Carriage Square Rehab: Catheter Care Failures - MO
Every staff member inspectors interviewed said the same thing: they knew it was wrong.
A licensed practical nurse told inspectors that catheter bags and tubing should never touch the floor, that each wipe of the tubing should go in a single direction away from the resident's body, and that a fresh wipe should be used each time. She also acknowledged it had been hard to keep equipment off the floor during care.
A certified nursing assistant gave the same account. An isolation gown and clean gloves for every catheter care procedure. Wipe away from the insertion site. New wipe each pass. Nothing on the floor.
The Director of Nursing added one more step that had also been missed: staff should wash their hands and change gloves after touching other items before returning to catheter care.
The gap between what staff said they knew and what inspectors documented happening was the finding. Catheter bags sit in drainage. When they touch the floor, contamination moves in both directions. Residents with urinary catheters already carry elevated infection risk; the tube is a direct path to the bladder.
CMS rated the violation at a level of minimal harm or potential for actual harm, with some residents affected.
Carriage Square Rehab and Healthcare Center is located at 4009 Gene Field Road in Saint Joseph. The inspection was triggered by a complaint.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Carriage Square Rehab and Healthcare Center from 2025-12-23 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER in SAINT JOSEPH, MO was cited for violations during a health inspection on December 23, 2025.
Every staff member inspectors interviewed said the same thing: they knew it was wrong.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.