St Joseph Chateau
ST JOSEPH CHATEAU in SAINT JOSEPH, MO — inspection on September 11, 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.
Inspection Findings
P.M., the Corporate Representative for the facility said:- The resident is not their own person but they
himself/herself.
During an interview on 9/23/25 at 12:30 P.M., Guardian (B) said:- He/she did not
the facility after his/her hospital discharge;- He/she had a complete record of interactions with the facility and Mental Health Facility that he/she would provide for review;Review of Guardian notes, dated 9/4-9/5/25, showed:- On 9/4/25 at 1:14 P.M.
Guardian (B) received a call from the DON stating that the resident had been sent to a hospital facility for SI and persistent demands for controlled medications.
The DON asked permission to send referrals to seek other treatment facilities or placement for him/her.
Guardian (B) stated that he/she would authorize sending referrals for another temporary treatment or mental health unit for mental evaluation. - On 9/4/25 at 2:36 P.M.
The Mental Health Hospital called and said the resident is ready to transfer back to the resident's facility tomorrow.
The doctor reported the resident still has some SI and requests that a mouth check be done when the resident takes his/her medications, and he/she is watched if he/she is given a razor. - On 09/4/25 at 3:00 P.M.
Guardian (C) visited with the resident and the resident stated he/she wanted to go back to the facility.
Guardian (C) was informed by Mental Health Hospital RN (A) that the resident's facility was refusing to readmit him/her because of his/her SI and they are currently seeking other placement for the resident.- On 9/5/25 at 9:43 A.M.
Mental Health Hospital RN (A) told Guardian (B) that the resident was ready to discharge today.
Guardian (B) relayed that Guardian (C) had spoken with the facility SSD yesterday and it was agreed that the resident would go back to his/her facility today. - On 9/5/25 at 10:25 A.M.
Guardian (B) received a call from the facility Corporate Representative (CR) (B) who wanted to discuss the involuntary discharge of the resident. It was explained by Guardian (B) that an involuntary discharge was unacceptable, and he/she would consider a temporary transfer to a psychological hospital for mental evaluation for the resident.
Guardian (C) had worked out with the facility SDD yesterday that the facility would take the resident back and he/she would require a 30-day notice of discharge. CR (B) said the facility would need to do one on one monitoring on the resident until the resident relocates and he/she would have to discuss this with the facility Administrator.- On 9/5/25 at 10:30 A.M. CR (B) called and said the facility could not take on the liability of the resident and was refusing to take him/her back.
The facility was reminded by Guardian (B) that they would have to send a 30-day discharge notice and could not just leave the resident or refuse to return him/her to the home facility. CR (B) said they did not have staffing to monitor the resident one on one until he/she was discharged to a new facility.
Guardian (B) reminded the facility of the regulations and requirements for a discharge of the resident. CR (B) said that the facility would just have to take the deficiency in this case.- On 9/5/25 at 11:40 A.M.
Resident called asking if they were looking for a new place for him/her to go to since the facility would not take him/her back.- 9/5/25 at 12:01 P.M.
Mental Health Hospital RN (A) informed Guardian (B) that the home facility would not take the resident back.
Guardian (B) asked Mental Health Hospital RN (A) to put in a hotline complaint with the Department of Health and Senior Services since they had not gotten a 30-day notice and it was an abandonment of the resident. - 9/5/25 12:32 P.M.
Received a call from the SSD saying another SNF would accept the resident.
Guardian (B) agreed to the transfer since there was nowhere else for the resident to go from the Mental Health Hospital.
Complaint
265852 09/11/2025
St Joseph Chateau 811 North 9th Street Saint Joseph, MO 64501
change his/her mind and they would stop looking;- During the Resident's most recent hospital stay
transfer;- The facility had been able to handle the last two incidents of SI with the resident so there
intervention to help with the behaviors;Complaint 2609355
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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.