CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER

CCN 265336 · CARRIAGE OPERATOR LLC · For profit - Limited Liability company · AMA HOLDINGS chain · 130 certified beds · Buchanan · MO


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 dateTagDeficiencySeverity
2026-06-04F0658, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.E
2026-01-27F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2025-12-23F0690, F0880Provide 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
2025-12-03F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-03F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2025-03-14F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-03-14F0697Provide safe, appropriate pain management for a resident who requires such services.G
2025-03-14F0847, F0882, F0940, F0941, F0944, F0946, F0947Inform 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
2025-03-14F0695, F0812, F0880Provide 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
2025-03-14F0656, F0760, F0881Develop 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
2024-04-23F0607, F0609, F0610Develop 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
2023-07-14F0880, F0921Provide 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
2023-07-14F0550, F0561, F0584, F0623, F0625, F0656, F0677, F0689, F0699, F0727, F0759, F0804, F0812Honor 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
2023-07-14F0602, F0690, F0695Protect 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
2021-08-05F0567, F0584, F0607, F0623, F0625, F0658, F0695, F0812Honor 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
2021-08-05F0554, F0558, F0577, F0688, F0700, F0732, F0800Allow 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?

DateTypeAmount
2025-03-14Fine$48,685

How is CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER staffed?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.502583.43324
Total nursing staff turnover (%)77.056.0
Average number of residents per day93.373.0

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.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMO OPERATION HOLDINGS DE SPE LLCsince 01/25/2024
5% OR GREATER INDIRECT OWNERSHIP INTERESTAMA HOLDINGS LLC, DEF HOLDINGS LLC, MARX, ASHER, WOLF, JACQUESsince 10/19/2021
W-2 MANAGING EMPLOYEEBYROM, AMYsince 10/01/2021
CORPORATE DIRECTORMARX, ASHER, WOLF, JACQUESsince 10/19/2021
OPERATIONAL/MANAGERIAL CONTROLMO OPERATION HOLDINGS DE SPE LLCsince 01/25/2024

Were you or a family member harmed at CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER?