Hearth Record

Holden Manor Health & Rehabilitation

A nursing home in Holden, Missouri 64040

2005 South Lexington, Holden, Missouri 64040. (816) 732-4138.

  • Not fully inspected in over two years (CMS flag)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 21 citations in 2 months of the last 36. Last cited Jan 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

21 health citations at the latest inspection cycle

The Missouri average is 11.4.

Last standard inspection Aug 2, 2024.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

21 citations in 2 months of the last 36. Last cited Jan 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

21 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 21 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 1 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jan 22, 2026: complaint inspection1 citation
  • Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

    Rule F0557. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 19, 2026.

Aug 2, 2024: standard inspection20 citations
  • Honor the resident’s right to manage his or her financial affairs.

    Rule F0567. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.

    Rule F0568. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Rule F0569. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • 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.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

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

    Rule F0636. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

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

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

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

    Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • 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.

    Rule F0803. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Rule F0813. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

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

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 15, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since May 14, 2002.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 52 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 1 citation in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

2.97 nurse hours per resident per day

The Missouri average is 3.40.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMissouri average
Nurse hours per resident per day2.973.40
Of which registered nurses0.480.46
At weekends2.632.96
Nursing staff turnover80.5%56.9%
Registered nurse turnover71.4%50%
Administrators who left2Not given

Who owns it?

  • Mo Op Holdco, LLC owns 100% directly since Jul 1, 2023.
  • Holden Manor Property Holdings LLC runs it.
  • 30 owners or officers are people: Chaim Mandelbaum (owns a share through other companies, 33.34%); Isaac Lichtenstein (owns a share through other companies, 20.02%); Eli Lichtenstein (owns a share through other companies, 16.67%); A person CMS lists without a name (owns a share through other companies, 2.51%); A person CMS lists without a name (owns a share through other companies, 2.1%); A person CMS lists without a name (owns a share through other companies, 2.1%); A person CMS lists without a name (owns a share through other companies, 1.26%); A person CMS lists without a name (owns a share through other companies, 1.26%); A person CMS lists without a name (owns a share through other companies, 1.26%); A person CMS lists without a name (owns a share through other companies, 1.26%); A person CMS lists without a name (owns a share through other companies, 0.84%); A person CMS lists without a name (owns a share through other companies, 0.42%); A person CMS lists without a name (owns a share through other companies, 0.42%); A person CMS lists without a name (owns a share through other companies, 0.34%); A person CMS lists without a name (owns a share through other companies, 0.21%); A person CMS lists without a name (owns a share through other companies, 0.13%); Chaim Mandelbaum (runs it (operational or managerial control)); Chaim Mandelbaum (on the governing body (managing control)); Chaim Mandelbaum (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Michael Cicero (runs it (operational or managerial control)); Steven Michael Cicero (additional disclosable party (controls, leases property to, or provides services to the home)); Eli Lichtenstein (runs it (operational or managerial control)); Eli Lichtenstein (on the governing body (managing control)); Eli Lichtenstein (additional disclosable party (controls, leases property to, or provides services to the home)); Isaac Lichtenstein (additional disclosable party (controls, leases property to, or provides services to the home)); Christine Huffman (runs it (operational or managerial control)); Christine Huffman (additional disclosable party (controls, leases property to, or provides services to the home)); Shmuel Kramer (runs it (operational or managerial control)); Shmuel Kramer (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Mo Op Holdco, LLC (9 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Holden Manor Property Holdings LLCHolds 5% or more security interest100%Jul 1, 2023
Mo Op Holdco, LLCOwns 5% or more directly100%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies4.2%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies2.94%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies2.1%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies1.68%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies1.39%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies0.84%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies0.84%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies0.84%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies0.67%Jul 1, 2023
An organisation CMS lists without a nameOwns a share through other companies0.42%Jul 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 24, 2025
Holden Manor Property Holdings LLCRuns it (operational or managerial control)Jul 1, 2023
Holden Manor Property Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 21, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 1, 2023

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Missouri average 2.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 24.4 miles, this one had the 5th most health citations at the latest inspection cycle (21; the middle value was 13).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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