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

HOLDEN MANOR HEALTH & REHABILITATION

HOLDEN, MO · 52 certified beds · Last Life Safety survey August 2, 2024

CMS Certification Number 265739 · first certified May 2002

Ownership

Operated by MO OP HOLDCO, LLC · For profit - Corporation

  • Ownership changed July 1, 2023 (change of ownership)from HOLDEN MANOR INC
28
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within MO

28 citations — more than 74% 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 6 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to April 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was August 2024. 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

1 inspection-and-testing tag has 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

6 of the 28 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 28 Life Safety citations above. The Physical Environment Index

  • 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-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • 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 facility28MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility28
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
22020-11202023-0162024-08
Citations at each Life Safety survey
Survey dateCitations
November 13, 20202
January 13, 202320
August 2, 20246

Most-cited tags

Most-cited tags at this facility
K-03212K-03532E-00071K-09141E-00201K-03541E-00321K-09191
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-08-02
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-01-13
E-0007Address patient/client population and determine types of services needed.12023-01-13
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-01-13
E-0020Establish policies and procedures including evacuation.12024-08-02
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12024-08-02
E-0032Provide primary/alternate means for communication.12023-01-13
K-0919Meet requirements for the use of electrical equipment.12023-01-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Emergency Preparedness Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Emergency Preparedness Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies3
Miscellaneous Deficiencies2
Electrical Deficiencies1
Construction Deficiencies1

Every citation on file

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

August 2, 2024 — 6 citations

Citations issued on August 2, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (September 15, 2024)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (September 15, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (September 15, 2024)
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 (September 15, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (September 15, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (September 15, 2024)

January 13, 2023 — 20 citations

Citations issued on January 13, 2023
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (February 21, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 21, 2023)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (February 21, 2023)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 21, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 21, 2023)
K-0252Provide at least two remote exits on each floor or fire section of the building.Deficient, Provider has date of correction (February 21, 2023)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (February 21, 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 (February 21, 2023)
K-0324Provide properly protected cooking facilities.Waiver has been granted (March 31, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (February 21, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 21, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 21, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 21, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 21, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 21, 2023)
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, 2023)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (February 21, 2023)
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 (February 21, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 21, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (February 21, 2023)

November 13, 2020 — 2 citations

Citations issued on November 13, 2020
TagWhat the surveyor checksStatus
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (December 9, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 4, 2020)

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