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Riverbend Heights Health & Rehabilitation
1221 Highway 13 South, Lexington, MO 64067 (opens Google Maps) · Lafayette County · (660) 259-4695· 154 certified beds · avg 82 residents/day · certified since Mar 31, 1989 · 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★)
2/5
Health inspection rating (on-site)
inspected Jun 14, 2024
1
Serious findings on record
most recent Nov 2, 2023
$0
Fines, last 3 years
4.88
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: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Nov 2, 2023 · F-0600 · triggered by a complaint
The 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.
▲ Actual harm, isolated · Nov 2, 2023 · F-0600 · triggered by a complaint
The 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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 20, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 37 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
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
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. F-0908
View all 37 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 12, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Jun 14, 2024 | 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 14, 2024 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Jun 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jun 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jun 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jun 14, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Jun 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Jun 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jan 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Nov 2, 2023 | ▲ G · Actual harm, isolated | The 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. · from a complaint · F-0600 |
| Nov 2, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint · F-0741 |
| Nov 2, 2023 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Sep 11, 2023 | D · Potential for more than minimal harm, isolated | The 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. · from a complaint · F-0600 |
| Sep 11, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint · F-0741 |
| Sep 23, 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 |
| Sep 23, 2022 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Sep 23, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678 |
| Sep 23, 2022 | E · Potential for more than minimal harm, pattern | 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 |
| Sep 23, 2022 | E · Potential for more than minimal harm, pattern | The 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. · F-0758 |
| Sep 23, 2022 | E · Potential for more than minimal harm, pattern | The 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. · F-0761 |
| Sep 23, 2022 | 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 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The 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. · F-0695 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Sep 23, 2022 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Jan 9, 2020 | E · Potential for more than minimal harm, pattern | The 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. · F-0582 |
| Jan 9, 2020 | 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 |
| Jan 9, 2020 | 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 9, 2020 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Jan 9, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Jan 9, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jan 9, 2020 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 9).
All citationsSerious citations (G–L)
2020
All citations: 7
Serious citations (G–L): 0
2022
All citations: 14
Serious citations (G–L): 0
2023
All citations: 5
Serious citations (G–L): 1
2024
All citations: 10
Serious citations (G–L): 0
2026
All citations: 1
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 |
|---|---|---|---|
| 2020 | 7 | 0 | E |
| 2022 | 14 | 0 | F |
| 2023 | 5 | 1 | G ▲ |
| 2024 | 10 | 0 | F |
| 2026 | 1 | 0 | D |
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: 4.88
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.51
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.22
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) | 4.88 | 3.66 | 3.95 | top 10% in Missouri; top 15% in the U.S. |
| Registered Nurse hours | 0.51 | 0.49 | 0.69 | top 35% in Missouri; bottom 40% in the U.S. |
| Weekend total nurse staffing | 4.22 | 3.22 | 3.50 | top 13% in Missouri; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.33 | 0.48 | top 40% in Missouri; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 36.7 | 56.0 | 45.8 | top 7% in Missouri; top 28% in the U.S. |
| RN turnover (%) | 43.8 | 47.8 | 42.9 | top 43% in Missouri; bottom 46% 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 3.58, RN 0.38, weekend 3.10.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Riverbend Heights 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 |
|---|---|---|---|---|
| Geller, Seth | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/12/2022 |
| Heitwell Holdings INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/11/2024 |
| Mo Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/12/2022 |
| Oberlander, Chaim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/12/2022 |
| Reddick Wellington Investments INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/11/2024 |
| Redwell Holdings INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/11/2024 |
| Cantrell, Sidney | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/12/2022 |
| Cantrell, Sidney | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Kramer, Shmuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/12/2022 |
| Kramer, Shmuel | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Lichtenstein, Eli | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/12/2022 |
| Lichtenstein, Eli | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Lichtenstein, Isaac | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Mandelbaum, Chaim | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/12/2022 |
| Mandelbaum, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/12/2022 |
| Mandelbaum, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Mo Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Riverbend Heights Property Holdings LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/12/2022 |
| Riverbend Heights Property Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/12/2022 |
| Thompson, Ashlie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/12/2022 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
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.
- St Joseph Manor Health & Rehabilitation — Saint Joseph, MO · overall 2/5abuse
- Valley View Health & Rehabilitation — Moberly, MO · overall 3/5
- Ashley Manor Health & Rehabilitation — Boonville, MO · overall 4/5
- 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
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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
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 37% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 21 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 |
|---|---|---|---|---|---|
| Shirkey Nursing and Rehabilitation Center | 8.5 mi | Richmond, MO | ★★★☆☆ | 3/5 | |
| Meyer Care Center | 9.6 mi | Higginsville, MO | ★☆☆☆☆ | 1/5 | |
| Odessa Health Care Center | 12.3 mi | Odessa, MO | ★☆☆☆☆ | 1/5 | |
| Aspire Senior Living Oak Grove | 17.7 mi | Oak Grove, MO | ★★☆☆☆ | 4/5 | |
| Apple Ridge Care Center | 19.7 mi | Waverly, MO | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Lafayette, MO — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Lutheran Nursing Home — Concordia, MO · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265358.
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