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Ashley Manor Health & Rehabilitation
1630 Radio Hill Road, Boonville, MO 65233 (opens Google Maps) · Cooper County · (660) 882-6584· 52 certified beds · avg 48 residents/day · certified since May 14, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MO OP HOLDCO, LLC (9 facilities, chain avg rating 2.6★)
4/5
Health inspection rating (on-site)
inspected Jan 15, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.82
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.
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. F-0725
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. F-0880
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921
View all 24 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0725 |
| Jan 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Nov 9, 2023 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0558 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0607 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0636 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0700 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0727 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Nov 9, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Nov 9, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Nov 9, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Nov 9, 2023 | C · Potential for minimal harm, widespread | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Nov 9, 2023 | C · Potential for minimal harm, widespread | 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. · F-0756 |
| Nov 9, 2023 | C · Potential for minimal harm, widespread | 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. · F-0868 |
| Nov 9, 2023 | C · Potential for minimal harm, widespread | 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. · F-0881 |
| Jun 24, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jun 24, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Jun 24, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Jun 24, 2022 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Jun 24, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (16 → 3).
All citationsSerious citations (G–L)
2022
All citations: 5
Serious citations (G–L): 0
2023
All citations: 16
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.82
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.34
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.27
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.41 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Ashley Manor Health & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Mo Op Holdco, LLC — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Columbia Manor Health & Rehabilitation — Columbia, MO · overall 2/5
- Holden Manor Health & Rehabilitation — Holden, MO · overall 2/5
- Laverna Manor Health & Rehabilitation — Savannah, MO · overall 3/5abuse
- Meadow View Health & Rehabilitation — Harrisonville, MO · overall 3/5
- Parkdale Manor Health & Rehabilitation — Maryville, MO · overall 2/5
- Riverbend Heights Health & Rehabilitation — Lexington, MO · overall 2/5
- St Joseph Manor Health & Rehabilitation — Saint Joseph, MO · overall 2/5abuse
- Valley View Health & Rehabilitation — Moberly, MO · overall 3/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 265738.
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