Carriage Square Rehab and Healthcare Center
4009 Gene Field Road · Saint Joseph, MO · 64506 · 8163641526
130 certified beds For profit - Limited Liability company Chain: Ama Holdings
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 1 · $48,685 |
Inspection citations (56 in the current record)
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No harm found · B January 27, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 23, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 24, 2025 · Quality of Life and Care
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Potential for harm · E December 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 24, 2025 · Infection Control
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Potential for harm · D December 3, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 3, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 24, 2025 · Quality of Life and Care
-
Immediate jeopardy · J March 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2025 · Quality of Life and Care
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Actual harm · G March 14, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 14, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · E March 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2025 · Nutrition and Dietary
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Potential for harm · F March 14, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected April 17, 2025 · Administration
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Potential for harm · E March 14, 2025
Provide and implement an infection prevention and control program.
Corrected April 17, 2025 · Infection Control
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Potential for harm · D March 14, 2025
Implement a program that monitors antibiotic use.
Corrected April 17, 2025 · Infection Control
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Potential for harm · F March 14, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 17, 2025 · Infection Control
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Potential for harm · F March 14, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 17, 2025 · Administration
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Potential for harm · F March 14, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 17, 2025 · Administration
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Potential for harm · F March 14, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 17, 2025 · Administration
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Potential for harm · F March 14, 2025
Provide training in compliance and ethics.
Corrected April 17, 2025 · Administration
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Potential for harm · F March 14, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 17, 2025 · Nursing and Physician Services
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Potential for harm · D March 14, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 3, 2025 · Pharmacy Service
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Potential for harm · D April 23, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 14, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 20, 2023 · Resident Rights
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Potential for harm · E July 14, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 20, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 14, 2025 | Fine | $48,685 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265336 · certified since January 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.