Nursing homes › Missouri › Carriage Square Rehab and Healthcare Center
4009 Gene Field Road, Saint Joseph, MO 64506 · 8163641526 · 130 certified beds
Per CMS filings, this facility is affiliated with Ama Holdings, a group operating 13 facilities in 1 states. Group record: average rating 1.6/5, 3 abuse citation icons, 1 facilities on the Special Focus list, $566,794 in federal fines. This facility rates below its group average (1.6/5).
Total nurse staffing: 3.50 (Missouri median: 3.36). RN hours: 0.31. Weekend total: 3.13. Nursing staff turnover: 77%.
All-time on record: 56 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | complaint | corrected 2026-01-28 |
| 2025-12-23 | 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 | complaint | corrected 2025-12-24 |
| 2025-12-23 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-12-24 |
| 2025-12-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-12-08 |
| 2025-11-03 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | complaint | corrected 2025-11-24 |
| 2025-03-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-04-17 |
| 2025-03-14 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2025-04-17 |
| 2025-03-14 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Provide training in compliance and ethics. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Health | corrected 2025-04-17 |
| 2025-03-14 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-04-17 |
| 2025-03-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-04-17 |
| 2025-03-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-17 |
| 2025-03-14 | 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 2025-04-17 |
| 2025-03-14 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-03-03 |
| 2025-03-14 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-04-17 |
| 2024-04-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-05-14 |
| 2024-04-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-14 |
| 2024-04-23 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-05-14 |
| 2023-07-14 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-09-20 |
| 2023-07-14 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Health | corrected 2023-09-20 |
| 2023-07-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | 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. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | 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. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-09-20 |
| 2023-07-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Provide care or services that was trauma informed and/or culturally competent. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | 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. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-09-20 |
| 2023-07-14 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2023-09-20 |
| 2023-07-14 | 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 2023-09-20 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-14 | Fine | $48,685 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MO OPERATION HOLDINGS DE SPE LLC | 5% Or Greater Direct Ownership Interest | Organization | 99% | since 01/25/2024 |
| AMA HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| DEF HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| MARX, ASHER | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| WOLF, JACQUES | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| MARX, ASHER | Corporate Director | Individual | NOT APPLICABLE | since 10/19/2021 |
| WOLF, JACQUES | Corporate Director | Individual | NOT APPLICABLE | since 10/19/2021 |
| MO OPERATION HOLDINGS DE SPE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/25/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265336. Corrections: data@carerecords.org.