Nursing home · St. Louis, MO
Grand Manor Health Care Center
3645 Cook Ave, St. Louis, MO 63113 · 120 certified beds · for profit ownership · part of Reliant Care Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on May 28, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Sep 13, 2024) it had 15 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.00 hours per resident per day here, 42% less than the Missouri average (3.43) and 48% less than the U.S. average (3.86). Registered nurses account for 0.17 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Grand Manor Health Care Center compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.00 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.17 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 1.60 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 15 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 46 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 28, 2026 | Honor the resident's right to choose his or her attending physician. Resident rights · complaint | D | Past Non-Compliance |
| Apr 15, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Past Non-Compliance |
| Feb 3, 2026 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Nov 17, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Past Non-Compliance |
| Jun 17, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Jun 17, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint | E | Deficient, Provider has date of correction |
| Apr 16, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Past Non-Compliance |
| Apr 16, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Apr 16, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint | E | Deficient, Provider has date of correction |
| Apr 16, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Sep 13, 2024 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Sep 13, 2024 | Honor the resident's right to manage his or her financial affairs. Resident rights | E | Deficient, Provider has date of correction |
| Feb 13, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Feb 13, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Jul 14, 2023 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident rights | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of life and care | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Reasonably accommodate the needs and preferences of each resident. Resident rights | D | Deficient, Provider has date of correction |
| Jul 14, 2023 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection control | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Jul 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 6, 2019 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident rights | E | Deficient, Provider has date of correction |
| Dec 6, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Dec 6, 2019 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Apr 15, 2026 | Fine | $26,130 |
| Feb 13, 2024 | Fine | $99,988 |
Location
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Reviews
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Questions about Grand Manor Health Care Center
Answers computed from CMS data for this facility.
What is Grand Manor Health Care Center's Medicare rating?
Medicare rates Grand Manor Health Care Center 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Grand Manor Health Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 28, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Sep 13, 2024) it had 15 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Grand Manor Health Care Center been fined?
Yes. CMS reports 2 fines totaling $126,118 in the past three years.
Does Grand Manor Health Care Center accept Medicaid?
Grand Manor Health Care Center is certified for both Medicare and Medicaid. Call (314) 531-2352 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.