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Ama Holdings nursing homes
13 nursing homes with 1,823 beds in Missouri (13).
CMS affiliated entity 27 · data as of September 1, 2026
The group's record in brief
CMS links 13 certified nursing homes in 1 state to Ama Holdings: 13 for profit, 0 nonprofit. 13 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 641 health citations; 28 citations were rated actual harm or immediate jeopardy, 9 of them immediate jeopardy. At their latest standard inspections the homes averaged 10.9 health deficiencies (national average 9.2).
6 homes in the group were fined in the last three years, $471,110 in all across 14 fines. Average nursing staff turnover across its homes was 65.1% (national 45.8%).
Staffing across the group
Daily payroll records from 13 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 15% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.45 | 3.75 |
| Registered nurses | 0.42 | 0.62 |
| Weekdays | 3.60 | 3.92 |
| Weekends | 3.07 | 3.33 |
| Share of nursing hours by contract staff | 7.5% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
13 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 1.6 overall, 2.3 health inspections, 1.2 staffing, 2.3 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 0 | |
| 4 of 5 | 1 | |
| 3 of 5 | 1 | |
| 2 of 5 | 3 | |
| 1 of 5 | 8 |
Across the group: 28 citations rated actual harm or immediate jeopardy, and an average of 3.46 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Manchester Rehab and Healthcare Center | Ballwin | MO | 1 | 53 | $197,132 |
| Butler Rehab and Healthcare Center | Butler | MO | 1 | 35 | |
| Rancho Rehab and Healthcare Center | Florissant | MO | 1 | 53 | $28,060 |
| Crown Rehab and Healthcare Center | Harrisonville | MO | 2 | 31 | |
| Rosewood Rehab and Healthcare Center | Independence | MO | 2 | 60 | $67,052 |
| New Mark Rehab and Healthcare Center | Kansas City | MO | 1 | 46 | $12,279 |
| Seasons Rehab and Healthcare Center | Kansas City | MO | 4 | 23 | |
| Wilshire at Lakewood Rehab Center | Lees Summit | MO | 3 | 34 | |
| Carriage Square Rehab and Healthcare Center | Saint Joseph | MO | 1 | 58 | $48,685 |
| River Crossing Rehab and Healthcare Center | Saint Louis | MO | 2 | 30 | |
| Beauvais Rehab and Healthcare Center | Saint Louis | MO | 1 | 63 | |
| St. Peters Rehab and Healthcare Center | Saint Peters | MO | 1 | 99 | $117,902 |
| Country Club Rehab and Healthcare Center | Warrensburg | MO | 1 | 56 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: Ama Holdings LLC, Def Holdings LLC.