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Nursing home report

Carriage Rehab and Healthcare Center

Registered name: CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER

SAINT JOSEPH, MO · Medicare-certified · 130 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Carriage Rehab and Healthcare Center in Saint Joseph, MO has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 2-star quality measures rating. It has a recent federal penalty, $48,685 in fines in the last 24 months, and reported nurse staffing of 3.50 hours per resident per day, below the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.5026 hrs/resident/day

Quality measures

Last inspection: January 27, 2026Penalties, last 24 months: $48,685recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5026.

Staffing detail

Registered nurses
0.31
Licensed practical nurses
0.66
Nurse aides
2.53
Weekend nursing
3.13

Hours per resident per day.

Total staff turnover: 77%
Registered nurse turnover: 75%

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

15.7%18.3%Worsening

Residents with a fall causing major injury

2.5%3.9%Worsening

Residents with pressure ulcers (bedsores)

3.5%7.1%Worsening

Residents with a urinary tract infection

1.3%1.4%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

20%9.8%Improving

Residents whose ability to walk got worse

31.7%21.8%Improving

Long-stay residents on antianxiety or sleep medication

16.9%16.9%No change

Short-stay residents newly given an antipsychotic

2%1.9%No change

Residents with a long-term catheter

2.4%1.1%Improving

Residents with new or worsening incontinence

11.2%25%Worsening

Residents with depressive symptoms

38.2%47.1%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

95.2%

Long-stay residents given the pneumonia vaccine

67.5%65.8%Worsening

Short-stay residents given the seasonal flu vaccine

91.7%

Short-stay residents given the pneumonia vaccine

49.4%21.7%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 847 — 42 CFR §483.70 — S/S: F

The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 882 — 42 CFR §483.80 — S/S: F

The home failed to provide and maintain effective training for its staff, including both new and existing employees. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 940 — 42 CFR §483.95 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $48,685 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $48,685 in total fines.

  • Federal fine

    Mar 14, 2025

    $48,685

Operator & ownership

Recent ownership change · Oct 19, 2021

Now operated by Carriage Square Rehab and Healthcare Center, previously Carriage Square Living & Rehab Center.

Ownership
For profit - Limited Liability company
Chain
Part of AMA HOLDINGS · 13 homes · 1.6 stars avg
Occupancy
93.3 residents on an average day (72% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.