Missouri ›Holden

Holden Manor Health & Rehabilitation

2005 South Lexington, Holden, MO 64040 · Johnson County · 52 certified beds · avg 35 residents/day · certified since May 14, 2002

Part of chain: MO OP HOLDCO, LLC (9 facilities, chain avg rating 2.6★)

2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.80
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (38)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jan 22, 2026D · Potential for harm, one-offThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Aug 2, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 2, 2024F · Potential for harm, facility-wideThe 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.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 2, 2024E · Potential for harm, repeatedThe 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.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 2, 2024E · Potential for harm, repeatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Aug 2, 2024D · Potential for harm, one-offThe facility did not honor residents' right to manage their own money and financial affairs.
Aug 2, 2024D · Potential for harm, one-offThe facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Aug 2, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 2, 2024D · Potential for harm, one-offThe 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.
Aug 2, 2024D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 2, 2024D · Potential for harm, one-offThe 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.
Aug 2, 2024D · Potential for harm, one-offThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Aug 2, 2024D · Potential for harm, one-offThe 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.
Aug 2, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 13, 2023F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 13, 2023F · Potential for harm, facility-wideThe 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 13, 2023D · Potential for harm, one-offThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Jan 13, 2023D · Potential for harm, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jan 13, 2023D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jan 13, 2023D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jan 13, 2023D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jan 13, 2023D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 13, 2023D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 13, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 13, 2023D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 13, 2023D · Potential for harm, one-offThe facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Jan 13, 2023D · Potential for harm, one-offThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Nov 13, 2020D · Potential for harm, one-offThe facility did not honor residents' right to receive the visitors they choose, at the times they choose.
Nov 13, 2020D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 13, 2020D · Potential for harm, one-offThe 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 13, 2020D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (13 → 20).

YearCitationsSerious (G–L)Worst severity that year
202040D
2023130F
2024200F
202610D

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)

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.803.663.95top 41% in Missouri; top 48% in the U.S.
Registered Nurse hours0.510.490.69top 35% in Missouri; bottom 40% in the U.S.
Weekend total nurse staffing3.443.223.50top 37% in Missouri; top 45% in the U.S.
Weekend RN hours (not acuity-adjusted)0.280.330.48top 47% in Missouri; bottom 28% in the U.S.
Total nursing staff turnover (%)77.856.045.8bottom 5% in Missouri; bottom 3% in the U.S.
RN turnover (%)66.747.842.9bottom 26% in Missouri; bottom 15% 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 3.07, RN 0.41, weekend 2.77. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Lichtenstein, EliIndividualIndirect Ownership InterestNOT APPLICABLE07/01/2023
Lichtenstein, IsaacIndividualIndirect Ownership InterestNOT APPLICABLE07/01/2023
Mandelbaum, ChaimIndividualIndirect Ownership InterestNOT APPLICABLE07/01/2023
Cicero, StevenIndividualOperational/Managerial ControlNOT APPLICABLE06/03/2024
Cicero, StevenIndividualADP of the SNFNOT APPLICABLE06/03/2024
Holden Manor Property Holdings LLCOrganization5% or Greater Security InterestNOT APPLICABLE07/01/2023
Holden Manor Property Holdings LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2023
Holden Manor Property Holdings LLCOrganizationADP of the SNFNOT APPLICABLE07/01/2023
Huffman, ChristineIndividualOperational/Managerial ControlNOT APPLICABLE04/07/2025
Huffman, ChristineIndividualADP of the SNFNOT APPLICABLE04/07/2025
Kramer, ShmuelIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Kramer, ShmuelIndividualADP of the SNFNOT APPLICABLE07/01/2023
Lichtenstein, EliIndividualManaging Control - Governing BodyNOT APPLICABLE07/01/2023
Lichtenstein, EliIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Lichtenstein, EliIndividualADP of the SNFNOT APPLICABLE07/01/2023
Lichtenstein, IsaacIndividualADP of the SNFNOT APPLICABLE07/01/2023
Mandelbaum, ChaimIndividualManaging Control - Governing BodyNOT APPLICABLE07/01/2023
Mandelbaum, ChaimIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Mandelbaum, ChaimIndividualADP of the SNFNOT APPLICABLE07/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Johnson County Care Center14.4 miWarrensburg, MO★★★☆☆3/5
Ridge Crest Nursing Center14.9 miWarrensburg, MO★☆☆☆☆2/5
Aspire Senior Living Pleasant Hill15.3 miPleasant Hill, MO★☆☆☆☆1/5
Country Club Rehab and Healthcare Center15.5 miWarrensburg, MO★☆☆☆☆2/5
Warrensburg Manor Care Center15.5 miWarrensburg, MO★★☆☆☆3/5
Crown Rehab and Healthcare Center17.7 miHarrisonville, MO★★☆☆☆3/5
Meadow View Health & Rehabilitation18.4 miHarrisonville, MO★★★☆☆3/5
Golden Years Center for Rehab and Healthcare19.4 miHarrisonville, MO★☆☆☆☆1/5abuseSFF

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Facility data as of CMS processing date 2026-08-01. CCN 265739.