Facility type
Snf
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Carriage Square Rehab and Healthcare Center
Carriage Square Rehab and Healthcare Center is located in St. Joseph, MO. It offers a continuum of care that includes short-term acute, long-term care, and residential care. The facility provides skilled nursing, medication management, and various therapy services.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
130
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
57.2%
Residents per day (avg)
90
Occupancy rate
57.2%
Residents per day (avg)
90
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
53% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
32% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Home revenue
$7.7M
Profit
$1.3M
Privately-owned community
Home revenue
$7,688,829.00
Profit
$1,322,379.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.4M
130-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
BUCHANAN
Additional licensing details
CMS Certification Number:
265336
Certification type:
Medicare/Medicaid
Ownership & operating entity
Carriage Square Rehab and Healthcare Center is administrated by MICHAEL O'DEA.
Owner name:
CARRIAGE OPERATOR LLC
Safety & Compliance
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Services/ Amenities, Careers, Contact
Pricing & Financial Information
Dining & Nutrition
Food Description
Full-service gourmet-style dining includes a variety of nutritious breakfast, lunch, dinner, and intermittent snack options.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
7
Missouri average 6.6
Last Health inspection on Nov 2025
Total health citations
55
Citations per inspection
7.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
44 of 55 citations resulted from standard inspections; 7 of 55 resulted from complaint investigations; and 4 of 55 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
1 critical citation
1 serious citation
53 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Nov 03, 2025
Corrected
Administration moderate citation
Mar 14, 2025
Corrected
Administration moderate citation
Mar 14, 2025
Corrected
Administration moderate citation
Mar 14, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
-
10
-
+42%-2%+18%
Carriage Square Rehab and Healthcare Center
-5%
-14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64506-1864
162
-
MO OPERATION HOLDINGS DE SPE LLC
57.2%
$7,675,836.00
$3,697,907.00
48.2%
90.00
3.5482
1
55
2
-5%-14%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
38
-
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Carriage Square Rehab and Healthcare Center
Type of care:
SNF
AL
Community:
MO 64506-1864
Bed Count:
162
Operator:
MO OPERATION HOLDINGS DE SPE LLC
CCN:
265336
Occupancy:
57.2%
Home Revenue:
$7,675,836.00
Payroll Costs:
$3,697,907.00
Payroll %:
48.2%
Avg Residents/Day:
90.00
Overall Rating:
Adj Nurse Hours:
3.5482
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
55
Severe Citations:
2
RN share vs State Avg:
0%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
-14%
-14%
Places of interest near Carriage Square Rehab and Healthcare Center
0.0 miles from city center
SAINT JOSEPH, MO 64506-1864
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
179
Total Staff
140
Employees
39
Contractors
41,394
Total Hours (Quarter)
55
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 14 | 8.7 | Yes |
| Licensed Practical Nurse | 29 | 9.4 | Yes |
| Certified Nursing Assistant | 64 | 8.7 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
133 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
7 staff
8hs shift avg
Therapy Services ⓘ
33 staff
6.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
3.6hs shift avg
Dietary Services ⓘ
3 staff
7.1hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
7%
of total hours from contractors
2,918 contractor hours this quarter
Licensed Practical Nurse: 9
Certified Nursing Assistant: 9
Registered Nurse: 7
Physical Therapy Aide: 4
Physical Therapy Assistant: 2
Speech Language Pathologist: 4
Respiratory Therapy Technician: 3
Qualified Social Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 55 | 9 | 64 | 14,393 | 91 | 100% | 8.7 |
| Physical Therapist | 20 | 0 | 20 | 6,894 | 91 | 100% | 7 |
| Medication Aide/Technician | 16 | 0 | 16 | 5,823 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 20 | 9 | 29 | 5,342 | 91 | 100% | 9.4 |
| Nurse Aide in Training | 10 | 0 | 10 | 2,159 | 67 | 74% | 8.4 |
| Registered Nurse | 7 | 7 | 14 | 2,106 | 89 | 98% | 8.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,104 | 66 | 73% | 8.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 972 | 80 | 88% | 7.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 558 | 55 | 60% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 496 | 62 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 435 | 55 | 60% | 5.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 133 | 48 | 53% | 2.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 37 | 26 | 29% | 1.4 |
| Qualified Social Worker | 0 | 1 | 1 | 7 | 2 | 2% | 3.7 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
93 residents
Residents by payment source
Medicare
17 residents (18.3%)
Medicaid
54 residents (58.1%)
Private pay or other
22 residents (23.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
30% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.5
10% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
19% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.3%
Percent of long-stay residents whose ability to move independently worsened
15.3%
26% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.0%
16% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
43% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.3%
Percent of long-stay high risk residents with pressure ulcers
3.3%
33% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
87% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
77% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
44.4%
Percent of long-stay residents who have depressive symptoms
44.4%
246% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.5%
Percent of long-stay residents who received an antipsychotic medication
11.5%
48% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
6% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
5% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.8%
29% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
51% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
44% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$49K
33% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$49K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2025
$49K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Carriage Square Rehab and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
57.2%
↑ 3.1pp vs 2022
Net Income
$1,322,379
↑ ~$762K vs 2022
Total Payroll
$4,569,537
↑ ~$336K vs 2022
Profit Margin
17.2%
↑ 9.7pp vs 2022
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