CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER
CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER is a 130-bed nursing home in SAINT JOSEPH, Missouri. CMS has certified it for Medicare and Medicaid since 1989-01-01. It averages 93.3 residents a day.
What harm was found in the violations cited at CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER?
CMS lists 58 health-inspection deficiencies for CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER since 2021-08-05, 25 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-04 | F0658, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. | E |
| 2026-01-27 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2025-12-23 | F0690, F0880 | 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 and implement an infection prevention and control program. | E |
| 2025-12-03 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-11-03 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E |
| 2025-03-14 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-03-14 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2025-03-14 | F0847, F0882, F0940, F0941, F0944, F0946, F0947 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2025-03-14 | F0695, F0812, F0880 | Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-03-14 | F0656, F0760, F0881 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that residents are free from significant medication errors. / Implement a program that monitors antibiotic use. | D |
| 2024-04-23 | F0607, F0609, F0610 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2023-07-14 | F0880, F0921 | Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2023-07-14 | F0550, F0561, F0584, F0623, F0625, F0656, F0677, F0689, F0699, F0727, F0759, F0804, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Provide 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. | E |
| 2023-07-14 | F0602, F0690, F0695 | Protect each resident from the wrongful use of the resident's belongings or money. / 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 and appropriate respiratory care for a resident when needed. | D |
| 2021-08-05 | F0567, F0584, F0607, F0623, F0625, F0658, F0695, F0812 | Honor the resident's right to manage his or her financial affairs. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide 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 services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-08-05 | F0554, F0558, F0577, F0688, F0700, F0732, F0800 | Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Post nurse staffing information every day. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
Why was CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2025-03-14 | Fine | $48,685 |
How is CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER staffed?
| Measure | This facility | MO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.50258 | 3.43324 |
| Total nursing staff turnover (%) | 77.0 | 56.0 |
| Average number of residents per day | 93.3 | 73.0 |
Who owns CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER, and what chain is it in?
CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name CARRIAGE OPERATOR LLC and belongs to the AMA HOLDINGS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MO OPERATION HOLDINGS DE SPE LLC | since 01/25/2024 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | AMA HOLDINGS LLC, DEF HOLDINGS LLC, MARX, ASHER, WOLF, JACQUES | since 10/19/2021 |
| W-2 MANAGING EMPLOYEE | BYROM, AMY | since 10/01/2021 |
| CORPORATE DIRECTOR | MARX, ASHER, WOLF, JACQUES | since 10/19/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | MO OPERATION HOLDINGS DE SPE LLC | since 01/25/2024 |
Were you or a family member harmed at CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER?