CareWitness
Federal record · CMS Care Compare · CCN 265336 · Processed JUN 1 2026
CareWitnessMissouriSaint JosephNursing HomesCarriage Square Rehab And Healthcare Center

Carriage Square Rehab And Healthcare Center

4009 Gene Field Road, Saint Joseph, MO, 64506

Type
Nursing home
Medicare/Medicaid certified · CCN 265336

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall1 / 5
Health inspections1 / 5
Staffing1 / 5
Quality measures1 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Ama Holdings
Certified beds
130 · avg 91 residents/day
Total nursing staff turnover
73.9%higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
RN turnover
78.6%higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $48,685 total

Medicare certification

CMS Certification Number
265336
Certified beds
130 beds · avg 91 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Carriage Operator Llc
Chain affiliation
Ama Holdings

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlcHolding company in ownership

Chain affiliation

Part of the Ama Holdings chain — 14 facilities. Chain-wide average overall rating 1.5 / 5.

Disclosed owners (6 on record)

  • mo Operation Holdings de Spe Llc

    5% or Greater Direct Ownership Interest · 99% · since 2024

  • Ama Holdings LlcHolding

    5% or Greater Indirect Ownership Interest · 50% · since 2021

  • Asher Marx

    5% or Greater Indirect Ownership Interest · 50% · since 2021

  • Def Holdings Llc

    5% or Greater Indirect Ownership Interest · 50% · since 2021

  • Jacques Wolf

    5% or Greater Indirect Ownership Interest · 50% · since 2021

  • Amy j Byrom

    W-2 Managing Employee · since 2021

Recent change of ownership

October 2021 (4 years ago) · acquired from Carriage Square Living & Rehab Center

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

56 health citations on file1 immediate-jeopardy finding12 from complaints1 federal fine totalling $49K

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 56)

  • B0842·Jan 27, 2026Complaint

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • E0880·Dec 23, 2025Complaint

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • E0690·Dec 23, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • D0842·Dec 3, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • E0690·Nov 3, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • D0760·Mar 14, 2025Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

  • J0684·Mar 14, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F0947·Mar 14, 2025

    Nursing and Physician Services Deficiencies

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $49K

Most recent events

  • Mar 14, 2025Fine · $49K

Fire-safety citations

30 Life-Safety-Code citations on file. Most recent: Mar 14, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.