Advanced Care of St Joseph
3002 North 18th St · Saint Joseph, MO · 64505 · 8163644200
180 certified beds For profit - Limited Liability company Chain: Vertical Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.61 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 2.34 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $29,803 |
Inspection citations (45 in the current record)
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Potential for harm · E November 20, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D August 27, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 17, 2025 · Quality of Life and Care
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Actual harm · G July 3, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · E July 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 3, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 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.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · E July 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · E July 3, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 4, 2025 · Pharmacy Service
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Potential for harm · E July 3, 2025
Ensure that residents are free from significant medication errors.
Corrected August 4, 2025 · Pharmacy Service
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Potential for harm · E July 3, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 4, 2025 · Pharmacy Service
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Potential for harm · E July 3, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · E July 3, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 3, 2025
Provide and implement an infection prevention and control program.
Corrected August 4, 2025 · Infection Control
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Potential for harm · E July 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · E July 3, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · E July 3, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · E July 3, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · E July 3, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · D December 12, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 3, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 23, 2024 · Resident Assessment and Care Planning
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No harm found · B July 3, 2024 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected July 23, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 23, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
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.
Corrected July 23, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Ensure each resident receives an accurate assessment.
Corrected July 23, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 3, 2025 | Fine | $29,803 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265754 · certified since March 27, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.