Deficiency Index

Advanced Care of St Joseph

Saint Joseph, Missouri · CCN 265754

43 surveys since 2010, 9 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
177
Surveys
43
Harm or worse
9
Immediate jeopardy
4
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file32/43

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
180
Ownership
For profit - Limited Liability company
Chain
VERTICAL HEALTH SERVICES
County
Buchanan
Medicare-certified since
2003

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 75 for-profit facilities with 128 or more beds in Missouri.

Last survey on record

Nov 20, 2025

354 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.483.15
Registered-nurse hours per resident day0.40—
Annual nurse turnover51.7%58.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$29,803 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG12.2%H—I—
No harm, potential for more than minimalD1840.0%E2146.7%F36.7%
No harm, potential for minimalA—B12.2%C12.2%
CMS’s current file: 45 of the 177 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6584×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F7613×

    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.

  • F6102×

    Respond appropriately to all alleged violations.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Advanced Care of St Joseph, in the surveyor’s own words.

  • Actual harm, isolatedF684Jul 3, 2025

    Based on interview and record review, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, or psychosocial well-being for one of the 18 sampled residents (Resident #88) when staff failed to administer the resident's scheduled seizure medication as ordered, per facility documentation the resident had unfortunately ran out of his/her seizure medication which likely resulted in a breakthrough seizure. The facility census was 144.Review of the facilities resident right policy dated. 9/1/2021., showed:Acquisition of medications should be completed in a timely manner to ensure medications are administered in a timely manner. 1. […]

  • Actual harm, isolatedF600Jan 11, 2024

    Based on interview and record review, the facility failed to ensure a resident's right to be free from abuse, when one resident, Resident #3 reported being sexually abused by another resident, Resident #4. The facility census was 123. On 2/14/24, the Administrator was notified of the past noncompliance situation which occurred on 2/4/24. On 2/5/24, facility administration was notified of the incident, an investigation immediately began and corrective actions were implemented. The noncompliance was corrected on 2/9/24. […]

  • Actual harm, isolatedF600Jan 11, 2024

    Based on interview and record review, the facility failed to ensure a resident's right to be free from abuse, when one resident, Resident #3 reported being sexually abused by another resident, Resident #4. The facility census was 123. On 2/14/24, the Administrator was notified of the past noncompliance situation which occurred on 2/4/24. On 2/5/24, facility administration was notified of the incident, an investigation immediately began and corrective actions were implemented. The noncompliance was corrected on 2/9/24. […]

  • No harm, potential for more than minimal, widespreadF812Jun 20, 2024

    Based on observation, interview, and facility policy review, the facility failed to ensure dry foods were stored in sealed containers for food freshness and protection from pest for all 128 residents who received food prepared in the kitchen. Findings include: Policy Explanation and Compliance Guidelines: 1. All food service areas shall be kept clean, sanitary, free from litter, rubbish and protected from rodents, roaches, flies and other insects. During the initial tour of the kitchen, on 06/17/24 at 9:01 AM, with the Dietary Manager (DM), the following was observed: a. Two 25 pound bags of breadcrumbs were observed in a small storage room adjacent to the larger dry storage room. One of the two bags was open to air, undated, and unsealed. The second 25 pound bag was unopened. […]

  • No harm, potential for more than minimal, widespreadF925Jun 20, 2024

    Based on observation, interview, document review, and facility policy review, the facility failed to maintain an effective pest control program for five of six halls (100, 200, 300, 400, and 600), two nurses' stations, shower rooms, therapy room and the kitchen which includes the dish room area. Findings include: Review of the facility's policy titled Pest Control Program, dated 09/01/21, noted It is the policy of this facility to maintain an effectiye (sic) pest control program that eradicates and contains common household pests and rodents .Definition: Effective pest control program is defined as measures to eradicate and contain common household pests (e.g., bed bugs, lice, roaches, ants, mosquitos, flies, mice, and rats). […]

Read 27 findings in full →The most serious and the most recent: 27 of 177 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 20, 2025Complaint1 finding
  • Aug 27, 2025Complaint1 finding
  • Jul 3, 2025Standard and complaint18 findings · 1 harm
  • Dec 12, 2024Complaint1 finding
  • Jul 3, 2024Complaint2 findings
  • Jun 20, 2024Standard12 findings
  • May 6, 2024Complaint1 finding
  • Feb 15, 2024Complaint2 findings
Show the 35 earlier surveys
  • Jan 11, 2024Complaint9 findings · 2 harm
  • Dec 28, 2023Complaint1 finding
  • May 25, 2023Complaint2 findings
  • Dec 22, 2022Complaint2 findings
  • Dec 6, 2022Complaint1 finding
  • Feb 28, 2022Standard2 findings
  • Dec 3, 2021Complaint1 finding
  • Mar 2, 2021Complaint1 finding
  • May 28, 2020Infection control1 finding
  • Feb 18, 2020Standard12 findings
  • Jun 20, 2019Standard9 findings
  • Jan 4, 2019Complaint1 finding · 1 harm
  • Aug 24, 2018Standard2 findings
  • Feb 26, 2018Standard12 findings
  • Oct 26, 2017Complaint1 finding · 1 harm
  • Sep 15, 2017Standard9 findings
  • Apr 10, 2017Standard and complaint7 findings
  • Mar 15, 2017Complaint1 finding
  • Jan 3, 2017Complaint1 finding
  • May 12, 2016Complaint2 findings · 1 harm
  • Apr 1, 2016Complaint3 findings
  • Feb 4, 2016Standard15 findings
  • Nov 6, 2015Complaint1 finding · 1 harm
  • Jun 10, 2015Complaint3 findings
  • Apr 27, 2015Complaint1 finding
  • Mar 12, 2015Standard and complaint11 findings · 1 harm
  • Jan 30, 2014—5 findings
  • May 15, 2013—1 finding
  • Mar 28, 2013—9 findings
  • Mar 1, 2012—6 findings
  • May 26, 2011—2 findings
  • May 2, 2011—2 findings · 1 harm
  • Feb 8, 2011—1 finding
  • Jan 14, 2011—1 finding
  • Dec 20, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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