Nursing homes › Missouri › Advanced Care of St Joseph
3002 North 18Th St, Saint Joseph, MO 64505 · 8163644200 · 180 certified beds
Per CMS filings, this facility is affiliated with Vertical Health Services, a group operating 16 facilities in 3 states. Group record: average rating 1.9/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $1,683,722 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 2.48 (Missouri median: 3.36). RN hours: 0.40. Weekend total: 2.20. Nursing staff turnover: 52%.
All-time on record: 45 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | complaint | corrected 2025-11-21 |
| 2025-08-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-09-17 |
| 2025-07-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2025-08-04 |
| 2025-07-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-08-04 |
| 2025-07-03 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | complaint | corrected 2025-08-04 |
| 2025-07-03 | 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. | E | complaint | corrected 2025-08-04 |
| 2025-07-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-08-04 |
| 2025-07-03 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | 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 | Health | corrected 2025-08-04 |
| 2025-07-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-08-04 |
| 2025-07-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-08-04 |
| 2025-07-03 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-08-04 |
| 2025-07-03 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-08-04 |
| 2025-07-03 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-08-04 |
| 2024-12-12 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-12-13 |
| 2024-07-03 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2024-07-23 |
| 2024-07-03 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | complaint | corrected 2024-07-23 |
| 2024-06-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-07-23 |
| 2024-06-20 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Health | corrected 2024-07-23 |
| 2024-06-20 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-07-23 |
| 2024-06-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-07-23 |
| 2024-06-20 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-07-23 |
| 2024-06-20 | 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. | D | Health | corrected 2024-07-23 |
| 2024-06-20 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-07-23 |
| 2024-06-20 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-07-23 |
| 2024-06-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-07-23 |
| 2024-06-20 | 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. | D | Health | corrected 2024-07-23 |
| 2024-06-20 | 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 | Health | corrected 2024-07-23 |
| 2024-06-20 | Post nurse staffing information every day. | C | Health | corrected 2024-07-23 |
| 2024-05-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-05-20 |
| 2024-02-15 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-03-18 |
| 2024-02-15 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-03-18 |
| 2024-01-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-01-15 |
| 2024-01-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-01-15 |
| 2024-01-11 | 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 | complaint | corrected 2024-03-18 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-03 | Fine | $29,803 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NORTH 18TH STREET CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2023 |
| ABBAS, MARGHOOB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/15/2024 |
| GREEN, JANET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
| MILLER, WILLIAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265754. Corrections: data@carerecords.org.