Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ashley Manor Health & Rehabilitation during CMS and state inspections, most recent first.
The facility failed to provide adequate nursing staff, resulting in extended call light wait times and unmet resident needs. Residents reported long waits for assistance, often remaining in soiled clothing, while staff acknowledged the impact of staffing shortages on care delivery. The facility's staffing levels did not meet the requirements outlined in their assessment, contributing to the deficiency.
The facility failed to complete the two-step PPD skin test for TB for four employees, including a staffing coordinator and an LPN. The facility's policy requires TB screening before employment, but documentation for the second step was missing. Interviews revealed a lack of clarity and oversight regarding responsibility for completing the tests.
The facility failed to maintain wheelchairs in good repair for four residents, resulting in cracked and peeling armrests with sharp edges. Staff interviews revealed a lack of awareness and follow-through in reporting maintenance issues, with some assuming others were responsible. The maintenance and therapy departments were unaware of the problems due to the absence of maintenance requests, despite the potential risks of skin tears and infections.
Inadequate Staffing Leads to Delayed Resident Care
Penalty
Summary
The facility failed to provide adequate nursing staff to meet the needs of its residents, as evidenced by extended call light wait times and insufficient staffing levels compared to the facility's own assessment. The facility's policy on answering call lights emphasizes timely responses, yet the call light response times recorded were significantly delayed, with some residents waiting over an hour for assistance. The facility's assessment indicated a need for 12 CNAs over a 24-hour period, but the actual staffing levels fell short, with as few as seven CNAs on some days. Interviews with residents revealed dissatisfaction with the timeliness of care, with multiple residents reporting long waits for assistance, leading to discomfort and prolonged periods in soiled clothing. Residents expressed frustration and anxiety over the delays, with some noting that it often took several hours to receive help. The interviews highlighted that the facility's staffing issues were impacting the quality of care, as residents were left waiting for basic needs to be met. Staff interviews corroborated the residents' concerns, with CNAs and LPNs acknowledging the staffing shortages and the challenges in providing timely care. The Director of Nursing and the Staffing Coordinator admitted to the staffing issues, noting that the facility was not meeting the staffing levels outlined in the Facility Assessment. The administrator also acknowledged the impact of staffing shortages on care delivery, particularly when multiple staff members were required to assist a single resident, leaving other residents unattended. Despite awareness of the issues, the facility had not taken effective measures to address the staffing deficiencies.
Incomplete TB Testing for New Employees
Penalty
Summary
The facility failed to ensure the completion of the two-step purified protein derivative (PPD) skin test for Tuberculosis (TB) for four employees out of ten sampled. The employees affected included a staffing coordinator, a dietary assistant, an MDS coordinator, and an LPN. The facility's policy requires all employees to be screened for latent TB infection and active TB disease using a tuberculin skin test or interferon gamma release assay before beginning employment. However, the employee files for these four staff members did not contain documentation that the second step of the PPD test had been completed. Interviews with facility staff revealed a lack of clarity and oversight regarding the responsibility for ensuring the completion of the two-step TB tests. The business office manager, who is responsible for new employee screenings, and the Director of Nursing (DON), who is responsible for ensuring the completion of the two-step TB tests, were both unaware of the incomplete tests. The administrator, who started in December, was also unaware of the issue until the day of the interview and acknowledged problems with follow-through in the current process.
Failure to Maintain Wheelchairs in Good Repair
Penalty
Summary
The facility failed to maintain wheelchairs in good repair for four residents, leading to potential safety and comfort issues. Observations revealed that the wheelchairs of these residents had cracked and peeling armrests, with sharp edges and exposed foam. Despite the facility's policy requiring maintenance requests to be submitted and repairs to be documented in the TELS system, no such requests were found for the damaged wheelchairs over the past 30 days. Interviews with staff, including CNAs and LPNs, indicated a lack of awareness and follow-through in reporting and addressing the wheelchair maintenance issues. Some staff members noticed the damage but did not submit maintenance requests, assuming it was the responsibility of the night shift or believing that requests had already been made. The DON and other staff acknowledged the presence of cracked and peeling armrests but did not take action to report or address the issue, citing a lack of clarity on the reporting process. The facility's maintenance and therapy departments were responsible for wheelchair upkeep, but there was a breakdown in communication and procedure adherence. The maintenance director and therapy director were unaware of the issues due to the absence of maintenance requests. The administrator and DON recognized the potential risks of skin tears and infections from the damaged armrests but did not ensure that staff were properly reporting and addressing these maintenance needs.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 27 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Boonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakeview Health Care & Rehabilitation Center | 0.5 mi | ★★★★★ | 5 | 0 |
| Riverdell Care Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Katy Manor | 9.3 mi | ★★★★★ | 0 | 0 |
| Tipton Oak Manor | 19.9 mi | ★★★★★ | 0 | 0 |
| Glasgow Gardens | 20.5 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.