ADVANCED CARE OF ST JOSEPH

CCN 265754 · NORTH 18TH STREET HEALTHCARE LLC · For profit - Limited Liability company · VERTICAL HEALTH SERVICES chain · 180 certified beds · Buchanan · MO


ADVANCED CARE OF ST JOSEPH is a 180-bed nursing home in SAINT JOSEPH, Missouri. CMS has certified it for Medicare and Medicaid since 2003-03-27. It averages 155.1 residents a day.

What harm was found in the violations cited at ADVANCED CARE OF ST JOSEPH?

CMS lists 45 health-inspection deficiencies for ADVANCED CARE OF ST JOSEPH since 2022-02-28, 43 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-11-20.

Survey dateTagDeficiencySeverity
2025-11-20F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E
2025-08-27F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-07-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-07-03F0550, F0565, F0585, F0657, F0677, F0695, F0759, F0760, F0761, F0804, F0812, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-07-03F0685, F0690, F0697Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services.D
2024-12-12F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-07-03F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2024-07-03F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.B
2024-06-20F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2024-06-20F0695, F0880Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.E
2024-06-20F0623, F0625, F0641, F0645, F0656, F0758, F0761Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2024-06-20F0732Post nurse staffing information every day.C
2024-05-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-02-15F0610, F0658Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality.D
2024-01-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-01-11F0677, F0761Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E
2024-01-11F0610, F0658Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality.D
2023-12-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2022-02-28F0569, F0812Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E

Why was ADVANCED CARE OF ST JOSEPH fined?

DateTypeAmount
2025-07-03Fine$29,803

How is ADVANCED CARE OF ST JOSEPH staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.480853.43324
Total nursing staff turnover (%)51.756.0
Average number of residents per day155.173.0

Who owns ADVANCED CARE OF ST JOSEPH, and what chain is it in?

ADVANCED CARE OF ST JOSEPH is registered with CMS as For profit - Limited Liability company, operates under the legal business name NORTH 18TH STREET HEALTHCARE LLC and belongs to the VERTICAL HEALTH SERVICES chain.

RoleOwnerAssociation date
OPERATIONAL/MANAGERIAL CONTROLNORTH 18TH STREET CONSULTING LLC, ABBAS, MARGHOOB, GREEN, JANET, MILLER, WILLIAMsince 01/15/2024
ADP OF THE SNFNORTH 18TH STREET CONSULTING LLC, ABBAS, MARGHOOB, GREEN, JANETsince 03/17/2025

Were you or a family member harmed at ADVANCED CARE OF ST JOSEPH?