Nursing homeActive
Ashley Manor Health & Rehabilitation
1630 Radio Hill Road, Boonville, MO 65233660882658452 certified beds · 48 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
24
● 4● 20● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-01-15
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-01-15 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-11-09 | Standard | 4120 | CMS-2567 (Care Compare) | — |
| 2022-06-24 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 265738-20250115-F725
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 265738-20250115-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 265738-20250115-F921
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F558
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F584
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F607
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F636
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F644
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F689
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F700
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F727
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F801
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 265738-20231109-F880
F679Provide activities to meet all resident's needs.Scope/severity CPaperwork
Care planning
Widespread; potential for minimal harm.Corrected 2023-12-15Record 265738-20231109-F679
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity CPaperwork
Medication
Widespread; potential for minimal harm.Corrected 2023-12-15Record 265738-20231109-F756
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-12-15Record 265738-20231109-F868
F881Implement a program that monitors antibiotic use.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2023-12-15Record 265738-20231109-F881
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-22Record 265738-20220624-F677
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-22Record 265738-20220624-F698
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-22Record 265738-20220624-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-22Record 265738-20220624-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-22Record 265738-20220624-F883
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.30
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.41
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.92
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover56%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover63%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.5% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 29.4% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.6% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.4% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 39.2% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ashley Manor Property Holdings LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barnes, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Degraffenreid, Heather Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kramer, Shmuel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lichtenstein, Eli Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mandelbaum, Chaim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ashley Manor Property Holdings LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Ashley Manor Property Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Barnes, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Degraffenreid, Heather Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kramer, Shmuel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lichtenstein, Eli Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lichtenstein, Eli Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lichtenstein, Eli Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Lichtenstein, Isaac Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mandelbaum, Chaim Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mandelbaum, Chaim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mandelbaum, Chaim Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mo Op Holdco, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Mo Op Holdco, LLC — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Cooper.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lakeview Health Care & Rehabilitation Center Boonville | 0.5 mi | 2026-03-31 | 3141 |
| Riverdell Care Center Boonville | 2.7 mi | 2024-12-13 | 050 |
| Katy Manor Pilot Grove | 9.3 mi | 2025-03-27 | 0100 |
| Tipton Oak Manor Tipton | 19.9 mi | 2026-03-12 | 280 |
| Glasgow Gardens Glasgow | 20.5 mi | 2025-04-17 | 150 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |