Carriage Square Rehab and Healthcare Center

Nursing Home · Saint Joseph, MO

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number265336

Contact & location

4009 Gene Field Road
Saint Joseph, MO 64506
Buchanan County
Phone
(816) 364-1526
ZIP code
64506 – all care providers

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Facility details

Certified beds
130
Residents per day
93.3 (72% occupied)
Ownership
For profit - Limited Liability company
Legal name
Carriage Operator LLC
Chain
Ama Holdings (13 facilities, avg 1.6★)
Medicare certified since
January 1, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 2/5
State avg 2.7
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.50 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.31 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.66 (state 0.68 · U.S. 0.86)
Nurse aides
2.53 (state 2.29 · U.S. 2.32)
Weekend total
3.13 (state 3.02 · U.S. 3.42)
Nursing staff turnover
77.0 (state 56.0 · U.S. 45.8)%
RN turnover
75.0 (state 47.8 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 14, 2025
Health deficiencies (last cycle)
22.0 (state 11.5 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
58 health · 22 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-05
2026-06-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-05
2026-01-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2026-01-28
2025-12-23 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-24
2025-12-23 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-24
2025-12-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-08
2025-11-03 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-24
2025-03-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-04-17
2025-03-14 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-04-17
2025-03-14 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Provide training in compliance and ethics.
F0946 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2025-03-14 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2025-03-14 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-17
2024-04-23 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2024-04-23 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2024-04-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2023-07-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2023-07-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-20
2021-08-05 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30
2021-08-05 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30
2021-08-05 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30
2021-08-05 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30
2021-08-05 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30
2021-08-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30
2021-08-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-09-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $48,685 in fines.

DateTypeAmount
2025-03-14Fine$48,685

Ownership & management

NameRoleSince
Mo Operation Holdings De Spe LLC (organization)5%+ Direct Ownership Interest · 99%
Ama Holdings LLC (organization)5%+ Indirect Ownership Interest
Def Holdings LLC (organization)5%+ Indirect Ownership Interest
Marx, Asher (individual)5%+ Indirect Ownership Interest
Wolf, Jacques (individual)5%+ Indirect Ownership Interest
Marx, Asher (individual)Corporate Director · NOT APPLICABLE
Wolf, Jacques (individual)Corporate Director · NOT APPLICABLE
Mo Operation Holdings De Spe LLC (organization)Operational/managerial Control · NOT APPLICABLE
Byrom, Amy (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Carriage Square Rehab and Healthcare Center?

Carriage Square Rehab and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Carriage Square Rehab and Healthcare Center have?

It has 130 certified beds and cares for about 93 residents per day.

Has Carriage Square Rehab and Healthcare Center been fined?

Yes. CMS lists 1 penalty totaling $48,685 in the last three years.

Who owns Carriage Square Rehab and Healthcare Center?

It is part of Ama Holdings and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Carriage Square Rehab and Healthcare Center?

(816) 364-1526. The facility is located at 4009 Gene Field Road, Saint Joseph, MO 64506.

Other nursing homes in Saint Joseph

Compare all nursing homes in Saint Joseph, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.