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D
Poor

CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER

4009 GENE FIELD ROAD · SAINT JOSEPH, MO 64506

8163641526 · For profit - Limited Liability company

130 beds92.4 residents240 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER receives an overall staffing grade of D (Poor). With 3.5618 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.381 HPRD, below the recommended 0.75. It is 0.33 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.54% compared to weekdays. The facility relies heavily on temporary agency staff (15.86% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.381 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️15.86% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5618hrs/resident/day▼ 0.33
CMS benchmark: 3.48
RN HPRD
0.381hrs/resident/day▼ 0.30
Recommended: 0.75
Weekend Drop-off
22.54%
3.8041 weekday → 2.9467 weekend
⚠ Significant weekend reduction
Agency Staff
15.86%
8.14% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8342hrs/resident/day
Direct care aides
LPN HPRD
0.5699hrs/resident/day
Licensed practical nurses
Consistency
0.4465std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Buchanan County Average+0.32 HPRD
3.24
03.56 HPRD
vs. Missouri State Average+0.08 HPRD
3.48
03.56 HPRD
vs. National Average-0.33 HPRD
3.90
03.56 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER ★
SAINT JOSEPH · This facility
—
D
3.56180.381★☆☆☆☆
QUAIL RUN HEALTH CARE CENTER
CAMERON
28.7 mi
D
3.35290.3527★☆☆☆☆
PINE VIEW MANOR INC
STANBERRY
32.6 mi
D
3.05810.352★★★☆☆
NEW MARK REHAB AND HEALTHCARE CENTER
KANSAS CITY
36.1 mi
D
3.13510.2625★☆☆☆☆
MARYVILLE LIVING CENTER
MARYVILLE
38.6 mi
C
3.40040.5198★★☆☆☆
VALLEY MANOR AND REHABILITATION CENTER
EXCELSIOR SPRINGS
41.8 mi
D
3.16270.295★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
57
Total Deficiencies
$48,685
Fines Assessed
Dec 23, 2025Health
2 deficiencies cited
▼
Dec 3, 2025Health
1 deficiency cited
▼
Nov 3, 2025Health
1 deficiency cited
▼
Mar 14, 2025Health
15 deficiencies cited· Includes actual harm
▼
Apr 23, 2024Health
3 deficiencies cited
▼
Jul 14, 2023Health
18 deficiencies cited
▼
Mar 10, 2023Health
2 deficiencies cited
▼
Aug 5, 2021Health
15 deficiencies cited
▼

Penalty History

Mar 14, 2025Fine
$48,685
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.