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Complaint Investigation

Carriage Square Rehab And Healthcare Center

December 23, 2025 · Saint Joseph, MO · 4009 Gene Field Road
Citations 2
CMS Rating 1/5
Beds 130
Provider ID 265336
Healthcare Facility
Carriage Square Rehab And Healthcare Center
Saint Joseph, MO  ·  View full profile →
Inspection Summary

CARRIAGE SQUARE REHAB AND HEALTHCARE CENTER in SAINT JOSEPH, MO — inspection on December 23, 2025.

Found 2 citations. 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.

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Inspection Findings

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

During an Interview on 12/23/25 at 1:20 P.M. CNA B said: -An isolation gown and clean gloves should be worn when doing catheter care; -When performing catheter care wipe down the catheter tubing away from the insertion site using a new wipe each time; - Catheter tubing and catheter bags should not touch the floor.During an Interview on 12/23/25 at 2:00 P.M The Director of Nursing (DON) said: -When performing catheter care wipe down the tubing cleaning away from the body using a new wipe each time; -Staff should wash hands and change gloves after touching other items before performing catheter care. -Catheter bags and tubing should not touch the floor.Intake 2690286

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Carriage Square Rehab and Healthcare Center

4009 Gene Field Road Saint Joseph, MO 64506

SUMMARY STATEMENT OF DEFICIENCIES

Review of Resident #3's care plan, revised 10/8/25, showed: -The resident was incontinent of bowels; -The resident had an indwelling urinary catheter (a tube inserted through the urethra into the bladder to drain urine); -The resident was on EBP precautions for the urinary catheter; - The resident was dependent on nursing staff to maintain and provide urinary catheter care and personal hygiene needs.

Observation on 12/23/25 at 12:04 P.M. showed: -CNA A performed urinary catheter care for the resident; -CNA A used hand sanitizer and applied clean gloves, CNA A did not apply an isolation gown; -CNA A picked up the trashcan in the resident's room and moved it closer to the bed; -CNA A scrubbed the tubing of the catheter in a back and forth motion using the same gloves used to pick up the trashcan.

  • During an Interview on 12/23/25 at 12:35 P.M. CNA A said: - Urinary catheter bags and tubing should not
  • be touching the floor; -He/She should have changed gloves after picking up and moving the trashcan before providing catheter care; -He/She should have worn an isolation gown along with gloves when performing catheter care.

During an Interview on 12/23/25 at 1:14 P.M. LPN A said: -An isolation gown and clean gloves should be worn when performing catheter care; -The catheter bag and tubing should not be touching the floor.

During an Interview on 12/23/25 at 1:20 P.M. CNA B said: -An isolation gown and clean gloves should be worn when doing catheter care; -Catheter tubing and catheter bags should not touch the floor.

During an Interview on 12/23/25 at 2:00 P.M The Director of Nursing (DON) said: -An isolation gown and clean gloves should be worn when performing catheter care; &nb

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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