Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ASHLEY MANOR HEALTH & REHABILITATION

BOONVILLE, MO · 52 certified beds · Last Life Safety survey January 15, 2025

CMS Certification Number 265738 · first certified May 2002

Ownership

Operated by MO OP HOLDCO, LLC · For profit - Limited Liability company

  • Ownership changed July 1, 2023 (change of ownership)from ASHLEY MANOR INC
23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within MO

23 citations — more than 61% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: March 2026 to October 2026. This facility’s last Life Safety survey was January 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 23 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 23 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility23MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
52022-06112023-1172025-01
Citations at each Life Safety survey
Survey dateCitations
June 24, 20225
November 9, 202311
January 15, 20257

Most-cited tags

Most-cited tags at this facility
K-07123K-03533K-03452K-03241E-00351K-02911K-03551K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-01-15
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-01-15
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22023-11-09
K-0324Provide properly protected cooking facilities.12025-01-15
E-0035Provide family notifications of emergency plan.12025-01-15
K-0291Install emergency lighting that can last at least 1 1/2 hours.12025-01-15
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-11-09
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12022-06-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Miscellaneous Deficiencies 5
  • Emergency Preparedness Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Miscellaneous Deficiencies5
Emergency Preparedness Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1
Construction Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 15, 2025 — 7 citations

Citations issued on January 15, 2025
TagWhat the surveyor checksStatus
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (February 21, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 21, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 21, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 21, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 21, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 21, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 21, 2025)

November 9, 2023 — 11 citations

Citations issued on November 9, 2023
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (December 15, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 15, 2023)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (December 15, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 15, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 15, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 15, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 15, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 15, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 15, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 15, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 15, 2023)

June 24, 2022 — 5 citations

Citations issued on June 24, 2022
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 22, 2022)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (July 22, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 22, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 22, 2022)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 22, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.