Nursing homeFAID #7055
Carriage Square Rehab and Healthcare Center
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare
Photo via Google · Carriage Square Rehab & Healthcare Center
Public record summary
What we can show you for free.
Bed capacity
130
State license
052421
CMS facility ID
265336
Care type
Nursing home
Facility name
Carriage Square Rehab and Healthcare Center
Street address
4009 GENE FIELD ROAD
City / state / ZIP
Saint Joseph, MO 64506
Phone
(816) 364-1526
Website
State license #
052421
About this facility — Carriage Square Rehab and Healthcare Center
Carriage Square Rehab and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Saint Joseph, Missouri. It is licensed for 130 beds — above the median for skilled nursing facilities in Missouri (97 beds).
It is one of 20 senior care facilities in Saint Joseph and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Carriage Square Rehab and Healthcare Center 88 times across 13 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $48,685 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
Carriage Operator Llc
Parent company
Ama Holdings
Ownership type
For profit - Limited Liability company
Administrator
Jeneva Kates
Registered owners & officers
Mo Operation Holdings De Spe Llc
Direct owner · Operational control — 99% stake — since 2024
Ama Holdings Llc
Indirect owner — since 2021
Byrom, Amy
Managing employee — since 2021
Def Holdings Llc
Indirect owner — since 2021
Marx, Asher
Indirect owner · Director — since 2021
Wolf, Jacques
Indirect owner · Director — since 2021
Regulatory standing
Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-01-01
License expires
2027-01-09
CMS overall rating
1 of 5 stars
Health deficiencies
22 at the last standard inspection
Federal fines
$48,685 total
Last standard inspection
2025-03-14
Nurse staffing
3.5 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$227 per day (≈ $6,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
44% Medicaid · 15% Medicare · 41% private/other
Occupancy
57% (fiscal year 2023)
Vs. state median
12% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
130
Licensed as
RCF*
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-04Health inspectionComplaint-triggered2 citations
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-05
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-05
2026-01-27Health inspectionComplaint-triggered1 citation
F-0842
B · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-28
10 earlier / fire-safety inspections (85 citations)
2025-12-23Health inspectionComplaint-triggered2 citations
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-12-24
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-24
2025-12-03Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-08
2025-11-03Health inspectionComplaint-triggered1 citation
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-11-24
2025-03-14Health inspectionComplaint-triggered15 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-17
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-17
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-17
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-17
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-03-03
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-17
F-0847
F · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-04-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-17
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-04-17
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-04-17
F-0940
F · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-04-17
F-0941
F · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-04-17
F-0944
F · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-04-17
F-0946
F · No harm found
Provide training in compliance and ethics.
Corrected 2025-04-17
F-0947
F · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-04-17
2024-04-23Health inspectionComplaint-triggered3 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-14
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-14
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-14
2023-07-14Health inspection18 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-20
F-0561
E · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-09-20
F-0584
E · No harm found
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.
Corrected 2023-09-20
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-09-20
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-09-20
F-0625
E · No harm found
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.
Corrected 2023-09-20
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-20
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-20
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-20
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-09-20
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-20
F-0699
E · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-09-20
F-0727
E · No harm found
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.
Corrected 2023-09-20
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-20
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-09-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-20
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-20
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-20
2021-08-05Health inspection15 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2021-09-30
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-09-30
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2021-09-30
F-0577
D · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2021-09-30
F-0584
E · No harm found
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.
Corrected 2021-09-30
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-09-30
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-09-30
F-0625
E · No harm found
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.
Corrected 2021-09-30
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-09-30
F-0688
D · No harm found
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.
Corrected 2021-09-30
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-09-30
F-0700
D · No harm found
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.
Corrected 2021-09-30
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2021-09-30
F-0800
D · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2021-09-30
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-09-30
2025-03-14Fire-safety inspection5 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2025-04-17
K-0352
F · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-04-17
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-17
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-17
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-17
2023-07-14Fire-safety inspection17 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2023-09-06
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-06
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-06
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-09-06
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-09-06
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-06
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-09-06
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-06
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-06
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-09-06
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-09-06
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-06
K-0781
E · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2023-09-06
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-06
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-06
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-06
2021-08-05Fire-safety inspection8 citations
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2021-09-30
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-30
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-09-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2021-09-30
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2021-09-30
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-09-30
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-09-30
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-30
Federal penalties
2025-03-14Fine$48,685
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265336.
Visitor reviews
What people say on Google.
3.9★★★★★66 ratings on Google
★★★★★Courtney Hebert · 2026-06-25 · via Google“Therapy department is top notch! They encourage, they are positive and the residents enjoy working with them. When you have patients that need to return and make sure out therapy dept want changed, that speaks volumes! Our Activity Director makes sure to keep the calendar full for everyone to ensure all needs and wants are being met! Just 2 reasons to come to carriage!”
★★Crystal Wilson · 2026-04-11 · via Google“When my husband entered Carriage Square in December 2024, the care was not bad. As time passed, things got progressively worse. The food was almost inedible, the follow through from most nursing staff was poor, and they were not following the nursing orders, such as getting him out of bed daily. The excuse was usually that they "did not have the staff." During the month of March, he was given only…”
★★★★★Karen Cannon · 2026-07-09 · via Google“Carriage Square is an incredible partner to work with! They truly care about helping families in our community navigate senior living with compassion and dedication. The team is professional, supportive, and always goes above and beyond.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered