Carriage Square Rehab: Infection Control Failures - MO
Federal inspectors visited the facility on December 23, 2025, responding to a complaint. What they documented was straightforward: catheter care performed incorrectly, with equipment that should never touch the floor touching it anyway.
A licensed practical nurse, identified in the inspection report as LPN A, told inspectors at 1:14 p.m. that catheter bags and tubing should not contact the floor. She also acknowledged the correct technique: one wipe, cleaned away from the resident, then a fresh wipe each pass down the tubing. She said staff should wear an isolation gown and clean gloves. Then she added something that explained how the violations kept happening. It was hard, she said, to keep the bag and tubing off the floor.
A certified nursing assistant interviewed six minutes later said the same things, in almost the same order. Gown and gloves. Wipe away from the insertion site. New wipe each time. Bags and tubing off the floor.
The Director of Nursing, interviewed at 2:00 p.m., confirmed all of it. Staff should wash hands and change gloves after touching anything else before returning to catheter care. Bags and tubing should not touch the floor.
Three staff members, including the facility's top nursing official, described the correct procedure without being asked to explain what had gone wrong. The inspection report rated the deficiency as causing minimal harm or potential for actual harm, with some residents affected.
Catheter-associated infections are among the most common infections acquired in care settings. A catheter bag resting on a floor pulls bacteria toward the insertion point inside the body.
The LPN's explanation stayed in the record. It was hard to keep the bag off the floor.
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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 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.
Federal inspectors visited the facility on December 23, 2025, responding to a complaint.
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.