Nursing home · Ballwin, MO
Manchester Rehab and Healthcare Center
312 Solley Drive, Ballwin, MO 63021 · 137 certified beds · for profit ownership · part of Ama Holdings
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 23, 2025, when they cited 11 problems, 3 of them from complaint investigations. The most common area was quality of life and care (5 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 11 are marked corrected in the CMS data. At its most recent standard inspection (May 23, 2025) it had 11 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 3.23 hours per resident per day here, 6% less than the Missouri average (3.43) and 16% less than the U.S. average (3.86). Registered nurses account for 0.40 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Manchester Rehab and Healthcare 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 | 3.23 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.40 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.90 | 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 | 11 | 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 53 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 23, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | J immediate jeopardy | Deficient, Provider has date of correction |
| May 23, 2025 | 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 · complaint | E | Deficient, Provider has date of correction |
| May 23, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| May 23, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| May 23, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| May 23, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| May 23, 2025 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| May 23, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| May 23, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| May 23, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| May 23, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration | D | Deficient, Provider has date of correction |
| Nov 7, 2024 | 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 |
| Sep 20, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jul 8, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| May 23, 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 · complaint | D | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| May 23, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Jan 16, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 16, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 5, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Dec 5, 2023 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | C | Deficient, Provider has date of correction |
| Dec 5, 2023 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Dec 5, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | C | Deficient, Provider has date of correction |
| Dec 5, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 5, 2023 | Provide activities to meet all resident's needs. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Dec 5, 2023 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Dec 5, 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 |
| Dec 5, 2023 | 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 |
| Dec 5, 2023 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | E | Deficient, Provider has date of correction |
| Dec 5, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services | E | Deficient, Provider has date of correction |
| Dec 5, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Dec 5, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Dec 5, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Feb 25, 2020 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | E | Deficient, Provider has date of correction |
| Feb 25, 2020 | 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 |
| Feb 25, 2020 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 25, 2020 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 25, 2020 | Provide activities to meet all resident's needs. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 25, 2020 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 25, 2020 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| May 23, 2025 | Fine | $197,132 |
| May 23, 2025 | Payment Denial | 12 days |
Location
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Reviews
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Questions about Manchester Rehab and Healthcare Center
Answers computed from CMS data for this facility.
What is Manchester Rehab and Healthcare Center's Medicare rating?
Medicare rates Manchester Rehab and Healthcare 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 Manchester Rehab and Healthcare Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 23, 2025, when they cited 11 problems, 3 of them from complaint investigations. The most common area was quality of life and care (5 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 11 are marked corrected in the CMS data. At its most recent standard inspection (May 23, 2025) it had 11 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Manchester Rehab and Healthcare Center been fined?
Yes. CMS reports 1 fine totaling $197,132 in the past three years.
Does Manchester Rehab and Healthcare Center accept Medicaid?
Manchester Rehab and Healthcare Center is certified for both Medicare and Medicaid. Call (636) 391-0666 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.