Carriage Square Rehab & Healthcare Center

    4009 Gene Field Rd A, Saint Joseph, MO, 64506
    4.1 · 64 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Good rehab but inconsistent staffing

    I stayed here for rehab and had excellent therapy, caring and friendly staff, good food, clean rooms and a homey, family-like atmosphere at a competitive price - many caregivers went above and beyond and helped me get back on my feet. However, staffing and management are inconsistent: nurses were sometimes unresponsive or unprofessional, I saw neglect, theft and slow med/bathroom assistance, plus maintenance and payroll concerns. Overall I appreciated the care I received but would caution others because quality can vary.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.08 · 64 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.1
    • Staff

      4.3
    • Meals

      4.0
    • Amenities

      4.1
    • Value

      4.5

    Pros

    • Caring, compassionate staff and aides
    • Attentive nursing and techs remembered residents and families
    • Strong, effective physical therapy and rehab services
    • Clean, odor-free facility and rooms
    • Home-like, family-oriented atmosphere
    • Good communication and regular care updates
    • Lots of activities and social programming
    • Good to great food (frequently praised)
    • Competitive and negotiable pricing with no hidden add-ons
    • Staff often go above and beyond and show genuine concern
    • Welcoming workplace culture and team-oriented staff
    • Quick response to call buttons reported by several reviewers

    Cons

    • Inconsistent staffing and reports of staffing decline
    • Unresponsive nurses and slow response to calls/assistance
    • Delayed medication administration and pain medication issues
    • Incidents of neglect or poor treatment (e.g., yelling at dementia patient)
    • Unprofessional conduct by some staff or management (dismissive attitudes)
    • Maintenance problems and slow/unresponsive facilities repair (e.g., broken toilet)
    • Reports of theft of residents' belongings
    • Allegations of underqualified or lazy nursing staff
    • Payroll and staff wage disputes / underpayment concerns
    • Mixed reports on food quality (some describe it as terrible)
    • Laundry service problems
    • Noise issues (hall bell) and occasional unwelcoming atmosphere
    • Older building and hard-to-find location

    Summary review

    Overall sentiment across the reviews for Carriage Square Rehab & Healthcare Center is mixed but leans positive, driven largely by repeated praise for front-line caregivers and the rehabilitation team. A large number of reviews describe the staff as caring, compassionate, and attentive; families often mention staff remembering names, providing personalized attention, and going above and beyond. Physical therapy and rehab services are a frequent highlight — many reviewers attribute successful recoveries, regained mobility, or discharge home to the effectiveness and attentiveness of the therapy team. Multiple reviewers used words like "exceeded expectations," "helped him go home," and "got me back to normal," which indicates consistent satisfaction with clinical rehabilitation outcomes.

    Care quality and staff behavior are the most prominent themes and the most polarized. On the positive side, many accounts emphasize attentive nursing aides, helpful technicians, good communication with families, and a team-oriented culture that makes the facility feel like home. On the negative side, several reviews raise serious concerns about inconsistency in care quality: reports include unresponsive nurses, long waits for bathroom assistance, delayed pain medication, and multiple caregivers being involved without adequate coordination. There are also direct allegations of neglectful or abusive behavior (for example, staff yelling at a dementia patient and an inappropriate remark by a night head nurse). A number of reviewers claimed staffing declined after admission, leading to worse responsiveness and perceived underqualified or lazy staff. These contrasting reports suggest that while many patients and families receive excellent, compassionate care, there are notable pockets of inconsistent performance and isolated but serious incidents that affect trust.

    Facility, maintenance, and environment receive generally positive but mixed remarks. Many reviewers praised the facility for being clean, free of the stereotypical "nursing home smell," warmly decorated, and offering a home-like atmosphere. Activities and social programming are often noted as a strength — reviewers mention a cheerful atmosphere, seasonal decorations, and a variety of activities that keep residents engaged. Physical plant comments are mixed: several reviewers say the building is not the newest and can be "hard to find" or hidden by trees, but cleanliness and odor control are frequently commended. Conversely, there are specific maintenance complaints such as an unrepaired broken toilet for an extended period and slow response from maintenance staff. Laundry service issues and a noisy hall bell were also called out by some families.

    Dining and pricing are likewise mixed but tilt positive. Many reviewers praised the food as "great" and a positive part of the stay. A minority reported terrible food. Financially, Carriage Square is frequently described as competitively priced, with no hidden add-ons and administrators willing to negotiate or help with price concerns — a distinct plus for cost-conscious families.

    Management, administration, and workplace issues show conflicting signals. Several reviews praise administration for support, open communication, and assistance with pricing; others describe a dismissive director or unprofessional conduct. There is a particularly serious recurring issue about payroll: at least one review alleges underpayment of wages and threats of legal action, indicating unresolved staff-payroll problems that could affect staff morale and retention. These internal concerns may help explain reports of staffing decline and inconsistent care. Additionally, allegations of theft of residents' belongings and lapses in secure handling of personal items are troubling and were specifically mentioned.

    Patterns and recommendations: The dominant positive pattern is strong, compassionate direct care from many staff members and a highly effective rehabilitation program. The dominant negative pattern is inconsistency — isolated but significant failures in responsiveness, medication administration, maintenance, and professionalism. Taken together, these patterns suggest Carriage Square is capable of delivering excellent rehabilitation and compassionate day-to-day care, but it also has operational gaps that occasionally result in poor resident experiences.

    For prospective families and decision-makers: the facility appears to be a good option for rehab-focused stays and for those who value a home-like atmosphere and compassionate caregivers, with the advantage of reasonable pricing. However, families should verify current staffing levels, inquire about medication administration protocols and response times, ask about security of personal belongings, and monitor maintenance responsiveness. For management: addressing staff payroll and wage disputes, improving nurse staffing consistency and training on dementia and professional conduct, strengthening medication administration and call-response systems, and resolving maintenance backlogs would reduce the most frequent and most serious complaints while preserving the many strengths noted by reviewers.

    Location

    Map showing location of Carriage Square Rehab & Healthcare Center

    About Carriage Square Rehab & Healthcare Center

    Carriage Square Rehab & Healthcare Center sits in St. Joseph, Missouri and provides different levels of care, like long-term nursing, short-term rehabilitation, intermediate care, and even residential home care for people looking for a quieter setting, and with 100 beds usually serving close to 87 people a day, the place has a busy feel without being too crowded. Residents get help with daily activities, bathing, dressing, and meals, and rooms come with comforts like individual temperature controls, cable TV, modern furniture, baths, call lights by each bed, and even Wi-Fi if someone wants to use the internet. There are private and semiprivate rooms, plus options for people with Alzheimer's disease or memory needs, as well as care for physical health, dental, wound care, podiatry, optometry, speech therapy, and counseling. The staff-nurses, aides, and therapists-deliver care, supervision, and skilled services all day and night, and medical contact is through Robin Wilsey, keeping things coordinated.

    The center serves as a skilled nursing facility, licensed and certified for Medicaid and Medicare, and takes pride in offering full-service dining that's known for tasty meals and healthy ingredients, with plenty of nutritious snacks and table service too, plus the dining area welcomes family and visitors who want to join for meals. Activities fill the calendar from exercise and health promotion to games, crafts, and social events, and there's a focus on friendship and community, though there's no resident or family council in place. Scheduled local transportation helps residents get out on errands or appointments, and pets are allowed, which makes for a homelike feel alongside amenities like personal laundry, linen service, housekeeping, and well-kept homelike floor plans that are designed to feel welcoming.

    While Carriage Square gets recognition for friendly staff, quality care, and fun activities, and has won some awards in those areas, inspection reports show about 53 deficiencies over recent years, including issues around pain management, proper treatment, infection control, and staff communication, though there haven't been severe violations and recent grades were average or a bit better. Nurse turnover has been high, with more staff changes than the state average, but registered nurse, LPN, CNA, and therapy hours per resident do come in above standard state levels and hours have been carefully tracked over several years. The center belongs to the Missouri Health Care Association and is part of Ama Holdings, running as a for-profit Limited Liability Company that provides both assisted and independent living, memory care, and home care services.

    Residents have access to a therapy room for speech, occupational, and physical therapy, and can take part in scheduled exercise or health programs, with medical alert devices and a call light system nearby to keep everyone safer. The community has wheelchair access, offers handicap accommodations, and tries to provide a safe, dignified, and comfortable atmosphere, even though some citations highlighted areas in need of improvement. There's no council group for families or residents, but tours are available for anyone wanting to see how the daily schedule, meals, and activities work. Carriage Square's approach is to coordinate individualized care plans, keeping the focus on respect, social well-being, and healthcare, even as the facility manages to provide a wide set of services and activities for older adults and those needing different types of support.

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