Carriage Square Rehab and Healthcare Center: Staffing, Turnover, and Inspection Record
Carriage Square Rehab and Healthcare Center is a 130-bed for-profit nursing home in Saint Joseph, Missouri, part of Ama Holdings. In the CMS August 2026 release it reported 2.53 nurse aide hours per resident per day, 11% above the Missouri average of 2.29, and 77.0% nursing staff turnover (Missouri average 56.0%).
Carriage Square Rehab and Healthcare Center
4009 Gene Field RoadSaint Joseph, MO 64506
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 Carriage Square Rehab and Healthcare Center, nurse aides logged 2.53 hours per resident per day, 11% above the Missouri average. With about 93 residents a day, that works out to roughly 236 aide hours a day, or about 30 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) | 2.53 | 2.29 | 2.32 |
| Licensed practical nurses | 0.66 | 0.68 | 0.86 |
| Registered nurses | 0.31 | 0.46 | 0.69 |
| All nursing staff | 3.50 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.13 | 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
77.0% of nursing staff at Carriage Square Rehab and Healthcare Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 75.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 22 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $48,685 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 14, 2025 | Fine | $48,685 |
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. Carriage Square Rehab and Healthcare Center holds 1 of 5 overall; the Missouri average is 2.5.
About Carriage Square Rehab and Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: Ama Holdings, 13 homes
- Legal name: Carriage Operator LLC
- Medicare and Medicaid certified since: Jan 1, 1989
- Councils: resident council
- Area: urban
Nursing homes near Carriage Square Rehab and Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| St Joseph Manor Health & Rehabilitation Saint Joseph · abuse citation | 1.0 | 110 | 2.48 | 3.50 | 50.8% | 2 | $10,414 |
| Living Community of St Joseph Saint Joseph | 1.5 | 96 | 1.95 | 3.59 | 60.0% | 4 | None |
| Advanced Care of St Joseph Saint Joseph | 2.3 | 180 | 1.83 | 2.48 | 51.7% | 1 | $29,803 |
| Belleview Care Center Saint Joseph · abuse citation | 3.0 | 90 | 2.34 | 3.40 | 59.8% | 1 | $31,330 |
| St Joseph Chateau Saint Joseph | 3.1 | 69 | 1.87 | 2.67 | 40.7% | 4 | None |
| Wathena Healthcare & Rehabilitation Center Wathena | 8.8 | 60 | 2.03 | 3.45 | 36.1% | 3 | None |
| Laverna Manor Health & Rehabilitation Savannah · abuse citation | 9.8 | 120 | 3.39 | 4.28 | 57.1% | 3 | $101,967 |
| Abundant Acres Care and Rehab Savannah | 10.1 | 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.
Explore next
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.