Carriage Square Rehab And Healthcare Center has received an F grade based on CMS data, with a score of 14/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Saint Joseph facility should carefully review its inspection history and quality metrics.
Staffing at Carriage Square Rehab And Healthcare Center is near the national average, with 3.56 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 58 deficiencies at Carriage Square Rehab And Healthcare Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.56 | 3.8 | Average |
| Registered Nurses (RN) | 0.38 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.57 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.61 | 2.4 | Average |
| Weekend Total Nursing | 2.95 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventDec 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 22, 2025 · Infection Control Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventNov 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 13, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.0% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 15.9% | 14.5% | Average |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 18.6% | 14.0% | Worse |
| Excessive weight loss | 0.8% | 7.5% | Better |
| New/worsened incontinence | 23.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $48,685
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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