents with pressure ulcers (bedsores)
1.1%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.1%Worsening
Residents whose ability to walk got worse
7.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
30.5%Improving
Short-stay residents newly given an antipsychotic
5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20%Improving
Residents with depressive symptoms
84.2%Worsening
Long-stay residents given the seasonal flu vaccine
73.2%Steady
Long-stay residents given the pneumonia vaccine
86.6%Improving
Short-stay residents given the seasonal flu vaccine
15.6%Steady
Short-stay residents given the pneumonia vaccine
64.8%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.
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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.
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F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VERTICAL HEALTH SERVICES · 16 homes · 1.8 stars avg
- Occupancy
- 155.8 residents on an average day (87% 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.