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Nursing homeFAID #7325

Holden Manor Health & Rehabilitation

2005 SOUTH LEXINGTON, HOLDEN, MO, 64040
(816) 732-4138
52 licensed beds

CMS rates Holden Manor Health & Rehabilitation 2 out of 5 overall. Federal inspectors issued 66 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
52
State license
052191
CMS facility ID
265739
Care type
Nursing home
Facility name
Holden Manor Health & Rehabilitation
Street address
2005 SOUTH LEXINGTON
City / state / ZIP
Holden, MO 64040
Phone
(816) 732-4138
State license #
052191

Holden Manor Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Holden, Missouri. It is licensed for 52 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Holden and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Holden Manor Health & Rehabilitation 66 times across 7 inspections in the last three years, including 7 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Holden Manor Health & Rehabilitation Llc
Parent company
Mo Op Holdco, Llc
Ownership type
For profit - Corporation
Administrator
Tanya Boyer

Registered owners & officers

Cicero, Steven
Operational control · Additional disclosable party — since 2024
Holden Manor Property Holdings Llc
Security-interest holder · Operational control · Additional disclosable party — since 2023
Huffman, Christine
Operational control · Additional disclosable party — since 2025
Kramer, Shmuel
Operational control · Additional disclosable party — since 2023
Lichtenstein, Eli
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2023
Lichtenstein, Isaac
Indirect owner · Additional disclosable party — since 2023
Mandelbaum, Chaim
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since
2002-05-14
License expires
2026-09-30
CMS overall rating
2 of 5 stars
Health deficiencies
21 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-08-02
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$237 per day (≈ $7,200/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 6% Medicare · 29% private/other
Occupancy
77% (fiscal year 2023)
Vs. state median
8% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
52
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-22Health inspectionComplaint-triggered1 citation
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2026-01-19
2024-08-02Health inspection20 citations
F-0567
D · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-09-15
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-09-15
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-09-15
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-09-15
F-0584
E · No harm found
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.
Corrected 2024-09-15
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-09-15
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-15
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-15
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-09-15
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-09-15
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-09-15
F-0761
E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-09-15
F-0803
E · No harm foundFood safety
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.
Corrected 2024-09-15
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-15
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-09-15
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-15
F-0813
E · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-09-15
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-15
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-15
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-15
5 earlier / fire-safety inspections (45 citations)
2023-01-13Health inspection13 citations
F-0568
D · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-02-21
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-02-21
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-02-21
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-02-21
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-02-21
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-21
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-21
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-21
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-02-21
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-21
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-02-21
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-02-21
2020-11-13Health inspection4 citations
F-0563
D · No harm found
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2020-12-11
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2020-12-11
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2020-11-18
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-12-11
2024-08-02Fire-safety inspection6 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-15
E-0020
F · No harm found
Establish policies and procedures including evacuation.
Corrected 2024-09-15
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-09-15
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-15
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-09-15
K-0911
F · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-09-15
2023-01-13Fire-safety inspection20 citations
E-0007
D · No harm found
Address patient/client population and determine types of services needed.
Corrected 2023-02-21
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2023-02-21
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2023-02-21
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2023-02-21
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-21
K-0252
E · No harm found
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2023-02-21
K-0300
E · No harm found
Meet other general requirements that are deficient.
Corrected 2023-02-21
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-02-21
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-03-31
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-02-21
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-21
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-21
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-02-21
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-21
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-02-21
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-21
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-02-21
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-02-21
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-21
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-02-21
2020-11-13Fire-safety inspection2 citations
K-0343
E · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2020-12-09
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-12-04
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265739.
How it compares in Missouri.
Inspection citations, 3 years
66
More than 68% of nursing homes in the state
State median: 50
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
3.0
Higher than 24% of nursing homes in the state
State median: 3.4
Nursing staff turnover, annual
81%
Higher than 94% of nursing homes in the state
State median: 57%

Resident outcomes

On 17 federal quality measures, this facility does better than the Missouri average on 11 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased14.6%17.4%13.5%Better than state
Lose too much weight3.5%5.1%5.1%Better than state
With a catheter inserted and left in their bladder0.7%0.9%0.7%Better than state
With a urinary tract infection0.0%2.2%1.5%Better than state
Have depressive symptoms3.5%20.0%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.3%4.0%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine56.4%84.0%93.7%Worse than state
Ability to walk independently worsened4.0%15.8%12.7%Better than state
Received an antianxiety or hypnotic medication37.0%25.6%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine82.9%90.8%95.3%Near state average
With pressure ulcers3.5%4.4%4.5%Better than state
With new or worsened bowel or bladder incontinence23.7%17.1%18.3%Worse than state
Received an antipsychotic medication20.8%23.5%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.611.981.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.382.161.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine32.1%65.7%82.3%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0568 2 inspections. Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  • F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0813 2 inspections. Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Where to check, and what's nearby.

Who to contact in Missouri

  • Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
  • File a complaint: 800-392-0210 · Online
  • Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
  • Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Western Missouri Medical Center, about 15 miles. CMS rating 4 of 5.
  • Cass Regional Medical Center, about 21 miles. CMS rating 4 of 5.
  • Lee's Summit Medical Center, about 23 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 66 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered