Show Inspection Reports
Total health inspections
7
Missouri average 6.6
Last Health inspection on Nov 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Carriage Square Rehab and Healthcare Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Carriage Square Rehab and Healthcare Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 153rd out of 251 homes in Missouri.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 153rd out of 251 homes in Missouri.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 33m per day
vs Missouri avg
-7%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
32
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
57.2%
Avg. Length of Stay
127 days
Occupancy rate
57.2%
Avg. Length of Stay
127 days
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
$7.7M
Profit
$1.3M
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
32-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeSnf
CountyBuchanan
CMS Certification Number265336
Certification TypeMedicare/Medicaid
Carriage Square Rehab and Healthcare Center is legally operated by Carriage Operator Llc, and administrated by Jeneva Kates.
Owner NameCARRIAGE OPERATOR LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Skilled Nursing
Physical Therapy
Speech Therapy
Occupational Therapy
Wound Care
Dental Care
Podiatry
Optometry
Mental Health Care
Counseling
Full Personal Laundry Services
General Day-To-Day Room Cleaning And Maintenance
Gourmet-Style Dining
Recreational Activities
Specific ProgramsServices/ Amenities, Careers, Contact
Food DescriptionFull-service gourmet-style dining includes a variety of nutritious breakfast, lunch, dinner, and intermittent snack options.
Meals IncludedYes
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.
Inspection History
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.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Health Inspection History
Inspections
Total health citations
55
Missouri average 36.5
Citations per inspection
7.86
Missouri average 5.67
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 03, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 03, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 14, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
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.
Filter by care type
| Aberdeen Heights |
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. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | 0 | 9 | 2.3 | 0 | 34 | - | - | Ashfield Active Living And Wellness Communities, Inc. | $27.3M | $7.2M | 26.3% | 265841 | ||||
| Bertrand Nursing And Rehab Center |
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. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Carriage Square Rehab and Healthcare Center |
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 | 162 | 57.2% | -14% | 3.55 | 0% | -5% | 1 | 55 | 7.9 | 2 | 90 | - | - | Mo Operation Holdings De Spe Llc | $7.7M | $3.7M | 48.2% | 265336 | ||||
| Good Shepherd Care Community | - |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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.
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).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
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. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
179
Employees
140
Contractors
39
Staff to resident ratio
1.92:1
12% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
55
Average shift
8.3 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
41,394
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
64
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7%
2,918 contractor hours this quarter
Licensed Practical Nurse: 9
Certified Nursing Assistant: 9
Registered Nurse: 7
Physical Therapy Aide: 4
Speech Language Pathologist: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Qualified Social Worker: 1
Staff by category
| 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 |
64 Certified Nursing Assistant
% of Days
100%
20 Physical Therapist
% of Days
100%
16 Medication Aide/Technician
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
10 Nurse Aide in Training
% of Days
74%
14 Registered Nurse
% of Days
98%
4 Speech Language Pathologist
% of Days
73%
3 Other Dietary Services Staff
% of Days
88%
5 Clinical Nurse Specialist
% of Days
60%
2 Nurse Practitioner
% of Days
68%
1 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
62%
4 Physical Therapy Aide
% of Days
60%
2 Physical Therapy Assistant
% of Days
53%
3 Respiratory Therapy Technician
% of Days
29%
1 Qualified Social Worker
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93
Medicare
17
18.3% of residents
Medicaid
54
58.1% of residents
Private pay or other
22
23.7% of residents
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
$1.3M
↑ ~$762.0K vs 2022
Total Payroll
$4.6M
↑ ~$335.8K vs 2022
Profit Margin
17.2%
↑ 9.7pp vs 2022
Loading trend charts...
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