Advanced Care of St Joseph: Staffing, Turnover, and Inspection Record
Advanced Care of St Joseph is a 180-bed for-profit nursing home in Saint Joseph, Missouri, part of Vertical Health Services. In the CMS August 2026 release it reported 1.83 nurse aide hours per resident per day, 20% below the Missouri average of 2.29, and 51.7% nursing staff turnover (Missouri average 56.0%).
Advanced Care of St Joseph
3002 North 18th StSaint Joseph, MO 64505
Buchanan County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Advanced Care of St Joseph, nurse aides logged 1.83 hours per resident per day, 20% below the Missouri average. With about 155 residents a day, that works out to roughly 284 aide hours a day, or about 35 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.83 | 2.29 | 2.32 |
| Licensed practical nurses | 0.26 | 0.68 | 0.86 |
| Registered nurses | 0.40 | 0.46 | 0.69 |
| All nursing staff | 2.48 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.20 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.7% of nursing staff at Advanced Care of St Joseph left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 35.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 3, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 19 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $29,803 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 3, 2025 | Fine | $29,803 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Advanced Care of St Joseph holds 1 of 5 overall; the Missouri average is 2.5.
About Advanced Care of St Joseph
- Ownership: For profit - Limited Liability company
- Chain: Vertical Health Services, 15 homes
- Legal name: North 18th Street Healthcare LLC
- Medicare and Medicaid certified since: Mar 27, 2003
- Councils: resident council
- Area: urban
Nursing homes near Advanced Care of St Joseph
The closest homes by distance, with the same CMS figures. Select a column to sort.
| St Joseph Chateau Saint Joseph | 1.3 | 69 | 1.87 | 2.67 | 40.7% | 4 | None |
| St Joseph Manor Health & Rehabilitation Saint Joseph · abuse citation | 2.0 | 110 | 2.48 | 3.50 | 50.8% | 2 | $10,414 |
| Carriage Square Rehab and Healthcare Center Saint Joseph | 2.3 | 130 | 2.53 | 3.50 | 77.0% | 1 | $48,685 |
| Living Community of St Joseph Saint Joseph | 3.7 | 96 | 1.95 | 3.59 | 60.0% | 4 | None |
| Belleview Care Center Saint Joseph · abuse citation | 4.5 | 90 | 2.34 | 3.40 | 59.8% | 1 | $31,330 |
| Wathena Healthcare & Rehabilitation Center Wathena | 6.5 | 60 | 2.03 | 3.45 | 36.1% | 3 | None |
| Laverna Manor Health & Rehabilitation Savannah · abuse citation | 9.9 | 120 | 3.39 | 4.28 | 57.1% | 3 | $101,967 |
| Abundant Acres Care and Rehab Savannah | 10.9 | 88 | 2.10 | 2.86 | 50.0% | 2 | $14,498 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.