Buchanan County, Missouri · Nursing home
St Joseph Manor Health & Rehabilitation
2 of 5 overall from CMS
1317 North 36th Street, Saint Joseph, MO 64506
At a glance
- Overall rating 2 of 5 Below the state average of 2.5
- Nurse time per resident, per day 3.50 hours Above the state average of 3.43
- Nursing staff who left in a year 50.8% Below the state average of 56.0%
- Health citations, last 3 inspection cycles 60 6 at the harm level or above
- Fines in 3 years $26,764 2 fines
- Certified beds in use 58.0% of 110 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
St Joseph Manor Health & Rehabilitation is a 110-bed nursing home in Saint Joseph, Missouri (Buchanan County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.50 nurse staffing hours per resident per day, above the Missouri average of 3.43. CMS lists 2 fines totaling $26,764 in the past three years.
- Certified beds
- 110
- Residents per day (average)
- 63.8
- Certified since
- 2003 (23 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Mo Op Holdco, LLC (9 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask St Joseph Manor Health & Rehabilitation
Chosen from this home's public data.
- CMS lists 2 fines totaling $26,764 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 2.96 hours per resident on weekends against 3.50 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 58.0% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Missouri average 2.5
- Health inspections 2 of 5 Missouri average 2.8
- Staffing 2 of 5 Missouri average 2.2
- Quality measures 3 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.50 h Missouri average 3.43
- Nurse aides 2.48 h Missouri average 2.29
- Licensed practical nurses 0.73 h Missouri average 0.68
- Registered nurses 0.29 h Missouri average 0.46
- All staff, weekends 2.96 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover50.8%
- Missouri average56.0%
- Registered nurse turnoverNot reported
- Missouri average47.8%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.0% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.1% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.4% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 25.4% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.4% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.1% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.2% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.9% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.9% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.85 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.59 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.6% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.4% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.3% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 60 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 5 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 25, 2026: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 21, 2025 | 11 | 1 |
| Jan 29, 2024 | 20 | 4 |
| Jun 15, 2021 | 29 | 4 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (60)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance
-
DPotential for more than minimal harm, isolated
Honor the resident's right to manage his or her financial affairs.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 25, 2026)
-
DPotential for more than minimal harm, isolated
Have policies on smoking.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jun 25, 2026)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 31, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 15, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 15, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2025)
-
EPotential for more than minimal harm, pattern
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Apr 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2025)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Apr 15, 2025)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 23, 2024)
-
JImmediate jeopardy, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2024)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2024)
-
FPotential for more than minimal harm, widespread
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 16, 2024)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration · Deficient, Provider has date of correction (Feb 16, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 16, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Feb 16, 2024)
Showing the 30 most recent of 60.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jun 25, 2026 | Fine | $16,350 |
| Jan 29, 2024 | Fine | $10,414 |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size195 of 487 by certified beds
- Missouri average residents per day73.0
- ChainMo Op Holdco, LLC
- Chain average overall rating2.6 of 5
- Resident or family councilResident
- Homes in Saint Joseph6
- Homes in Buchanan County6
Common questions
What is the CMS star rating for St Joseph Manor Health & Rehabilitation?
St Joseph Manor Health & Rehabilitation has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 3.
How many beds does St Joseph Manor Health & Rehabilitation have?
St Joseph Manor Health & Rehabilitation has 110 certified beds. It averages 63.8 residents per day, about 58.0% of its certified beds.
How much nursing care do residents get at St Joseph Manor Health & Rehabilitation?
The home reports 3.50 hours of nurse staffing per resident per day, including 0.29 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has St Joseph Manor Health & Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $26,764 in the past three years.
Does St Joseph Manor Health & Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Carriage Square Rehab and Healthcare Center 130beds 71.8%in use 3.50nurse hours a day
- 4 of 5 Living Community of St Joseph 96beds 92.2%in use 3.59nurse hours a day
- 1 of 5 Advanced Care of St Joseph 180beds 86.2%in use 2.48nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Buchanan County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265762. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.