CARRIAGE SQUARE HEALTH CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Carriage Square Health Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CARRIAGE SQUARE HEALTH CARE CENTER
4009 GENE FIELD ROAD
SAINT JOSEPH, MO 64506
(816) 364-1526

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 114
  • Certified Beds: 130

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Savannah | Gower | Oregon

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Carriage Square Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.1%
Total Percent:1.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-102.9%
ADL Index Range: 0-510.5%
Total Percent:13.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1015.3%
ADL Index Range: 0-510.8%
Total Percent:26.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.9%
ADL Index Range: 6-1020.4%
ADL Index Range: 0-56.5%
Total Percent:31.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-105.1%
Total Percent:5.1%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
8.5%
Total Percent:8.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
2.5%
Total Percent:2.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
7.0%
Total Percent:7.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
0.7%
Total Percent:0.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
3.8%
Total Percent:3.8%
 

Rating Details For Carriage Square Health Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours15 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 45 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours53 Minutes1 Hour and 35 Minutes
Total Nurse Hours3 Hours and 38 Minutes4 Hours and 2 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight11%7%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder44%38%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%20%
Percent of Short-Stay Residents Who Have Pressure Sores2%11%
Percent of Short-Stay Residents Who Have Delirium-4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/10/2010
  • Correction Date: 11/20/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/10/2010
  • Correction Date: 11/20/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)04/23/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Carriage Square Health Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
  • Complaint Filed: 02/03/2010
  • Correction Date: 03/03/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/24/2008
  • Correction Date: 02/07/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 12/24/2008
  • Correction Date: 02/07/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/24/2008
  • Correction Date: 02/07/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/27/2010
  • Correction Date: 10/28/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 04/23/2009
  • Correction Date: 06/18/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Carriage Square Health Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/12/2010
  • Correction Date: 03/03/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/18/2009
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011