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Nursing HomeMedicaid

Ashley Manor Health & Rehabilitation

Strong Medicare quality ratings; families often praise clean, odor-free environment. Still worth an in-person visit.

1630 Radio Hill Road, Boonville, MO 6523352 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 16 Google reviews

5
4
3
2
1
Ashley Manor Health & Rehabilitation Nursing Home in Boonville, MO — Street View
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What this means for your family

Ashley Manor is highly regarded for its clean environment and professional, welcoming staff, making it a strong candidate for your consideration. However, as some reviewers have noted a need for more CNA support, I recommend asking the administration specifically about their current staffing ratios and how they manage team coverage during peak hours.

Google Reviews

Google Reviews

16 reviews on Google
Ashley Manor Health & Rehabilitation is consistently praised for its clean, odor-free environment and welcoming, professional staff. While visitors appreciate the active engagement of residents and the facility's safety protocols, there is a noted need for increased staffing levels to better support the care team.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean10.0Activities8.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Clean, odor-free environment
  • Friendly and professional staff
  • Active resident engagement
  • Strong safety and security protocols

Concerns

  • Insufficient CNA staffing levels (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02020(2)4.02022(2)5.02023(3)5.02024(5)4.42025(5)5.02026(2)

Distribution · 19 analyzed

5
15
4
3
3
1
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that you have a 4-star rating for health inspections, what specific protocols do you have in place to maintain such high standards of cleanliness and safety?
  • 2I noticed that staffing levels are a common topic for families; how do you ensure that your CNA team is able to provide consistent, attentive care to all 52 residents throughout the day?
  • 3With your strong focus on resident engagement, could you walk me through what a typical afternoon of activities looks like for someone who enjoys socializing?
  • 4Since you have a 4-star CMS rating, what are the primary areas you are currently focusing on to further improve the quality of life for your residents?
  • 5In the event of a medical emergency, what is your protocol for notifying family members and coordinating with local hospitals?
  • 6How do you balance the needs of your residents with your current staffing capacity to ensure that no one feels overlooked during busy times of the day?

Personalized based on this facility's data


Key Review Excerpts

The staff have nice caring tones and it doesn't smell as bad as other care homes. They are very helpful, i have not had any problems. And when talking to the staff about my uncle, they don't make me feel like I am a nuisance.

Family member of resident · 2020★★★★★

It was very clean staff was polite and professional. There was Bingo going on about 10 residents participating and enjoying themselves.

Visitor · 2024★★★★★

Ashley Manor was clean, had attentive friendly staff, and were engaged with the residents. This is a care facility I would fully consider for a family member.

Professional visitor · 2025★★★★★
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
54%
Registered nurses for medical care
Total Nursing
3.39hrs
83%
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility38.3%
Worse than Avg
Here
38.3%
US
12.1%
MO
16.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility43.8%
Worse than Avg
Here
43.8%
US
19.5%
MO
25.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility35.3%
Worse than Avg
Here
35.3%
US
19.4%
MO
17.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
15.5%
MO
23.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
79.8%
MO
63.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.8%
Better than Avg
Here
89.8%
US
81.8%
MO
65.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (12.0)

Ashley Manor shows a concerning pattern of recurring fire safety and infection control deficiencies across all three surveys, with fire safety issues (sprinkler systems, alarms, emergency lighting) appearing repeatedly and still uncorrected as of January 2025. The facility also has ongoing problems with nursing staffing levels and infection prevention programs. While all violations are marked as corrected by the provider, the persistence of similar safety issues across multiple years suggests systemic challenges that families should carefully evaluate before choosing this facility.

Jan 15, 2025Routine
10
0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Nov 9, 2023Routine
27
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0636Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0679Minimal · WidespreadCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0756Minimal · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0868Minimal · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0881Minimal · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Jun 24, 2022Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ashley Manor Health & Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Mo Op Holdco, LLC

Chain Size

9 facilities nationwide

Chain avg rating: 2.4/5 · Rank 1 of 9 (Best)

Ownership & Management

Owners

Mo Op Holdco, LLC

Owner · Organization

Lichtenstein, Eli

Owner (parent company)

Mandelbaum, Chaim

Owner (parent company)

Key personnel

Ashley Manor Property Holdings LLC5% or Greater Security InterestLichtenstein, EliManaging Control - Governing BodyMandelbaum, ChaimManaging Control - Governing BodyAshley Manor Property Holdings LLCManagerBarnes, EricManager
Source: Medicare provider data

Contact

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References & Resources

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