Data / Nursing homes / Def Holdings LLC
Def Holdings LLC: 13 nursing homes, $471,110 in fines in the last 3 years
CMS lists Def Holdings LLC as an owner or manager of 13 nursing homes in 1 state, and those homes were fined $471,110 across 14 fines and had 2 payment denials in the three years to October 1, 2026. 6 of them are rated one star, and the average overall rating is 1.9 of 5. Together they have 1,823 certified beds and 337 health citations in that time, 22 of them with actual harm or immediate jeopardy.
SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.
- Facilities
- 13, of which 13 owned and 0 managed
- States
- 1
- Certified beds
- 1,823
- Average overall rating
- 1.9 of 5
- One star facilities
- 6
- Special focus facilities
- 0
- Fines
- $471,110 across 14 fines
- Payment denials
- 2
- Health citations
- 337, of which 22 with actual harm or immediate jeopardy
- Latest survey
- August 20, 2026
Facilities
Ranked by fines, then by lowest star rating. Each row links to the facility page and to its Medicare Care Compare record.
| Facility | City | State | Role | Stars | Beds | Fines | Fine total | Citations | Latest survey | Source |
|---|---|---|---|---|---|---|---|---|---|---|
| Manchester Rehab and Healthcare Center | Ballwin | MO | Indirect owner | 1 | 137 | 1 | $197,132 | 33 | May 23, 2025 | medicare.gov |
| St Peters Rehab and Healthcare Center | Saint Peters | MO | Indirect owner | 1 | 96 | 4 | $117,902 | 65 | June 11, 2026 | medicare.gov |
| Rosewood Rehab and Healthcare Center | Independence | MO | Indirect owner | 2 | 300 | 4 | $67,052 | 23 | July 23, 2026 | medicare.gov |
| Carriage Square Rehab and Healthcare Center | Saint Joseph | MO | Indirect owner | 1 | 130 | 1 | $48,685 | 25 | June 4, 2026 | medicare.gov |
| Rancho Rehab and Healthcare Center | Florissant | MO | Indirect owner | 1 | 120 | 2 | $28,060 | 30 | June 5, 2026 | medicare.gov |
| New Mark Rehab and Healthcare Center | Kansas City | MO | Indirect owner | 2 | 199 | 2 | $12,279 | 32 | July 29, 2026 | medicare.gov |
| Beauvais Rehab and Healthcare Center | Saint Louis | MO | Indirect owner | 1 | 184 | 0 | $0 | 40 | September 26, 2025 | medicare.gov |
| Butler Rehab and Healthcare Center | Butler | MO | Indirect owner | 1 | 98 | 0 | $0 | 25 | June 29, 2026 | medicare.gov |
| Country Club Rehab and Healthcare Center | Warrensburg | MO | Indirect owner | 2 | 73 | 0 | $0 | 17 | March 14, 2025 | medicare.gov |
| Crown Rehab and Healthcare Center | Harrisonville | MO | Indirect owner | 3 | 118 | 0 | $0 | 11 | March 24, 2025 | medicare.gov |
| River Crossing Rehab and Healthcare Center | Saint Louis | MO | Indirect owner | 3 | 120 | 0 | $0 | 10 | August 20, 2026 | medicare.gov |
| Wilshire at Lakewood Rehab Center | Lees Summit | MO | Indirect owner | 3 | 170 | 0 | $0 | 19 | November 18, 2025 | medicare.gov |
| Seasons Rehab and Healthcare Center | Kansas City | MO | Indirect owner | 4 | 78 | 0 | $0 | 7 | February 11, 2026 | medicare.gov |
By state
| State | Facilities | Fine total |
|---|---|---|
| Missouri | 13 | $471,110 |
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.