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Complaint Investigation

Carriage Square Rehab And Healthcare Center

November 3, 2025 · Saint Joseph, MO · 4009 Gene Field Road
Citations 1
CMS Rating 1/5
Beds 130
Provider ID 265336
Healthcare Facility
Carriage Square Rehab And Healthcare Center
Saint Joseph, MO  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER in SAINT JOSEPH, MO — inspection on November 3, 2025.

Found 1 citation. Severity: Standard violations.

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

Inspection Findings

FF0690
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of Resident #3's Quarterly MDS, dated [DATE], 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

Facility ID:

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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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.