Ashley Manor Health &Amp; Rehabilitation

Nursing Home, Memory Care & Skilled Nursing · Boonville, MO

CMS overall rating

1630 Radio Hill Road, Boonville, MO 65233-1957 View map

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Ashley Manor Health &Amp; Rehabilitation accepts Medicare, Medicaid, and private pay.

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Ashley Manor Health &Amp; Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Ashley Manor Health & Rehabilitation

Ashley Manor Health & Rehabilitation LLC, owner Tina Wells, and administrator Heather Johnson run Ashley Manor Health & Rehabilitation at 1630 Radio Hill Road in Boonville, Missouri. Payment tracking runs smoothly through traditional methods, accepting standard accounts like private funds, Medicaid, and Medicare. Family members checking the local neighborhood will find a walkability score of 66 out of 100, meaning you can handle a few small errands on foot, but keeping a vehicle handy is best for most daily trips.

Rosters show that 45 residents live in the 52 certified beds, keeping the building at an 87 percent occupancy level. Individuals stay an average of 243 days, indicating that the care teams spend their time balancing post-hospital physical therapy loops with permanent residential placements. Daily medical treatments and nursing schedules are maintained around the clock, providing an average of 3 hours and 44 minutes of direct nursing care per resident each day through a rotation of registered nurses, licensed practical nurses, and nurse aides.

Regular survey evaluations over its initial year have tracked general staffing practices, nursing documentation habits, and standard infection control routines as ongoing areas for employee updates, keeping the overall citation rate above zero.

Prospective residents can explore the physical rehabilitation rooms, regular activity lounges, and shared social areas. The internal calendar pairs these therapy tracks with casual group events like arts, crafts, and bingo, alongside practical extras like an on-site beauty shop and wheelchair-accessible local transportation.

Facility Direct Line (660) 882-6584

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 44m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	24m per day	▼ 13% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	38m per day	▼ 8% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 21m per day	■ Avg State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 56m per day	▼ 4% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 65% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 32% State avg: 20m per day · National avg: 28m per day

Capacity and availability

243 days

52-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 66 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

87%

Higher than the Missouri average: 66.6%

Occupied beds

45 / 52

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceMarch 1, 2025

ExpirationFebruary 28, 2027

CountyCooper

License Number052518

CMS Certification Number265738

Certification TypeMedicare / Medicaid

Ashley Manor Health &Amp; Rehabilitation is legally operated by Ashley Manor Health & Rehabilitation LLC, and administered by Heather Johnson.

Corporate EntityASHLEY MANOR HEALTH & REHABILITATION LLC

Owner NameAshley Manor Health & Rehabilitation LLC

Skilled Nursing Facility

52 units

Total beds

52 units

Wheelchair Accessible

Rehabilitation Services

Beauty Shop/Barber Shop

Wheelchair-Accessible Transportation

Common Areas

Daily Activities Including Bingo And Arts And Crafts

Since 2018 · 8 years of data 129 deficiencies 12 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection January 15, 2025 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	129	35	This facility has 269% more total deficiencies than a typical Missouri assisted living residence (129 vs. MO avg 35).↑ 269% worse
Deficiencies per year Average deficiencies per year since 2018.	16.1	4.4	This facility has 266% more deficiencies per year than a typical Missouri assisted living residence (16.1 vs. MO avg 4.4).↑ 266% worse
Deficiencies per inspection Average deficiencies per inspection.	10.8	2.9	This facility has 272% more deficiencies per inspection than a typical Missouri assisted living residence (10.8 vs. MO avg 2.9).↑ 272% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	12	12	This facility has total inspections in line with the Missouri average (12 vs. MO avg 12).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 15, 2025 inspection found three deficiencies including inadequate nursing staff, missing two-step TB testing for four employees, and unsafe wheelchair maintenance with cracked armrests.
November 9, 2023 inspection cited 17 deficiencies involving resident dignity, staffing shortages, infection control failures, incomplete assessments, and unqualified dietary management.
June 24, 2022 inspection reported five deficiencies related to resident care delays, dialysis communication gaps, food safety violations, and missed pneumococcal vaccinations.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Jan 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 24 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

20 moderate citations State average: N/A

4 minor citations State average: N/A

Citations history (last 4 years)

Environmental moderate citation Jan 15, 2025

Corrected

Infection Control moderate citation Jan 15, 2025

Corrected

Nursing Services moderate citation Jan 15, 2025

Corrected

Abuse/Neglect moderate citation Nov 09, 2023

Corrected

Total staff 60

Employees 51

Contractors 9

Staff to resident ratio 1.33 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,122

Nursing staff breakdown

8.1 hours

8.7 hours

Contractor staffing

1,064 contractor hours this quarter

Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Physical Therapy Aide: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	23	0	23	7,362	92	100%	8.7
Licensed Practical Nurse	9	0	9	2,693	92	100%	8.1
Medication Aide/Technician	4	0	4	1,868	92	100%	8.3
Nurse Aide in Training	3	0	3	912	73	79%	10.5
Registered Nurse	5	0	5	825	79	86%	8.1
Mental Health Service Worker	1	0	1	528	54	59%	9.8
Physical Therapy Aide	0	1	1	510	64	70%	8
Administrator	1	0	1	480	60	65%	8
Nurse Practitioner	1	0	1	472	59	64%	8
Dietitian	1	0	1	454	58	63%	7.8
Clinical Nurse Specialist	1	0	1	450	62	67%	7.3
Speech Language Pathologist	0	2	2	239	62	67%	3.9
Qualified Social Worker	0	1	1	181	60	65%	3
Physical Therapy Assistant	0	2	2	71	25	27%	2.8
Respiratory Therapy Technician	0	2	2	50	32	35%	1.5
Medical Director	2	0	2	15	11	12%	1.4
Occupational Therapy Assistant	0	1	1	13	3	3%	4.3

23 Certified Nursing Assistant

% of Days 100%

9 Licensed Practical Nurse

% of Days 100%

4 Medication Aide/Technician

% of Days 100%

3 Nurse Aide in Training

% of Days 79%

5 Registered Nurse

% of Days 86%

1 Mental Health Service Worker

% of Days 59%

1 Physical Therapy Aide

% of Days 70%

1 Administrator

% of Days 65%

1 Nurse Practitioner

% of Days 64%

1 Dietitian

% of Days 63%

1 Clinical Nurse Specialist

% of Days 67%

2 Speech Language Pathologist

% of Days 67%

1 Qualified Social Worker

% of Days 65%

2 Physical Therapy Assistant

% of Days 27%

2 Respiratory Therapy Technician

% of Days 35%

2 Medical Director

% of Days 12%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.1

26% better than State average

State average: 10.9

Functional decline score 22.7

17% worse than State average

State average: 19.5

Long-stay resident measures

Average State avg: 2.7

Need for Help with Daily Activities Increased 16.9%

14% better than State average

State average: 19.8%

Walking Ability Worsened 21.3%

In line with State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 30.0%

66% worse than State average

State average: 18.1%

Falls with Major Injury 0.0%

100% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 1.4%

73% better than State average

State average: 5.0%

Urinary Tract Infection 1.9%

32% better than State average

State average: 2.7%

Lost Too Much Weight 0.7%

88% better than State average

State average: 5.6%

Depressive Symptoms 31.2%

143% worse than State average

State average: 12.8%

Antipsychotic Use 28.6%

30% worse than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.21

6% worse than State average

State average: 2.08

ED visits per 1,000 days 2.46

5% worse than State average

State average: 2.35

Short-stay resident measures

Average State avg: 2.1

Pneumococcal Vaccine 86.0%

29% better than State average

State average: 66.6%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.2%

Influenza Vaccine 28.0%

56% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 29.1%

15% worse than State average

State average: 25.3%

Emergency department visits 11.8%

12% better than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Successful return to home or community 43.3%

14% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 3 months

Private pay

60% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 45

Medicare

6.7% of residents

Medicaid

57.8% of residents

Private pay or other

35.6% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Ashley Manor Health &Amp; Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 78.8% ↓ 0.6pp vs 2022

Net Patient Income $171.8K ↑ ~$101.7K vs 2022

Payroll Costs $912.4K ↓ ~$671.5K vs 2022

Operating Margin 8.4% ↑ 6.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	72.6%	74.2%	74.3%	81.4%	75.7%	70.7%	64.4%	62.4%	67.0%	69.7%	76.3%	79.5%	78.8%
Beds	52	52	52	52	52	52	52	52	52	52	52	52	52
Net Income	$13,789	-$97,180	$193,464	$370,348	$237,691	-$262,907	-$13,524	-$70,070	$71,872	$423,517	$1,074,231	$76,401	$171,807
Gross Revenue	$2,690,594	$2,586,329	$2,862,349	$3,198,619	$2,947,427	$2,721,651	$2,620,421	$2,622,103	$3,006,165	$3,578,330	$3,775,759	$3,928,628	$3,165,267
Operating Expenses	$2,088,269	$2,108,720	$2,087,303	$2,289,348	$2,294,717	$2,312,534	$2,285,079	$2,328,290	$2,488,292	$3,065,759	$3,097,113	$3,291,803	$1,867,719
Net Patient Income	-$35,177	-$135,603	$186,178	$346,173	$226,501	-$270,542	-$22,426	-$76,201	$68,413	-$28,484	$138,139	$70,122	$171,807
Net Patient Revenue	$2,053,092	$1,973,117	$2,273,481	$2,635,521	$2,521,218	$2,041,992	$2,262,653	$2,252,089	$2,556,705	$3,037,275	$3,235,252	$3,361,925	$2,039,526
Payroll Costs	$1,221,431	$1,209,253	$1,213,350	$1,275,685	$1,278,421	$1,200,896	$1,176,766	$1,234,064	$1,275,962	$1,533,504	$1,448,895	$1,583,830	$912,356
Operating Margin %	-1.7%	-6.9%	8.2%	13.1%	9.0%	-13.3%	-1.0%	-3.4%	2.7%	-0.9%	4.3%	2.1%	8.4%
Medicare %	7.4%	5.3%	5.2%	8.9%	5.8%	6.5%	7.6%	6.5%	8.1%	12.9%	11.1%	9.8%	7.3%
Medicaid %	65.1%	59.2%	58.5%	48.9%	55.8%	65.2%	64.5%	76.1%	72.3%	68.6%	71.0%	71.8%	76.3%
Private %	27.5%	35.5%	36.3%	42.2%	38.4%	28.3%	27.8%	17.5%	19.6%	18.5%	17.9%	18.4%	16.4%
Net Patient Revenue/Day	$149	$140	$161	$171	$175	$152	$185	$190	$201	$229	$223	$223	$270
Cost/Day	$152	$149	$148	$148	$160	$172	$187	$197	$196	$231	$214	$218	$248
Avg Length of Stay	110.3 days	196.0 days	174.2 days	148.5 days	326.7 days	298.8 days	119.8 days	133.1 days	123.5 days	105.3 days	213.0 days	173.4 days	243.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$2.0M

Net patient income

$171.8K

For-profit Operated by a single business entity.

Net patient revenue

$2.0M

Net patient income

$171.8K

Other income

$127.6K

Payroll costs

$912.4K 44.7% of net patient revenue

Other operating costs

$955.4K

Total costs

$1.9M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 20%

Private pay 60%

Medicaid 20%

Coverage residents most often leave under.

Medicare 26%

Private pay 35%

Medicaid 39%

0.0 miles from city center Estimated distance in miles from Boonville's city center to Ashley Manor Health &Amp; Rehabilitation's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Country Meadows	NH AL IL MC	Park Hills	-	87	A+	37	-
Ignite Medical Resort Blue Springs	NH PC SNF	Blue Springs	-	90	-	68	-
Avalon Memory Care	NH MC	Saint Louis	-	30	-	26	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
Ashley Manor Health &Amp; Rehabilitation	NH MC SNF	Boonville	-	52	-	66	-

Nursing Home Explorer

Who is the owner of Ashley Manor Health &Amp; Rehabilitation?

Ashley Manor Health &Amp; Rehabilitation is legally operated by Ashley Manor Health & Rehabilitation LLC, and administered by Heather Johnson.

Is Ashley Manor Health &Amp; Rehabilitation in a walkable area?

Ashley Manor Health &Amp; Rehabilitation has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Ashley Manor Health &Amp; Rehabilitation?

According to MO state health department records, Ashley Manor Health &Amp; Rehabilitation's license number is 052518.

When does Ashley Manor Health &Amp; Rehabilitation's license expire?

According to MO state health department records, Ashley Manor Health &Amp; Rehabilitation's license expires on February 28, 2027.

What is the occupancy rate at Ashley Manor Health &Amp; Rehabilitation?

Ashley Manor Health &Amp; Rehabilitation's occupancy is 87%.

Does Ashley Manor Health &Amp; Rehabilitation operate as a for-profit or non-profit?

Ashley Manor Health &Amp; Rehabilitation is registered as a for-profit in MO.

Who is the administrator of Ashley Manor Health &Amp; Rehabilitation?

Heather Johnson is the administrator of Ashley Manor Health &Amp; Rehabilitation.

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Ashley Manor Health &Amp; Rehabilitation

Overview of Ashley Manor Health & Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Safety & Compliance

Therapy & Rehabilitation

Amenities & Lifestyle

Contact Ashley Manor Health &Amp; Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

23 Certified Nursing Assistant

9 Licensed Practical Nurse

4 Medication Aide/Technician

3 Nurse Aide in Training

5 Registered Nurse

1 Mental Health Service Worker

1 Physical Therapy Aide

1 Administrator

1 Nurse Practitioner

1 Dietitian

1 Clinical Nurse Specialist

2 Speech Language Pathologist

1 Qualified Social Worker

2 Physical Therapy Assistant

2 Respiratory Therapy Technician

2 Medical Director

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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