Senior CareScorecard

Nursing home · Holden, MO

Holden Manor Health & Rehabilitation

2005 South Lexington, Holden, MO 64040 · 52 certified beds · for profit ownership · part of Mo Op Holdco

Medicare & Medicaid
Medicare overall rating2 / 5Below averageWarrensburg area 1.9 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
2/5Staffing Below average
3/5Quality measures Average
–Short-stay (rehab) quality Not rated
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Jan 22, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Aug 2, 2024) it had 21 citations, compared with an average of 12.7 for Warrensburg-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.07 hours per resident per day here, 10% less than the Missouri average (3.43) and 21% less than the U.S. average (3.86). Registered nurses account for 0.41 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 78% over the past year, 22 points higher than Missouri (56%) and 32 points higher than the U.S. (46%).

How Holden Manor Health & Rehabilitation compares

This home's latest CMS figures next to the averages for Warrensburg-area homes (14), Missouri (487) and the U.S. (14,680).

This homeWarrensburg areaMissouriU.S.
Total nurse hours per resident per day3.073.183.433.86
Registered nurse hours per resident per day0.410.280.460.68
Weekend nurse hours per resident per day2.772.843.013.42
Nursing staff turnover (past year)78%58%56%46%
Registered nurse turnover (past year)67%58%48%43%
Citations at the most recent standard inspection2112.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Jan 22, 20261complaint
Aug 2, 202420standard
Jan 13, 202313standard
Nov 13, 20204standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 38 of 38 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jan 22, 2026Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident rights · complaint
DPast Non-Compliance
Aug 2, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
EDeficient, Provider has date of correction
Aug 2, 2024Implement 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.
Pharmacy service
DDeficient, Provider has date of correction
Aug 2, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Aug 2, 2024Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of life and care
DDeficient, Provider has date of correction
Aug 2, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Aug 2, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
DDeficient, Provider has date of correction
Aug 2, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident assessment and care planning
DDeficient, Provider has date of correction
Aug 2, 2024Honor 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.
Resident rights
DDeficient, Provider has date of correction
Aug 2, 2024Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights
DDeficient, Provider has date of correction
Aug 2, 2024Honor the resident's right to manage his or her financial affairs.
Resident rights
DDeficient, Provider has date of correction
Aug 2, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
DDeficient, Provider has date of correction
Aug 2, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Aug 2, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 2, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 2, 2024Ensure 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.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 2, 2024Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction
Aug 2, 2024Honor 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.
Resident rights
EDeficient, Provider has date of correction
Aug 2, 2024Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Aug 2, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Aug 2, 2024Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and dietary
EDeficient, Provider has date of correction
Jan 13, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jan 13, 2023Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and dietary
DDeficient, Provider has date of correction
Jan 13, 2023Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of life and care
DDeficient, Provider has date of correction
Jan 13, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Jan 13, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Jan 13, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
Jan 13, 2023Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Jan 13, 2023Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning
DDeficient, Provider has date of correction
Jan 13, 2023Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Jan 13, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Jan 13, 2023Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
DDeficient, Provider has date of correction
Jan 13, 2023Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Jan 13, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Nov 13, 2020Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident rights
DDeficient, Provider has date of correction
Nov 13, 2020Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident rights
DDeficient, Provider has date of correction
Nov 13, 2020Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Nov 13, 2020Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Holden Manor Health & Rehabilitation

Answers computed from CMS data for this facility.

What is Holden Manor Health & Rehabilitation's Medicare rating?

Medicare rates Holden Manor Health & Rehabilitation 2 out of 5 stars overall (below average). The average for Warrensburg-area nursing homes is 1.9, for Missouri 2.51 and for the U.S. 2.99.

How did Holden Manor Health & Rehabilitation do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jan 22, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Aug 2, 2024) it had 21 citations, compared with an average of 12.7 for Warrensburg-area homes, 11.4 in Missouri and 9.2 nationally.

Has Holden Manor Health & Rehabilitation been fined?

CMS reports no federal fines for this facility in the past three years.

Does Holden Manor Health & Rehabilitation accept Medicaid?

Holden Manor Health & Rehabilitation is certified for both Medicare and Medicaid. Call (816) 732-4138 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.