Quick answers
- Where is St Joseph Chateau?
- 811 North 9th Street, Saint Joseph, MO 64501, in Buchanan County, Missouri.
- What is the phone number of St Joseph Chateau?
- (816) 233-5164, as listed by Medicare (CMS).
- What is the Medicare star rating of St Joseph Chateau?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has St Joseph Chateau been fined?
- Medicare lists no fines for St Joseph Chateau.
- What did inspectors find at St Joseph Chateau?
- In its last three inspection cycles (April 29, 2022 to September 11, 2025), Medicare lists 51 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 29, 2022 to September 11, 2025), St Joseph Chateau had 51 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.69 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 7, 2025 — no health citations
Inspections in this cycle: May 7, 2025 (standard health inspection).
Previous cycle: April 5, 2024 — 18 health citations
Inspections in this cycle: April 5, 2024 (standard health inspection); September 11, 2025 (complaint investigation).
Show 18 citations (levels A to F, no actual harm)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0568 Level E
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0700 Level E
“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.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
Earlier cycle: April 29, 2022 — 33 health citations
Inspections in this cycle: April 29, 2022 (standard health inspection); October 5, 2023 (complaint investigation); December 19, 2023 (complaint investigation); August 27, 2024 (complaint investigation).
Show 33 citations (levels A to F, no actual harm)
F0562 Level F
“Provide immediate access to any resident.”
F0574 Level F
“The resident has the right to receive notices in a format and a language he or she understands.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level E
“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.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0570 Level E
“Assure the security of all personal funds of residents deposited with the facility.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0585 Level E
“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.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0680 Level E
“Ensure the activities program is directed by a qualified professional.”
F0688 Level E
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0700 Level E
“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.”
F0726 Level E
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0565 Level D
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0572 Level D
“Give residents a notice of rights, rules, services and charges.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0732 Level C
“Post nurse staffing information every day.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (26)
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0161 Level E
“Use approved construction type or materials.”
E0037 Level F
“Establish staff and initial training requirements.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0341 Level F
“Install a fire alarm system that can be heard throughout the facility.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0523 Level F
“Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.”
K0711 Level F
“Provide a written emergency evacuation plan.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
E0018 Level F
“Establish procedures for tracking staff and patients during an emergency.”
E0025 Level F
“Create arrangements with other facilities to receive patients.”
K0354 Level F
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
E0026 Level E
“Establish roles under a Waiver declared by secretary.”
K0271 Level E
“Have exits that are accessible at all times.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0711 Level E
“Provide a written emergency evacuation plan.”
K0300 Level D
“Meet other general requirements that are deficient.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.46 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.36 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 1.87 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 2.69 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.30 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.37 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 39.2% | 56.9% | 45.3% |
| RN turnover (per year) | 25.0% | 50.0% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 15 nursing homes: Vertical Health Services.
Legal business name: North 9th Street Healthcare LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| VHS Mo Opco Holdings LLC | Direct owner | NOT APPLICABLE | June 1, 2023 |
| Miller, William | Indirect owner | NOT APPLICABLE | June 1, 2023 |
| North 9th Street Consulting LLC | Management company (operational or managerial control) | NOT APPLICABLE | June 1, 2023 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 69 |
| Average residents per day | 67.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Vertical Health Services |
| Legal business name | North 9th Street Healthcare LLC |
| First approved by Medicare/Medicaid | 2015-08-11 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 811 North 9th Street, Saint Joseph, MO 64501 |
| County | Buchanan County |
| State | Missouri |
| Phone | (816) 233‑5164 |
| CMS Certification Number | 265852 |
| Name in Medicare records | ST JOSEPH CHATEAU |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Advanced Care of St Joseph1.3 mi · Saint Joseph, MO · 1 of 5 stars
- St Joseph Manor Health & Rehabilitation2.3 mi · Saint Joseph, MO · 2 of 5 stars
- Carriage Square Rehab and Healthcare Center3.1 mi · Saint Joseph, MO · 1 of 5 stars
- Living Community of St Joseph4.1 mi · Saint Joseph, MO · 4 of 5 stars
- Belleview Care Center4.3 mi · Saint Joseph, MO · 1 of 5 stars
Nearest hospital emergency rooms
- Mosaic Life Care at St Joseph4.1 mi · Saint Joseph, MO · Acute Care Hospital
- Amberwell Atchison Association22 mi · Atchison, KS · Critical Access Hospital
- Cameron Regional Medical Center33 mi · Cameron, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13