Home / Owners / Mo Operation Holdings De Spe LLC
Nursing homes owned by Mo Operation Holdings De Spe LLC
The CMS ownership file lists Mo Operation Holdings De Spe LLC with an ownership interest in 8 certified nursing homes with 1,173 beds in Missouri (8).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Mo Operation Holdings De Spe LLC as a direct owner of 8 homes, and with operational or managerial control of 7 homes. Its earliest ownership association date on file is January 25, 2024, the latest January 25, 2024.
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 (8).
The homes' record in brief
8 of the 8 homes have a CMS overall rating, averaging 1.9 stars against a national average of 3. 8 are for profit, 0 nonprofit; 8 are certified for Medicaid.
Across the inspections on file the homes carry 378 health citations; 15 citations were rated actual harm or immediate jeopardy, 6 immediate jeopardy. At their latest standard inspections they averaged 11.9 health deficiencies (national 9.2).
3 homes were fined in the last three years, $143,797 across 7 fines. Average nursing staff turnover was 63.0% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.47 | 3.75 |
| Registered nurses | 0.40 | 0.62 |
| Weekdays | 3.62 | 3.92 |
| Weekends | 3.10 | 3.33 |
| Share of nursing hours by contract staff | 5.6% | 5.3% |
Daily payroll records of 8 homes, summed. Weekends ran 14% 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 |
|---|---|---|---|---|---|---|---|
| Rancho Rehab and Healthcare Center | Florissant | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 1 | 53 | $28,060 |
| Crown Rehab and Healthcare Center | Harrisonville | MO | Direct owner (5% or more), since January 2024 | 99% | 2 | 31 | |
| Rosewood Rehab and Healthcare Center | Independence | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 2 | 60 | $67,052 |
| Seasons Rehab and Healthcare Center | Kansas City | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 4 | 23 | |
| Wilshire at Lakewood Rehab Center | Lees Summit | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 3 | 34 | |
| Carriage Square Rehab and Healthcare Center | Saint Joseph | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 1 | 58 | $48,685 |
| Beauvais Rehab and Healthcare Center | Saint Louis | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 1 | 63 | |
| Country Club Rehab and Healthcare Center | Warrensburg | MO | Direct owner (5% or more); Operational or managerial control, since January 2024 | 99% | 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 Mo Operation Holdings De Spe LLC owns
No staff pay figure at homes Mo Operation Holdings De Spe 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.
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