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Carriage Square Health Care Center

Nursing Home Facility

4009 Gene Field Road, Saint Joseph, MO 64506

Assisted Living Nursing Home Care Senior Living

Carriage Square Health Care Center is a senior care community located in Saint Joseph, MO. It provides assisted living, nursing home care, and senior living for older adults in the Saint Joseph area. To learn more or schedule a tour, call (816) 364-1526.

Operated by Ama Holdings, which runs 11 communities in our directory.

With 32 beds, Carriage Square Health Care Center is smaller than most nearby options, senior care communities in Saint Joseph average about 66 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 72% of its licensed beds. That is below the Saint Joseph average of roughly 82%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Joseph average about 2.5 stars. Its most recent standard health inspection was in March 2025 and recorded 22 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Communities in Saint Joseph average about 3.1 hours. Nursing staff turnover over the past year was about 77%, which is high and can affect continuity of care.

The community is located in Buchanan County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 58 problems at Carriage Square Health Care Center. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 12 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $48,685.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected March 2025, after a complaint. Corrected by April 17, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected June 2026, after a complaint. Corrected by June 5, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026, after a complaint. Corrected by June 5, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected December 2025, after a complaint. Corrected by December 24, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025, after a complaint. Corrected by December 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected December 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected November 2025, after a complaint. Corrected by November 24, 2025.

Show 14 more
  • Could cause more than minimal harm, widespread Administration

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, widespread Administration

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, widespread Administration

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, widespread Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, widespread Administration

    Provide training in compliance and ethics.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected March 2025, after a complaint. Corrected by March 3, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Implement a program that monitors antibiotic use.

    Inspected March 2025. Corrected by April 17, 2025.

  • Minimal harm or the potential for it, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected January 2026, after a complaint. Corrected by January 28, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Carriage Square Health Care Center offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 32
  • Occupancy 72%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 77%
  • Last health inspection March 2025

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