Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.

We arrange tours, appointments, and even moving support so you don’t have to
North 18th Street Healthcare LLC and administrator Janet McCarthy Green coordinate the daily operations at Advanced Care of St. Joseph, an 180-bed nursing community located on North 18th Street in Saint Joseph, Missouri. The administrative team structures billing through conventional paths, processing expenses via Medicare, Medicaid, and private funds. Family members dropping by for a visit will find a highly pedestrian-friendly neighborhood scoring 76 out of 100 for walkability, which means you can easily take care of most routine errands entirely on foot.
The building operates at roughly 86 percent occupancy with 155 active residents who stay for an average of 667 days. This operational timeline indicates a schedule centered on ongoing intermediate placement alongside standard temporary post-hospital therapy programs. To keep up with everyday medical needs, the 24-hour shift layout delivers an average of 2 hours and 7 minutes of total nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.
As a relatively new addition to the area navigating its first year of service, the facility’s regulatory reviews have focused on monitoring baseline clinical protocols and early employee routines, keeping the overall citation rate above zero.
Interested individuals can review the specialized physical therapy programs, multi-stage recovery tracks, and shared common spaces. The daily routine relies on clinical partnerships with local medical providers to manage active rehabilitation goals, combining these treatments with standard practical amenities like managed laundry services, regular room cleaning, and building-wide internet access.
Advanced Care of St Joseph is legally operated by North 18th Street Healthcare Llc, and administrated by Janet Mccarthy Green.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 153 | 35 | This facility has 337% more total deficiencies than a typical Missouri nursing home (153 vs. MO avg 35).↑ 337% worse |
|
Deficiencies per year
| 19.1 | 4.4 | This facility has 334% more deficiencies per year than a typical Missouri nursing home (19.1 vs. MO avg 4.4).↑ 334% worse |
|
Deficiencies per inspection
| 4.8 | 5 | This facility has 4% fewer deficiencies per inspection than a typical Missouri nursing home (4.8 vs. MO avg 5).↓ 4% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 32 | 7 | This facility has 357% more total inspections than a typical Missouri nursing home (32 vs. MO avg 7).↑ 357% worse |
Missouri average 6.6
Last Health inspection on Aug 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 50 citations resulted from standard inspections; 19 of 50 resulted from complaint investigations; and 6 of 50 came from combined inspections (standard and complaint).
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,493 contractor hours this quarter
| Certified Nursing Assistant | 85 | 0 | 85 | 14,129 | 92 | 100% | 7.4 |
| Nurse Aide in Training | 45 | 0 | 45 | 6,631 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 26 | 0 | 26 | 6,233 | 92 | 100% | 10.5 |
| Registered Nurse | 26 | 0 | 26 | 5,809 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 20 | 0 | 20 | 3,587 | 92 | 100% | 9.7 |
| Physical Therapy Assistant | 4 | 5 | 9 | 966 | 76 | 83% | 6.6 |
| Therapeutic Recreation Specialist | 8 | 0 | 8 | 830 | 60 | 65% | 6.8 |
| Physical Therapy Aide | 2 | 1 | 3 | 726 | 71 | 77% | 7.1 |
| Speech Language Pathologist | 5 | 0 | 5 | 653 | 67 | 73% | 7.8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 636 | 65 | 71% | 7 |
| Dietitian | 2 | 0 | 2 | 556 | 66 | 72% | 8.4 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 496 | 62 | 67% | 8 |
| Administrator | 2 | 0 | 2 | 472 | 59 | 64% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 472 | 59 | 64% | 8 |
| Qualified Social Worker | 2 | 2 | 4 | 420 | 73 | 79% | 5.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 395 | 55 | 60% | 7.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 102 | 21 | 23% | 4.9 |
| Dental Services Staff | 2 | 0 | 2 | 84 | 12 | 13% | 7 |
| Medical Director | 0 | 1 | 1 | 41 | 9 | 10% | 4.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 3, 2025 · $30K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
64% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Advanced Care of St Joseph based on CMS SNF Cost Reports.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Saint Joseph's city center to Advanced Care of St Joseph's address, calculated via Google Maps.
Add your location
Advanced Care of St Joseph is located in SAINT JOSEPH, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Breeze Park – Lutheran Senior Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Farmington Presbyterian Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| Armour Oaks Senior Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Advanced Care of St Joseph |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Saint Joseph | 180
Facility
180
MO AVG
97
Rank
#27 / 454 |
86.1%
Facility
86.1%
MO AVG
66.6%
Rank
#71 / 428 | +29% | 2.12
Facility
2.12
MO AVG
3.74
Rank
#267 / 276 | +33% | -43% | $29.8k
Facility
$29.8k
MO AVG
$76.9k
Rank
#227 / 283 | 50
Facility
50
MO AVG
36.5
Rank
#220 / 281 | 3.9
Facility
3.9
MO AVG
5.7
Rank
#72 / 281 | 2 | 156 | - |
76
Facility
76
MO AVG
45
Rank
#62 / 563 | North 18Th Street Consulting LLC | $5.6M
Facility
$5.6M
MO AVG
$8.4M
Rank
#179 / 286 | $2.7M
Facility
$2.7M
MO AVG
$3.3M
Rank
#199 / 286 | 49.1%
Facility
49.1%
MO AVG
45.6%
Rank
#187 / 286 | 265754 | ||||
| Sunrise of Des Peres |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
#243 / 281 | 13 | 74 | A+ |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Mary Grodeon | $15.6M
Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of Advanced Care of St Joseph is North 18Th Street Healthcare Llc.
Advanced Care of St Joseph has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MO state health department records, Advanced Care of St Joseph's license number is 051944.
According to MO state health department records, Advanced Care of St Joseph's license expires on June 30, 2026.
Advanced Care of St Joseph's occupancy is 86%.
Janet McCarthy Green is the administrator of Advanced Care of St Joseph.
Advanced Care of St Joseph has 180 beds.
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