Total health inspections
11
Missouri average 6.6
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
St Joseph Chateau
Nursing Home
St Joseph Chateau
Nursing Home
St. Joseph Chateau is located in historic downtown St. Joseph, close to restaurants and shopping. The facility specializes in behavioral health within a secured environment, offering customized treatment plans to empower individuals. It is committed to providing compassionate care and support to residents.
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
Smaller home
May offer a more intimate, personalized care environment.
Total beds
69
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.2%
Residents per day (avg)
67
Occupancy rate
88.2%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
10 days
Private pay
7% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
56% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Other
Home revenue
$2.6M
Operating loss
-$191.9K
Proprietary home
Other
Home revenue
$2,568,714.00
Operating loss
$-191,921.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.5M
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.
$1.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.8M
69-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265852
Certification type:
Medicare/Medicaid
County:
BUCHANAN
Ownership & operating entity
St Joseph Chateau is administrated by JAMES DILWORTH.
Owner name:
NORTH 9TH STREET HEALTHCARE LLC
Care Services
24-Hour Staffing
Programs & Activities
Operating Hours
Open 24 Hours/7 Days A Week
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
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
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
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
10
-
+42%-2%+18%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
29
2
-2%+5%-67%
St Joseph Chateau
+34%
-39%
+32%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64501-1651
69
No
-
NORTH 9TH STREET CONSULTING LLC
88.2%
$2,567,866.00
$1,535,381.00
59.8%
67.00
2.2945
57
-
+34%-39%+32%
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
-
No
38
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
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:
34.30
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
Pets Allowed:
No
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:
53.70
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%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%
St Joseph Chateau
Type of care:
SNF
AL
Community:
MO 64501-1651
Bed Count:
69
Pets Allowed:
No
Operator:
NORTH 9TH STREET CONSULTING LLC
CCN:
265852
Occupancy:
88.2%
Home Revenue:
$2,567,866.00
Payroll Costs:
$1,535,381.00
Payroll %:
59.8%
Avg Residents/Day:
67.00
Overall Rating:
Adj Nurse Hours:
2.2945
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
57
RN share vs State Avg:
+34%
+34%
Staffing vs State Avg:
-39%
-39%
Occupancy vs State Avg:
+32%
+32%Places of interest near St Joseph Chateau
0.0 miles from city center
SAINT JOSEPH, MO 64501-1651
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
76
Total Staff
71
Employees
5
Contractors
20,033
Total Hours (Quarter)
30
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 8.1 | No |
| Licensed Practical Nurse | 8 | 7.1 | No |
| Certified Nursing Assistant | 22 | 7.2 | No |
Staff by Category
Administration ⓘ
2 staff
7.3hs shift avg
Nursing Staff ⓘ
56 staff
7.3hs shift avg
Physicians & Practitioners ⓘ
5 staff
8hs shift avg
Therapy Services ⓘ
8 staff
6.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.3hs shift avg
Dietary Services ⓘ
2 staff
7.5hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
2.7%
of total hours from contractors
540 contractor hours this quarter
Respiratory Therapy Technician: 2
Feeding Assistant: 1
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 22 | 0 | 22 | 7,622 | 91 | 100% | 7.2 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,842 | 91 | 100% | 8 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,830 | 91 | 100% | 7.1 |
| Registered Nurse | 8 | 0 | 8 | 1,663 | 91 | 100% | 8.1 |
| Nurse Aide in Training | 11 | 0 | 11 | 1,502 | 90 | 99% | 6.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 920 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 2 | 0 | 2 | 470 | 63 | 69% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 464 | 58 | 64% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 441 | 64 | 70% | 6.9 |
| Respiratory Therapy Technician | 1 | 2 | 3 | 419 | 55 | 60% | 7.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 132 | 27 | 30% | 4.9 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Physical Therapy Assistant | 1 | 0 | 1 | 50 | 28 | 31% | 1.8 |
| Feeding Assistant | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
| Qualified Social Worker | 2 | 0 | 2 | 36 | 16 | 18% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 5 | 5% | 6 |
Health Inspection History
Inspections
Total health citations
57
Citations per inspection
5.18
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
42 of 57 citations resulted from standard inspections; and 15 of 57 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
56 moderate citations
1 minor citation
Citations history (last 3 years)
Resident Rights moderate citation
Sep 11, 2025
Corrected
Resident Rights moderate citation
Sep 11, 2025
Corrected
Resident Rights moderate citation
Aug 27, 2024
Corrected
Administration moderate citation
Apr 05, 2024
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: VERTICAL HEALTH SERVICES
Resident Census by Payment Source
67
Total Residents
Medicare
5
(7.5%)
ⓘ
Medicaid
62
(92.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
3.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.1
72% 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.
8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.0
59% 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
4.8%
Percent of long-stay residents whose need for help with daily activities has increased
4.8%
76% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.1%
Percent of long-stay residents whose ability to move independently worsened
6.1%
70% 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
12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.9%
29% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
62% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.1%
Percent of long-stay high risk residents with pressure ulcers
2.1%
58% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
83% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
62.3%
Percent of long-stay residents who have depressive symptoms
62.3%
385% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
48.0%
Percent of long-stay residents who received an antipsychotic medication
48.0%
118% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
72.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
72.4%
15% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
32.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
32.7%
51% worse than Missouri averageMissouri average: 66.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for St Joseph Chateau based on CMS SNF Cost Reports.
Occupancy Rate
88.2%
↑ 2.0pp vs 2022
Net Income
-$191,921
↓ ~$9K vs 2022
Total Payroll
$1,705,633
↓ ~$355K vs 2022
Profit Margin
-7.5%
↓ 3.0pp vs 2022
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