Carriage Square Rehab & Healthcare Center

    4009 Gene Field Rd A, Saint Joseph, MO 64506
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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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

    Reviews

    3.87·(76)

    Overall rating

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

      3.7
    • Staff

      4.1
    • Meals

      3.3
    • Amenities

      1.0
    • Value

      4.5

    Pros

    • Compassionate, attentive caregiving staff
    • Strong and effective physical and occupational therapy
    • Engaging, family-oriented activity programming
    • Home-like, welcoming atmosphere
    • Helpful and responsive nursing aides and technicians
    • Clean and odor-free common areas
    • Good communication with families and personalized care
    • Competitive, transparent pricing and billing assistance
    • Frequent social events and seasonal decorations
    • Successful rehab-to-home outcomes
    • Efficient admissions and welcoming orientation
    • Professional and courteous staff interactions

    Cons

    • Inconsistent nursing skill and clinical follow-through
    • Staffing shortages and high turnover
    • Delays and gaps in medication administration
    • Slow responses to call bells and assistance requests
    • Maintenance responsiveness and facility-upkeep gaps
    • Variability in dining quality and meal-service continuity
    • Safety monitoring and fall-prevention weaknesses
    • Staff conduct and communication tone
    • Limited grievance responsiveness and visitor-policy rigidity
    • Allegations of theft and missing personal property
    • Payroll and staff-compensation irregularities
    • Inadequate room infrastructure (cramped shared rooms, limited outlets)

    Summary of reviews

    Overall impression: Reviews present a mixed but consistent picture. Many families and residents praise the front-line caregiving team and the therapy department, describing a warm, home-like environment and successful rehabilitation outcomes. At the same time, recurring operational issues — especially around nursing consistency, staffing levels, and facility maintenance — create variability in the resident experience.

    Care quality: The facility’s rehabilitation services and therapy staff receive frequent, strong commendation for helping residents recover and return home. Nursing care is more variable in reviewers’ accounts: while aides and nursing technicians are often described as attentive and helpful, there are repeated concerns about inconsistent clinical follow-through, delays in medication administration, and slow responses to assistance requests. Several reviews also raised safety-monitoring concerns, including post-fall oversight and gaps in timely toileting or bathroom assistance, which suggest opportunities to strengthen transfer and fall-prevention protocols.

    Staff and culture: Many reviewers highlight compassionate, personable staff who create a family-like atmosphere and build relationships with residents and families. The culture is often described as team-oriented and welcoming to new employees. Conversely, workplace instability appears to be a problem: staffing shortages, administrator turnover, and reports of payroll or compensation irregularities were linked to staff morale issues and, in some accounts, diminished continuity of care. There are also isolated but serious concerns about staff conduct and the tone of communication with residents or families that the facility should address through supervision and training.

    Dining and activities: Activity programming and social events are commonly cited as strengths, contributing to a lively, decorated, and social environment. Opinions on dining are split: numerous reviewers praised the food and meal service, while others reported inconsistent meal quality. That variability suggests the dining program may meet expectations for some residents but lacks consistent delivery across the population or shifts.

    Facilities and maintenance: Many reviewers complimented cleanliness and an absence of institutional odor in common areas. However, others raised maintenance responsiveness and facility infrastructure issues — for example, prolonged repairs (e.g., plumbing), cramped shared rooms, and limited electrical outlets — that affect comfort and convenience. A small number of reviews mentioned odor concerns and laundry issues; these appear to be localized rather than facilitywide but warrant operational attention.

    Management, safety, and policies: Administrative impressions vary: some families found leadership supportive, communicative, and willing to assist with pricing or admissions; others described limited grievance responsiveness, restrictive visitor interactions, and a dismissive administrative tone. There are also allegations of missing personal property and one or two payroll-related disputes; these are serious operational risks that would typically prompt internal review and improved controls. Overall, patterns suggest that when staffing and leadership are stable and engaged, resident experience is strongly positive; when staffing or management falters, multiple aspects of care and service quality decline.

    What prospective families should consider: If rehabilitation outcomes and an engaged therapy team are top priorities, the facility has demonstrable strengths. Prospective residents should ask about current nurse-to-resident ratios, fall-prevention procedures, medication-administration audits, maintenance response times, and how the facility logs and resolves grievances and lost-property claims. Visiting during different shifts (day and night) and speaking directly with therapy staff, nursing aides, and the administrator can help assess whether the positive experiences or the operational concerns are dominant at the present time.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Carriage Square Rehab & Healthcare Center is located at 4009 Gene Field Rd A, Saint Joseph, MO, 64506.

    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.

    People often ask...

    Carriage Square Rehab & Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 9 photos of Carriage Square Rehab & Healthcare Center on Mirador.

    The full address for this community is 4009 Gene Field Rd A, Saint Joseph, MO 64506.

    No, Carriage Square Rehab & Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.

    License numberbuchanan-saint-joseph-carriage-square-rehab-and-healthcare-center
    Facility typeResidential Care Facility Ii
    Capacity130 residents
    LicenseeCARRIAGE OPERATOR LLC

    Inspection Reports

    23

    Reports

    368

    Citations

    0

    Complaints

    7

    Years

    14 Mar 2025
    Cited deficiencies in care planning, quality of care, infection control, and related areas, indicating non-compliance with multiple regulatory requirements.
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    14 Mar 2025
    Cited multiple deficiencies in construction, sprinkler systems, electrical systems, and emergency planning.
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    • 19 CSR 30-85.012
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    23 Apr 2024
    Investigated compliance with mistreatment, neglect, and abuse protections and found deficiencies in policies, staff training, and reporting procedures.
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    16 Aug 2023Monitoring
    Found deficiencies in influenza, pneumococcal, and COVID-19 immunization policies, education, consent, and documentation.
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    14 Jul 2023
    Cited numerous deficiencies across construction, egress, life-safety systems, and electrical provisions that did not meet required standards.
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    • 19 CSR 30-85.012
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    14 Jul 2023
    Identified multiple deficiencies related to resident rights, self-determination, safe environment, care planning, infection control, nutrition, and administrative processes.
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    • 19 CSR 30-85.012
    • 19 CSR 20-20.010
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    • 19 CSR 30-82.050
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    10 Mar 2023
    Identified deficiencies in care planning and medication management, including care plans not meeting professional quality standards, improper drug labeling and storage, and inadequate nursing attention.
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    06 Jan 2023
    Identified deficiencies in comprehensive care plans and in delivering personal attention and nursing care, and in preventing and treating pressure sores.
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    22 Jun 2022
    Identified accident hazards and insufficient supervision that created an immediate risk to residents' health or safety.
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    16 May 2022
    Found noncompliance with comprehensive care plan standards, with potential for more than minimal harm but no actual harm observed.
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    28 Mar 2022
    Identified deficiencies for failing to notify changes and disclose composite-part details, and for inadequate daily living care and hygiene.
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    17 Aug 2021
    Found no deficiencies. No citations were issued.
    05 Aug 2021
    Identified deficiencies across multiple life-safety areas, including exit signage, fire protection system maintenance, smoke barrier construction, utilities, evacuation planning, emergency lighting, and electrical wiring standards.
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    • 19 CSR 30-85.012
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    05 Aug 2021
    Found multiple deficiencies across resident rights, safety, care planning, mobility, staffing, nutrition, and financial management.
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    07 Apr 2021
    Cited deficiencies in accident prevention and supervision, including a lack of 24-hour protective oversight and missing procedures for voluntary leave.
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    11 Dec 2020
    Found no deficiencies. No violations cited.
    20 Jul 2020
    Found no deficiencies.
    19 May 2020
    Identified deficiencies in infection prevention and control practices, including missing components of an IPCP and failure to follow reporting and isolation procedures.
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    • 19 CSR 20-20.020
    14 Nov 2019
    Investigated found a deficiency related to residents' rights to be free from abuse, neglect, and misappropriation, with a requirement to address mistreatment and reporting.
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    18 Sept 2019
    Identified deficiencies related to fire door compliance in corridors and smoke barriers, and general building construction/maintenance requirements.
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    • 19 CSR 30-85.012
    18 Sept 2019
    Found multiple deficiencies in resident assessments, care planning, incontinence care, medication management, infection control, and staff background checks. These indicate noncompliance with several key regulatory requirements.
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    • 19 CSR 20-20.020
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    15 Jan 2019
    Identified deficiencies in drug regimen review, labeling and storage of medications, and infection control; documentation and procedures for addressing irregularities were not fully in place.
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    • 19 CSR 20-20.020
    15 Jan 2019
    Found no deficiencies cited.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Carriage Square Rehab & Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Carriage Square Rehab & Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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