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Complaint Investigation

Carriage Square Rehab And Healthcare Center

Inspection Date: November 3, 2025
Total Violations 1
Facility ID 265336
Location SAINT JOSEPH, MO
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Inspection Findings

F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

left side of the perineal area, folded the wipe, then used the same contaminated folded wipe to clean down

the right side of the perineal area.-After perineal care was provided to the resident, CNA A put a new incontinent brief on the resident wearing the same soiled gloves that were used to provide perineal care. 3.

Review of Resident #3's Quarterly MDS, dated [DATE REDACTED], showed:-The resident was always incontinent of bowel and bladder.-The resident required assistance with personal cares and hygiene.Review the resident's Care Plan, revised 6/26/25, showed:-The resident required assistance from nursing staff to perform personal hygiene cares.-The resident had a potential for impairment to his/her skin due to incontinence of bowel and bladder.-The resident was dependent on staff for meeting emotional, physical, and psychosocial needs.Observation on 11/3/25 at 11:34 A.M. showed:-CNA A and CNA B provided perineal care to Resident #3.-CNA A used a wet wipe to clean down the right side of the perineal area, folded the contaminated urine-soaked wipe, then used the folded wipe to clean down the right side of the perineal area.-After perineal care was provided to the resident, CNA A put a new incontinent brief on the resident wearing the same gloves that were used to provide perineal care. During an interview on 11/3/25 at 11:43 A.M. CNA A said, when performing perineal care, he/she cleans down one side of the perineal area then will fold the wipe and clean the other side of the perineal area with the same wipe. He/she will then get a new wipe to clean the middle of the resident's perineal area. During an interview on 11/3/25 at 1:00 P.M.

Certified Medication Technician (CMT) A said:-When performing perineal care, a wipe is to be used once then discarded.-After performing perineal care on a resident, he/she will change gloves before getting a resident dressed.During an interview on 11/3/25 at 2:04 P.M. CNA B said:Wipes are to be used once and then thrown away when performing perineal care on residents.Gloves are to be changed after cleaning a resident and before putting clean clothes on a resident.During an interview on 11/3/25 at 2:40 P.M. The Director of Nursing (DON) said staff are to use a wipe once when providing perineal care then get a new wipe to continue cleaning the resident, using each wipe once.Intake 2652352Intake 2652388

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📋 Inspection Summary

CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER in SAINT JOSEPH, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAINT JOSEPH, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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