Advanced Care of St Joseph
Cost data not yet available
Assisted Living, Nursing Homes · Medicare certified
4009 Gene Field Rd · Saint Joseph, MO 64506 · Lic. #052421 (MO) · 32 certified beds
LICENSED · Verify on official state lookup (opens in a new tab)
NPI 1780358473. Look this up in the CMS NPPES registry (opens in a new tab)
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Carriage Square Rehab and Healthcare Center is an assisted living community in Saint Joseph, Missouri, in Buchanan County. The MO licensing record lists its status as "LICENSED". Public records list 32 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Ama Holdings. We hold 56 inspection citations for this listing, the most recent dated 27 January 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 3.50 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
41
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
41
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
43
Records from August 2021 to January 2026.
January 27, 2026 · B
Citation F0842Federal surveyors cited this nursing home on 2026-01-27 under CMS tag F0842 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-01-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 23, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-12-23 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-12-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 23, 2025 · E
Citation F0690Federal surveyors cited this nursing home on 2025-12-23 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-12-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 3, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-12-03 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-12-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 3, 2025 · E
Citation F0690Federal surveyors cited this nursing home on 2025-11-03 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2025-11-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0946Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0946 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0940Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0940 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program for all new and existing staff members. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0947Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0947 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0882Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · G
Citation F0697Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0847Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0847 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · D
Citation F0760Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0941Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0941 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · E
Citation F0695Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · J
Citation F0684Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0684 (CMS scope/severity J: isolated, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · D
Citation F0881Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 14, 2025 · F
Citation F0944Federal surveyors cited this nursing home on 2025-03-14 under CMS tag F0944 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2025-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $48,685
March 14, 2025 · Fine
Citation FINE-90756CMS recorded a civil money penalty of $48,685 against this nursing home on 2025-03-14 (Fine ID: 90756). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.50 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.11 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Limited Liability company
CMS Care Compare chain: Ama Holdings
Chain ID 27 · 13 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 2, 2026Listed capacity changed
Listed capacity changed from 130 to 32 beds.
Reported by Missouri DHSS
Sep 1, 2026Listed capacity changed
Listed capacity changed from 32 to 130 beds.
Reported by CMS nursing homes (provider info)
Aug 10, 2026Listed capacity changed
Listed capacity changed from 130 to 32 beds.
Reported by Missouri DHSS
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Listed capacity changed
Listed capacity changed from 32 to 130 beds.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Assisted Living
Median · MO$5,400/moNursing Homes
Median · MO$6,741/moOther licensed providers in Saint Joseph, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Complete Guide to Assisted Living (2026)
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