At a glance
Official CMS profileCMS overall rating
1 / 5
Certified beds
180
Residents / day
157.5
Ownership
For profit - Limited Liability company
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- County
- Buchanan
- Certified beds
- 180
- Average residents per day
- 157.5
- First certified
- March 27, 2003
CMS quality ratings
- Overall
- 1 / 5
- Health inspections
- 2 / 5
- Staffing
- 1 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Buchanan, Missouri. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 1.00 | 2.40 (n=5) | 2.62 |
| Nurse hours / resident / day | 2.51 | 3.34 (n=5) | 3.40 (n=475) |
| Weekend nurse hours / resident / day | 2.11 | 2.98 (n=5) | 2.97 (n=475) |
| Nursing staff turnover (%) | 58.40 | 57.16 (n=5) | 56.94 (n=425) |
CMS overall rating / 5
- This home
- 1.00
- County peers
- 2.40
- n=5
- State peers
- 2.62
Nurse hours / resident / day
- This home
- 2.51
- County peers
- 3.34
- n=5
- State peers
- 3.40
- n=475
Weekend nurse hours / resident / day
- This home
- 2.11
- County peers
- 2.98
- n=5
- State peers
- 2.97
- n=475
Nursing staff turnover (%)
- This home
- 58.40
- County peers
- 57.16
- n=5
- State peers
- 56.94
- n=425
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 16.0% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 58.4% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 16
- Health citations
- 45
- Resident measures
- 17
- Ownership records
- 7
- Penalties
- 1
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 2.50936
- Reported RN Staffing Hours per Resident per Day
- 0.44891
- Reported LPN Staffing Hours per Resident per Day
- 0.28747
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.77298
- Total number of nurse staff hours per resident per day on the weekend
- 2.10683
- Registered Nurse hours per resident per day on the weekend
- 0.24582
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.06703
- Total nursing staff turnover
- 58.4
- Registered Nurse turnover
- 35.7
- Number of administrators who have left the nursing home
- 0
- Chain Name
- VERTICAL HEALTH SERVICES
- Number of Facilities in Chain
- 15
- Chain Average Overall 5-star Rating
- 2.1
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- MO
- Urban
- Y
- Chain ID
- 636
- Latitude
- 39.7905
- Location
- 3002 NORTH 18TH ST,SAINT JOSEPH,MO,64505
- ZIP Code
- 64505
- City/Town
- SAINT JOSEPH
- Longitude
- -94.84
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- VERTICAL HEALTH SERVICES
- County/Parish
- Buchanan
- Provider Name
- ADVANCED CARE OF ST JOSEPH
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 1
- Ownership Type
- For profit - Limited Liability company
- Number of Fines
- 1
- Processing Date
- 2026-10-01
- Staffing Rating
- 1
- Provider Address
- 3002 NORTH 18TH ST
- Telephone Number
- 8163644200
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- NORTH 18TH STREET HEALTHCARE LLC
- Long-Stay QM Rating
- 5
- High Performing Icon
- N
- Short-Stay QM Rating
- 3
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.69480
- Chain Average QM Rating
- 3.7
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 2
- Number of Certified Beds
- 180
- Provider SSA County Code
- 100
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 35.7
- Total Number of Penalties
- 1
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 1.20177
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 58.4
- Chain Average Staffing Rating
- 1.6
- Number of Facilities in Chain
- 15
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 265754
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 29803.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 144
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 145.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 157.5
- Chain Average Overall 5-star Rating
- 2.1
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 148
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 2.4
- Rating Cycle 1 Health Deficiency Score
- 144
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 148
- Rating Cycle 1 Standard Survey Health Date
- 2025-07-03
- Rating Cycle 2 Standard Health Survey Date
- 2024-06-20
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.37061
- Case-Mix RN Staffing Hours per Resident per Day
- 0.83119
- Reported RN Staffing Hours per Resident per Day
- 0.44891
- Adjusted LPN Staffing Hours per Resident per Day
- 0.23733
- Case-Mix LPN Staffing Hours per Resident per Day
- 1.03576
- Reported LPN Staffing Hours per Resident per Day
- 0.28747
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 18
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 25
- Rating Cycle 1 Number of Standard Health Deficiencies
- 17
- Rating Cycle 2 Number of Standard Health Deficiencies
- 12
- Reported Licensed Staffing Hours per Resident per Day
- 0.73639
- Number of Citations from Infection Control Inspections
- 0
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 6
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 1.46372
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.82099
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.77298
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 2.07167
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 4.68794
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 13
- Reported Total Nurse Staffing Hours per Resident per Day
- 2.50936
- Registered Nurse hours per resident per day on the weekend
- 0.24582
- Date First Approved to Provide Medicare and Medicaid Services
- 2003-03-27
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.06703
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 1.73935
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 4.12572
- Total number of nurse staff hours per resident per day on the weekend
- 2.10683
COMMUNITY EXPERIENCE
Reviews of ADVANCED CARE OF ST JOSEPH
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.
Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026