Ashley Williams
Jul 2026
Carriage Square is a beautiful facility with amazing staff who truly care for their residents. This is a great facility for anyone looking to make it a home away from home for their family/loved ones.
Carriage Square Rehab & Healthcare Center
4009 Gene Field Road3.9(67 ratings)· Saint Joseph average: 4.2
1 / 4Quick Facts
- Total units
- 130
- Medicare rating
- 1 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 130
- Inspections
- View history (86 citations)
CMS Care Compare
What Families Think
Reviews for Carriage Square are sharply divided: some families praise the therapy and activities staff, while several others describe serious concerns about staffing levels, food quality, and follow-through on care orders. Multiple reviewers report unresolved grievances and communication problems with administration.
The Good
- Therapy department praised as encouraging and effective
- Activity director keeps calendar full of engagement
- Specific staff and physical therapist named as exceptional
- Positive experiences with individual caregivers despite facility issues
The Bad
- Multiple reports of chronic understaffing affecting care
- Several complaints about poor or inedible food
- One report of resident receiving only one shower weekly
- Reviewers describe unresponsive administration to formal grievances
AI-generated from reviews and community data.
Carriage Square Rehab & Healthcare Center is a senior living community in Saint Joseph, Missouri offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.9 out of 5 across 67 reviews.
About Carriage Square Rehab & Healthcare Center
Carriage Square Rehab & Healthcare Center is a 130-bed skilled nursing and long-term care facility in Saint Joseph, Missouri. It serves residents requiring nursing care and rehabilitation services.
Family experiences at Carriage Square vary notably. Some families report that staff members, particularly in therapy and activities, are engaged and attentive, one family noted the Activity Director keeps "the calendar full for everyone." A few families describe positive interactions and cleanliness. However, multiple families raise serious concerns about staffing levels, citing inadequate follow-through on nursing orders, missed care needs, and falls. Food quality is disputed across reviews, from "almost inedible" to "great." Environmental issues, room sizes and odor, appear in critical feedback, though one recent visitor found the facility "clean and odor free." A family also reported administrative mishandling of a visiting dispute that was later ruled illegal by the health department.
With a 3.9 out of 5 rating across 67 reviews, Carriage Square shows a split profile: roughly half the recent reviews are five-star, emphasizing staff warmth and activity programming, while the other half are one-star, focusing on neglect, understaffing, and safety incidents. Prospective families should weigh these conflicting accounts carefully.
Types of Care at Carriage Square Rehab & Healthcare Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Medication Management
- On-Site Nurse (RN)
Activities
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of Carriage Square Rehab & Healthcare Center
3.9overall · 67 ratings combined
3.9★ on Google (67)
Karen Cannon
Jul 2026
Carriage Square is an incredible partner to work with! They truly care about helping families in our community navigate senior living with compassion and dedication. The team is professional, supportive, and always goes above and beyond.
Courtney Hebert
Jun 2026
Therapy department is top notch! They encourage, they are positive and the residents enjoy working with them. When you have patients that need to return and make sure out therapy dept want changed, that speaks volumes! Our Activity Director makes sure to keep the calendar full for everyone to ensure all needs and wants are being met! Just 2 reasons to come to carriage!
Season Campos
Jun 2026
This is a terrible place. Do not send your loved ones here. They let my grandmother fall twice on a 24 hour period. She had stitches above her eye, concussion, broken collar bone, broken elbow, broken hip, uti, and pneumonia. I was deviated. I would NEVER recommend this place to anyone. They can’t take accountability and blamed my gma for not asking for help. My grandmother was completely able to walk on her own before she got there now she can’t do anything without help. They destroyed her quality of life.
Crystal Wilson
Apr 2026
When my husband entered Carriage Square in December 2024, the care was not bad. As time passed, things got progressively worse. The food was almost inedible, the follow through from most nursing staff was poor, and they were not following the nursing orders, such as getting him out of bed daily. The excuse was usually that they "did not have the staff." During the month of March, he was given only 1 shower a week. There were 3 different administrators during his time there and I spoke with 2 of them regarding his care with little response. I filed an official grievance and received no follow up. The ombudsman was contacted multiple times with limited, temporary changes. There were some exceptional staff, including Colton, Bailey, and Ricki. The physical therapist, Rob, was also wonderful. These 3 provided excellent care despite roadblocks from the actual facility. I would not recommend Carriage Square unless major changes are implemented.
Government Inspection History
8 inspection visits in the last three years, 86 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Jan 27, 2026Health Complaint1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Jan 28, 2026
Dec 23, 2025Health Complaint2 citations
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 24, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 24, 2025
Dec 3, 2025Health Complaint1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 8, 2025
Nov 3, 2025Health Complaint1 citation
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 24, 2025
Mar 14, 2025Fire Safety StandardHealth ComplaintHealth Standard20 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 17, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Severity G of L: actual harm, isolatedCorrected Apr 17, 2025
Ensure proper usage of power strips and extension cords.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Provide training in compliance and ethics.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025
Meet requirements for the installation and maintenance of electrical systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025
Use approved construction type or materials.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 3, 2025
Implement a program that monitors antibiotic use.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025
Apr 23, 2024Health Complaint3 citations
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2024
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2024
Jul 14, 2023Fire Safety StandardHealth ComplaintHealth Standard35 citations
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
Provide and implement an infection prevention and control program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 20, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 20, 2023
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Provide care or services that was trauma informed and/or culturally competent.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2023
Use approved construction type or materials.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Install emergency lighting that can last at least 1 1/2 hours.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Have properly installed electrical wiring and gas equipment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Have restrictions on the use of portable space heaters.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Ensure proper usage of power strips and extension cords.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 6, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2023
Protect each resident from the wrongful use of the resident's belongings or money.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 20, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2023
Aug 5, 2021Fire Safety StandardHealth Standard23 citations
Provide a written emergency evacuation plan.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 30, 2021
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Honor the resident's right to manage his or her financial affairs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 30, 2021
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Have generator or other power source capable of supplying service within 10 seconds.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 30, 2021
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Post nurse staffing information every day.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Have properly installed electrical wiring and gas equipment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Have properly located and lighted "Exit" signs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 30, 2021
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Carriage Square Rehab & Healthcare Center offer?
Carriage Square Rehab & Healthcare Center offers Skilled Nursing / Long Term Care.
Where is Carriage Square Rehab & Healthcare Center located?
Carriage Square Rehab & Healthcare Center is located at 4009 Gene Field Road in Saint Joseph, Missouri.
What do families say about Carriage Square Rehab & Healthcare Center?
Reviews for Carriage Square are sharply divided: some families praise the therapy and activities staff, while several others describe serious concerns about staffing levels, food quality, and follow-through on care orders. Multiple reviewers report unresolved grievances and communication problems with administration.
How did Carriage Square Rehab & Healthcare Center do on recent health and safety inspections?
Carriage Square Rehab & Healthcare Center had 8 government inspection visits in the last three years, with 86 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Carriage Square Rehab & Healthcare Center?
Submit the Request Information form on this page to connect with Carriage Square Rehab & Healthcare Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Carriage Square Rehab & Healthcare Center? Claim this listing to update photos, pricing, and details. It's free.
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