Nursing home
Carriage Square Rehab and Healthcare Center (Skilled Nursing)
4009 Gene Field Road, Saint Joseph, MO 64506 · Map
For profit - Limited Liability company · Part of Ama Holdings (14 facilities) · 130 certified beds
Carriage Square Rehab and Healthcare Center (Skilled Nursing) is a Medicare-certified nursing home in Saint Joseph, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.56 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Mar 14, 2025 cited 20 deficiencies.
- 1 fine totaling $48,685In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Carriage Square Rehab and Healthcare Center (Skilled Nursing) compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.56 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.61 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 67.5% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 20.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $48,685, 1 total penalty.
What inspectors found at Carriage Square Rehab and Healthcare Center (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Minimal
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 27, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Nov 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 14, 2025 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 14, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Mar 14, 2025 · Full report (PDF) - Potential for harm
Provide training in compliance and ethics.
Administration Deficiencies · Mar 14, 2025 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Mar 14, 2025 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Mar 14, 2025 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Mar 14, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4009 Gene Field Road
Saint Joseph, MO 64506 - CMS certification #
- 265336
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 92.4
- Provider type
- Medicare and Medicaid
- First certified
- 1989-01-01
- Chain
- Ama Holdings (14 facilities)
- Setting
- Urban
Part of Ama Holdings
Ama Holdings operates 14 nursing facilities across the United States. View all Ama Holdings facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Carriage Square Rehab and Healthcare Center (Skilled Nursing) using Google Maps.
Other public records
- Website says Works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Carriage Square Rehab and Healthcare Center (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
We had the sweetest surprise today! 🥤💛 Three Rivers Hospice stopped by and treated our residents and staff to delicious root beer floats!
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mosaic Life Care At St Joseph, Saint Joseph. 2.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- St Joseph Manor Health & Rehabilitation, Saint Joseph. 1.0 mile away, straight line.
- Nearest home health agency office
- Freudenthal Home Health, Saint Joseph. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 64506 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita St. Joseph Dialysis, Saint Joseph, 3.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Davita Robidoux Dialysis, Saint Joseph, 3.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 64506.
Freudenthal Hospice, office in Saint Joseph, 0.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Luminos Hospice, LLC, office in Saint Joseph, 0.4 miles away, straight line
Mosaic Life Care Hospice, office in Saint Joseph, 3.0 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Emerald Fern Wellness PC, Kansas City. 37.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (takes effect November 13, 2026), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Carriage Square Rehab and Healthcare Center (Skilled Nursing) a good nursing home?
CMS gives Carriage Square Rehab and Healthcare Center (Skilled Nursing) an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Carriage Square Rehab and Healthcare Center (Skilled Nursing) staffed?
Carriage Square Rehab and Healthcare Center (Skilled Nursing) reports 3.56 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Carriage Square Rehab and Healthcare Center (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Carriage Square Rehab and Healthcare Center (Skilled Nursing) have?
Carriage Square Rehab and Healthcare Center (Skilled Nursing) is certified for 130 beds.