D

HOLDEN MANOR HEALTH & REHABILITATION

2005 SOUTH LEXINGTON, HOLDEN, MO 64040
Score: 40 / 100

Holden Manor Health & Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 45th percentile among Missouri nursing homes, suggesting significant room for improvement.

Staffing levels are a potential concern at Holden Manor Health & Rehabilitation, with 3.01 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 38 deficiencies at Holden Manor Health & Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.01 3.8 Below Average
Registered Nurses (RN) 0.64 0.7 Average
Licensed Practical Nurses (LPN) 0.40 0.7 Below Average
Certified Nursing Assistants (CNA) 1.97 2.4 Below Average
Weekend Total Nursing 2.68 3.8 Below Average
Weekend RN Hours 0.46 0.7 Below Average

🔍 Inspection & Deficiency History

38
Total Deficiencies
Jan 21, 2026
Most Recent Inspection
🟠 38 Moderate
View recent deficiencies (5 shown)
  • Tag 0557 Severity D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    Jan 21, 2026 · Resident Rights Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 1, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Aug 1, 2024 · Infection Control Deficiencies
  • Tag 0568 Severity E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    Aug 1, 2024 · Resident Rights Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Aug 1, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.3% 4.5% Average
Falls with major injury 5.6% 3.0% Worse
On antipsychotic medication 26.9% 14.5% Worse
Urinary tract infections 2.2% 2.5% Better
ADL decline (daily activities) 21.5% 14.0% Worse
Excessive weight loss 5.6% 7.5% Better
New/worsened incontinence 20.3% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
52
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 1, 2024
Deficiencies (Cycle 1)
21