Nursing HomeInspections

Advanced Care of St Joseph

Nursing home in Saint Joseph, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (816) 364-4200Send a messageMap ↗

Public-record details

Address
3002 North 18th St, Saint Joseph, MO 64505
Phone
(816) 364-4200
Listed under
For-profit
Medicare CCN
265754
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
180
Average residents per day
155
Ownership
For-profit, limited Liability company
Legal business name
North 18th Street Healthcare LLC
Chain
Vertical Health Services (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 27, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265754. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 3, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 28, 2022 to Nov 20, 2025): 19 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 20, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 27, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 3, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 3, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 3, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 3, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 3, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 3, 2025Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 3, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jul 3, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 3, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 3, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 45. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $29,803 in the last three years.

Jul 3, 2025Fine: $29,803

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.48 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.20 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
36%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Saint Joseph

Living Community of St Joseph1202 Heartland Road · Saint Joseph, MO 64506 · (816) 671-8500 · Nonprofit26 health citations in 3 inspection cycles · last standard inspection Apr 9, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)St Joseph Chateau811 North 9th Street · Saint Joseph, MO 64501 · (816) 233-5164 · For-profit52 health citations in 3 inspection cycles · last standard inspection May 7, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)St Joseph Manor Health & Rehabilitation1317 North 36th Street · Saint Joseph, MO 64506 · (816) 676-1630 · For-profit60 health citations in 3 inspection cycles · last standard inspection Mar 21, 2025 · $10,414 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse iconBelleview Care Center1616 Weisenborn Road · Saint Joseph, MO 64507 · (816) 749-3919 · For-profit53 health citations in 3 inspection cycles · last standard inspection Feb 12, 2025 · $31,330 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse iconCarriage Square Rehab and Healthcare Center4009 Gene Field Road · Saint Joseph, MO 64506 · (816) 364-1526 · For-profit58 health citations in 3 inspection cycles · last standard inspection Mar 14, 2025 · $48,685 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Saint Joseph →