Home / Owners / Def Holdings LLC
Nursing homes owned by Def Holdings LLC
The CMS ownership file lists Def Holdings LLC with an ownership interest in 13 certified nursing homes with 1,823 beds in Missouri (13).
CMS ownership and Care Compare data as of September 1, 2026
These homes are largely the same group CMS tracks as the chain Ama Holdings. That page has the group's full record.
What the ownership file says
CMS lists Def Holdings LLC as a indirect owner of 13 homes. Its earliest ownership association date on file is October 19, 2021, the latest September 1, 2024.
An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Ama Holdings (13).
The homes' record in brief
13 of the 13 homes have a CMS overall rating, averaging 1.6 stars against a national average of 3. 13 are for profit, 0 nonprofit; 13 are certified for Medicaid.
Across the inspections on file the homes carry 641 health citations; 28 citations were rated actual harm or immediate jeopardy, 9 immediate jeopardy. At their latest standard inspections they averaged 10.9 health deficiencies (national 9.2).
6 homes were fined in the last three years, $471,110 across 14 fines. Average nursing staff turnover was 65.1% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | 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% |
Daily payroll records of 13 homes, summed. Weekends ran 15% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Manchester Rehab and Healthcare Center | Ballwin | MO | Indirect owner (5% or more), since May 2023 | 1 | 53 | $197,132 | |
| Butler Rehab and Healthcare Center | Butler | MO | Indirect owner (5% or more), since August 2023 | 1 | 35 | ||
| Rancho Rehab and Healthcare Center | Florissant | MO | Indirect owner (5% or more), since October 2021 | 1 | 53 | $28,060 | |
| Crown Rehab and Healthcare Center | Harrisonville | MO | Indirect owner (5% or more), since January 2022 | 2 | 31 | ||
| Rosewood Rehab and Healthcare Center | Independence | MO | Indirect owner (5% or more), since October 2021 | 2 | 60 | $67,052 | |
| New Mark Rehab and Healthcare Center | Kansas City | MO | Indirect owner (5% or more), since September 2024 | 1 | 46 | $12,279 | |
| Seasons Rehab and Healthcare Center | Kansas City | MO | Indirect owner (5% or more), since October 2021 | 4 | 23 | ||
| Wilshire at Lakewood Rehab Center | Lees Summit | MO | Indirect owner (5% or more), since January 2022 | 3 | 34 | ||
| Carriage Square Rehab and Healthcare Center | Saint Joseph | MO | Indirect owner (5% or more), since October 2021 | 1 | 58 | $48,685 | |
| Beauvais Rehab and Healthcare Center | Saint Louis | MO | Indirect owner (5% or more), since October 2021 | 1 | 63 | ||
| River Crossing Rehab and Healthcare Center | Saint Louis | MO | Indirect owner (5% or more), since December 2023 | 2 | 30 | ||
| St. Peters Rehab and Healthcare Center | Saint Peters | MO | Indirect owner (5% or more), since March 2024 | 1 | 99 | $117,902 | |
| Country Club Rehab and Healthcare Center | Warrensburg | MO | Indirect owner (5% or more), since January 2022 | 1 | 56 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.
Staff pay reports
Staff pay at homes Def Holdings LLC owns
No staff pay figure at homes Def Holdings LLC owns has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.