Ama Holdings

PBJ Takeaway: Ama Holdings

14 Facilities1 States100% For-ProfitAvg. Overall Rating: 1.6Avg. Staffing Rating: 1.4Staffing Rating: 1.4

Ama Holdings operates 14 nursing homes across 1 state, all classified as for-profit. Its average CMS overall rating is 1.6 stars.

Across the portfolio, facilities report an average of 3.50 total nurse HPRD, including 0.40 RN hours, below the national ratio of 3.77 HPRD.

64% of Ama Holdings facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 19 fines ($799,917) for the chain's nursing homes.

320 Consulting

Ama Holdings Key Metrics

Providers

States

Avg. Rating

1.6

Total Fines

$799,917

– Ama Holdings

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Ama Holdings

Overall

1.6

Health Inspection

2.0

Staffing

1.4

Quality Measures

2.2

Ama Holdings Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
MO	Butler Rehab and Healthcare Center ⚠	Butler	3.21	0.40	1	1
MO	New Mark Rehab and Healthcare Center ⚠	Kansas City	3.13	0.26	1	1
MO	Carriage Square Rehab and Healthcare Center ⚠	Saint Joseph	3.56	0.38	1	1
MO	Manchester Rehab and Healthcare Center ⚠	Ballwin	3.45	0.47	1	1
MO	Rancho Rehab and Healthcare Center ⚠	Florissant	3.17	0.51	1	1
MO	River Crossing Rehab and Healthcare Center	Saint Louis	3.59	0.47	3	2
MO	Hillside Health Care Center ⚠	Saint Louis	3.80	0.33	1	1
MO	St Peters Rehab and Healthcare Center ⚠	Saint Peters	3.60	0.50	1	1
MO	Country Club Rehab and Healthcare Center	Warrensburg	3.73	0.54	2	2
MO	Crown Rehab and Healthcare Center	Harrisonville	3.27	0.42	2	1
MO	Beauvais Rehab and Healthcare Center ⚠	Saint Louis	3.48	0.39	1	2
MO	Wilshire at Lakewood Rehab Center	Lees Summit	3.96	0.82	4	2
MO	Rosewood Rehab and Healthcare Center ⚠	Independence	3.37	0.28	1	1
MO	Seasons Rehab and Healthcare Center	Kansas City	3.43	0.34	4	2

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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