Ashley Manor Health & Rehabilitation
Boonville, Cooper County, Missouri · CCN 265738 · For-profit (LLC) · part of Mo Op Holdco, LLC (9 facilities, chain average 2.6 stars)
CMS rates Ashley Manor Health & Rehabilitation 4 of 5 overall as of August 2026. 52 certified beds, 48 residents a day on average. 24 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 3 / 5 of 5 |
Staffing
| Total nurse staffing | 3.40566 hours per resident per day |
|---|---|
| Registered nurses | 0.2993 hours per resident per day |
| Weekend total | 2.91851 hours per resident per day |
| Nursing staff turnover | 55.8% (registered nurses 62.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-01-15 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-15 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2023-11-09 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · tag F0801 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | 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. Quality of Life and Care Deficiencies · tag F0700 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-09 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-12-15 |
| 2022-06-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-07-22 |
| 2022-06-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-22 |
| 2022-06-24 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-22 |
| 2022-06-24 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-22 |
| 2022-06-24 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-22 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ashley Manor Property Holdings LLC Organization | 5% or greater security interest | — | 2023-07-01 |
| Ashley Manor Property Holdings LLC Organization | adp of the snf | — | 2023-07-01 |
| Mo Op Holdco, LLC Organization | direct ownership interest | — | 2023-07-01 |
| Ashley Manor Property Holdings LLC Organization | operational/managerial control | — | 2023-07-01 |
| Barnes, Eric Individual | adp of the snf | — | 2023-07-01 |
| Degraffenreid, Heather Individual | adp of the snf | — | 2024-12-18 |
| Kramer, Shmuel Individual | adp of the snf | — | 2023-07-01 |
| Lichtenstein, Eli Individual | adp of the snf | — | 2024-03-11 |
| Lichtenstein, Isaac Individual | adp of the snf | — | 2024-03-11 |
| Mandelbaum, Chaim Individual | adp of the snf | — | 2024-03-11 |
| Lichtenstein, Eli Individual | indirect ownership interest | — | 2024-03-11 |
| Mandelbaum, Chaim Individual | indirect ownership interest | — | 2024-03-11 |
| Lichtenstein, Eli Individual | managing control - governing body | — | 2023-07-01 |
| Mandelbaum, Chaim Individual | managing control - governing body | — | 2023-07-01 |
| Barnes, Eric Individual | operational/managerial control | — | 2023-07-01 |
| Degraffenreid, Heather Individual | operational/managerial control | — | 2024-12-18 |
| Kramer, Shmuel Individual | operational/managerial control | — | 2023-07-01 |
| Lichtenstein, Eli Individual | operational/managerial control | — | 2023-07-01 |
| Mandelbaum, Chaim Individual | operational/managerial control | — | 2023-07-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Ashley Manor Health & Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cooper County.