PlainNursing
CMS Nursing Home Compare · August 2026

Ashley Manor Health & Rehabilitation

1630 Radio Hill Road, Boonville, MO 65233

Ashley Manor Health & Rehabilitation, a 52-bed for profit - limited liability company nursing facility in Boonville, MO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #89 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6608826584

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4 / 5
Above average · CMS overall · nat'l 3.0
#89 of 479
In-state rank among rated MO homes
3.41
Below average · nurse hrs/day · nat'l 3.86
24
Inspection findings

The verdict

Ashley Manor Health & Rehabilitation, a 52-bed for profit - limited liability company nursing facility in Boonville, MO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #89 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#89 of 479
In-state rank among rated MO homes
3.41
Nurse hrs/resident-day · national 3.86
24
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
265738
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
52
Residents
48
In Hospital
No
County
Cooper
Last Inspection
Jan 15, 2025

Staffing Data

How the 3.41 total nursing hours per resident-day are staffed:

RN Hours
0.30 (nat'l avg: 0.69)
LPN Hours
0.65
CNA Hours
2.46
Total Nursing Hours
3.41 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
55.8%
RN Turnover
62.5%

What the CMS Record Reveals About Ashley Manor Health & Rehabilitation

According to CMS Nursing Home Compare, Ashley Manor Health & Rehabilitation ranks #89 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Ashley Manor Health & Rehabilitation operates 52 certified beds in Boonville, MO with approximately 48 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 2★ · quality 4★).

The inspection file contains 24 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 3.41 total nursing hours per resident day (national average 3.86), with RN coverage at 0.30 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Ashley Manor Health & Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 55.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Feb 21, 2025

E - Pattern - Minimal harm Jan 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 21, 2025

E - Pattern - Minimal harm Jan 15, 2025 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 21, 2025

C - Widespread - No harm Nov 9, 2023 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Dec 15, 2023

C - Widespread - No harm Nov 9, 2023 Tag: 0868

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

Category: Administration Deficiencies

Corrected: Dec 15, 2023

C - Widespread - No harm Nov 9, 2023 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Dec 15, 2023

C - Widespread - No harm Nov 9, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 9, 2023 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 9, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Nov 9, 2023 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0636

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 15, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Dec 15, 2023

F - Widespread - Minimal harm Nov 9, 2023 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 15, 2023

D - Isolated - Minimal harm Jun 24, 2022 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 22, 2022

E - Pattern - Minimal harm Jun 24, 2022 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Jul 22, 2022

E - Pattern - Minimal harm Jun 24, 2022 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 22, 2022

E - Pattern - Minimal harm Jun 24, 2022 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 22, 2022

F - Widespread - Minimal harm Jun 24, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 22, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 29.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 39.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.6% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 39.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 28.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Ashley Manor Health & Rehabilitation, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Ashley Manor Health & Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 52 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Ashley Manor Health & Rehabilitation?
Ashley Manor Health & Rehabilitation has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (4★).
Where does Ashley Manor Health & Rehabilitation rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Ashley Manor Health & Rehabilitation ranks 89th among 479 rated nursing homes in MO (#89 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Ashley Manor Health & Rehabilitation?
Ashley Manor Health & Rehabilitation reports 3.41 total nursing hours per resident day (national average: 3.86). RN hours are 0.30 per resident day (national average: 0.69). Nursing staff turnover is 55.8%.
How many beds does Ashley Manor Health & Rehabilitation have?
Ashley Manor Health & Rehabilitation has 52 certified beds with approximately 48 residents. The facility is located at 1630 Radio Hill Road, Boonville, MO 65233.
Does Ashley Manor Health & Rehabilitation have any deficiencies on record?
Yes, Ashley Manor Health & Rehabilitation has 24 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Ashley Manor Health & Rehabilitation received any fines or penalties?
No, Ashley Manor Health & Rehabilitation has no fines or penalties on record.
Who owns Ashley Manor Health & Rehabilitation?
Ashley Manor Health & Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Ashley Manor Health & Rehabilitation last inspected?
The most recent health inspection for Ashley Manor Health & Rehabilitation was on Jan 15, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Ashley Manor Health & Rehabilitation?
Ashley Manor Health & Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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