Ashley Manor Health & Rehabilitation
1630 Radio Hill Road, Boonville, MO 65233 · Cooper County · 52 certified beds · avg 48 residents/day · certified since May 14, 2002
Part of chain: MO OP HOLDCO, LLC (9 facilities, chain avg rating 2.6★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.82
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 15, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jan 15, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 15, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 9, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Nov 9, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 9, 2023 | C · Minimal risk, facility-wide | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Nov 9, 2023 | C · Minimal risk, facility-wide | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Nov 9, 2023 | C · Minimal risk, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Nov 9, 2023 | C · Minimal risk, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jun 24, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 24, 2022 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 24, 2022 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jun 24, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 24, 2022 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (16 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | F |
| 2023 | 16 | 0 | F |
| 2025 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.82 | 3.66 | 3.95 | top 41% in Missouri; top 47% in the U.S. |
| Registered Nurse hours | 0.34 | 0.49 | 0.69 | bottom 34% in Missouri; bottom 13% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.22 | 3.50 | top 44% in Missouri; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.33 | 0.48 | bottom 27% in Missouri; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 55.8 | 56.0 | 45.8 | top 49% in Missouri; bottom 23% in the U.S. |
| RN turnover (%) | 62.5 | 47.8 | 42.9 | bottom 29% in Missouri; bottom 19% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.41, RN 0.30, weekend 2.92. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lichtenstein, Eli | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/11/2024 |
| Mandelbaum, Chaim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/11/2024 |
| Mo Op Holdco, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2023 |
| Ashley Manor Property Holdings LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2023 |
| Ashley Manor Property Holdings LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Ashley Manor Property Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Barnes, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Barnes, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Degraffenreid, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/18/2024 |
| Degraffenreid, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Kramer, Shmuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Kramer, Shmuel | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Lichtenstein, Eli | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Lichtenstein, Eli | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Lichtenstein, Eli | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2024 |
| Lichtenstein, Isaac | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2024 |
| Mandelbaum, Chaim | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Mandelbaum, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Mandelbaum, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lakeview Health Care & Rehabilitation Center | 0.5 mi | Boonville, MO | ★★☆☆☆ | 4/5 | |
| Riverdell Care Center | 2.7 mi | Boonville, MO | ★★☆☆☆ | 4/5 | |
| Katy Manor | 9.3 mi | Pilot Grove, MO | ★★★★★ | 5/5 | |
| Tipton Oak Manor | 19.9 mi | Tipton, MO | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265738.