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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews
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This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 55% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 9 findings, above the LA average of 8.3. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
St. Joseph Skilled Nursing and Rehabilitation receives high praise for its admissions team and physical therapy department, with many families noting the staff's dedication and professionalism. However, some reviewers have raised concerns regarding inconsistent patient monitoring and reported staffing shortages, suggesting that the quality of care may vary depending on the specific shift or department.
Quality Themes
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Concerns
Rating Trends
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Distribution · 51 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“My husband spent over 2 months in skilled care and Physical Therapy. He went in barely able to stand and left on a walker, feeling safe and confident in his ability to continue his recovery at home.”
“The ENTIRE STAFF at St. Joseph Continuing Care facility has truly been a blessing to my grandmother (and my family) during her two different stays this year. When my grandmother was sent there the first time earlier this year, the staff was so welcoming, accommodating and very professional.”
“She help with explain meds and test resylts when I didn't undwrstand. She is a diamond.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
6
measures
1
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows a concerning pattern with 38 out of 51 deficiencies triggered by family complaints, indicating ongoing resident and family dissatisfaction. The most recurring issues involve medication management, basic daily care assistance, and resident rights violations. While the facility corrects issues when cited, problems persist across multiple surveys, with medication management deficiencies appearing in 2023, 2024, and 2025, suggesting systemic challenges in care quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
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.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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 Deficiencies
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.
Egress Deficiencies
Install resident room doors of proper design and width.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
St Joseph Skilled Nursing and Rehabilitation
for profit
Priority Management
38 facilities nationwide
Chain avg rating: 3.1/5 · Rank 38 of 38 (Lowest rating)
Owners
Bauder Family Investments, LLC
Owner · Organization
Boulware St James LLC
Owner · Organization
Steven Boulware Family Investments LLC
Owner · Organization
Bauder, Kelly
Owner (parent company)
Bauder, Madison
Owner (parent company)
Bauder, Parker
Owner (parent company)
Boulware, Thomas
Owner (parent company)
Walker, Katie
Owner (parent company)
Boulware, Douglas
Owner (parent company)
Bauder, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
49 reviews from families & visitors
Official Website
Visit stjosephmonroe.com
Medicare data downloads
Original nursing home datasets
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