Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (64% of admissions), and a typical Medicare stay runs around 19 days.
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 administered 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 inspection
| 4.8 | 2.9 | This facility has 66% more deficiencies per inspection than a typical Missouri nursing home (4.8 vs. MO avg 2.9).↑ 66% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 32 | 12 | This facility has had 167% more total inspections than the Missouri average (32 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 167% more |
State average 6.6
Last Health inspection on Aug 2025
State average 36.5
State 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).
State average: 0.7
State 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 from 2012–2021, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2021 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2021. This is an older period than most facilities report, so compare with that in mind.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (64% of admissions), and a typical Medicare stay runs around 19 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Ignite Medical Resort Blue Springs | NH PC SNF | Blue Springs | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
98.9%
Facility
98.9%
MO AVG
65.1
Rank
#5 / 418 | +52% | 3.14
Facility
3.14
MO AVG
3.74
Rank
#214 / 270 | +136% | -16% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 16
Facility
16
MO AVG
36.5
Rank
#50 / 274 | 3.2
Facility
3.2
MO AVG
5.7
Rank
#29 / 274 | - | 89 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Ignite Ind LLC | $14.2MFiscal year ending 12/2023
Facility
$14.2MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#17 / 277 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#39 / 277 | 36.2%Fiscal year ending 12/2023
Facility
36.2%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#268 / 277 | 265880 | ||||
| Nixa Nursing &Amp; Rehab | NH HOS SNF | Nixa | 82
Facility
82
MO AVG
96
Rank
#262 / 450 |
79.3%
Facility
79.3%
MO AVG
65.1
Rank
#112 / 418 | +22% | 3.78
Facility
3.78
MO AVG
3.74
Rank
#121 / 270 | -32% | +1% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 3.0
Facility
3.0
MO AVG
5.7
Rank
#22 / 274 | - | 65 | - |
63
Facility
63
MO AVG
45
Rank
#141 / 563 | N & R Of Nixa, LLC | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#137 / 277 | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#131 / 277 | 47.2%Fiscal year ending 12/2023
Facility
47.2%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#96 / 277 | 265322 | ||||
| Aberdeen Heights | NH AL HOS IL MC SNF | Kirkwood | 91
Facility
91
MO AVG
96
Rank
#219 / 450 |
37.4%
Facility
37.4%
MO AVG
65.1
Rank
#380 / 418 | -43% | 5.18
Facility
5.18
MO AVG
3.74
Rank
#20 / 270 | -52% | +39% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 34 | - |
89
Facility
89
MO AVG
45
Rank
#29 / 563 | Ashfield Active Living And Wellness Communities, Inc | $23.4MFiscal year ending 06/2024
Facility
$23.4MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#4 / 277 | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#11 / 277 | 34.7%Fiscal year ending 06/2024
Facility
34.7%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#270 / 277 | 265841 | ||||
| Good Shepherd Care Center | NH HOS PC RC SNF | Versailles | 164
Facility
164
MO AVG
96
Rank
#38 / 450 |
29.9%
Facility
29.9%
MO AVG
65.1
Rank
#397 / 418 | -54% | 4.09
Facility
4.09
MO AVG
3.74
Rank
#82 / 270 | -5% | +10% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 10
Facility
10
MO AVG
36.5
Rank
#17 / 274 | 5.0
Facility
5.0
MO AVG
5.7
Rank
#120 / 274 | - | 49 | - |
46
Facility
46
MO AVG
45
Rank
#283 / 563 | Good Shepherd Care Center | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#120 / 277 | $3.1MFiscal year ending 06/2024
Facility
$3.1MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#161 / 277 | 56.6%Fiscal year ending 06/2024
Facility
56.6%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#218 / 277 | 265528 | ||||
| Advanced Care of St Joseph | NH HOS IL SNF | Saint Joseph | 180
Facility
180
MO AVG
96
Rank
#26 / 450 |
86.1%
Facility
86.1%
MO AVG
65.1
Rank
#65 / 418 | +32% | 2.12
Facility
2.12
MO AVG
3.74
Rank
#261 / 270 | +33% | -43% | $29.8k
Facility
$29.8k
MO AVG
$76.9k
Rank
#205 / 276 | 50
Facility
50
MO AVG
36.5
Rank
#214 / 274 | 3.9
Facility
3.9
MO AVG
5.7
Rank
#66 / 274 | 2 | 155 | - |
76
Facility
76
MO AVG
45
Rank
#62 / 563 | North 18Th Street Consulting LLC | $6.9M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$6.9M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
$8.4M
Rank
#85 / 277 | $3.6M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.6M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
$3.3M
Rank
#135 / 277 | 52.5%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
52.5%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
45.6%
Rank
#225 / 277 | 265754 |
Advanced Care of St Joseph is legally operated by North 18Th Street Healthcare LLC, and administered by Janet McCarthy Green.
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.
Advanced Care of St Joseph's occupancy is 86%.
Advanced Care of St Joseph has been operating for approximately 2 years, based on available licensing and registration records.
No, Advanced Care of St Joseph has a no-pet policy.
Advanced Care of St Joseph is registered as a for-profit in MO.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance