Grand Manor Health Care CenterCMS ratings, inspections and fines
- Address
- 3645 Cook Ave, Saint Louis, MO 63113
- CCN
- 265717
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Residents per day
- 108
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Grand Manor Health Care Center an overall rating of 1 of 5 stars. The last standard survey was on 13 Sep 2024. The latest survey cycle has 15 health citations. The median for nursing homes in Missouri is 9. CMS lists 2 fines with a total of $126,118 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Louis city median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 2.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 13 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Sep 2024 | 15 | 9 |
| Cycle 2 | 14 Jul 2023 | 20 | 10 |
| Cycle 3 | No date | 11 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0555 | Honor the resident's right to choose his or her attending physician. | D | Complaint investigation | Past Non-Compliance |
| 15 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 3 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Feb 2026 |
| 17 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Sep 2025 |
| 17 Nov 2025 | F0688 | 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. | D | Complaint investigation | 18 Nov 2025 |
| 17 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Sep 2025 |
| 17 Nov 2025 | F0803 | 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. | E | Complaint investigation | 18 Nov 2025 |
| 13 Sep 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0758 | 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. | D | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 25 Oct 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Oct 2024 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 14 Jul 2025 |
| 17 Jun 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 14 Jul 2025 |
| 16 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 30 May 2025 |
| 16 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 14 Jul 2025 |
| 16 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2025 |
| 16 Apr 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 14 Jul 2025 |
| 14 Jul 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0578 | 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. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0584 | 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. | E | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0688 | 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. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0700 | 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. | D | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 28 Aug 2023 |
| 14 Jul 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 28 Aug 2023 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Mar 2024 |
| 13 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 17 Feb 2024 |
| 6 Dec 2019 | F0578 | 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. | E | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Jan 2020 |
| 6 Dec 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Jan 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Apr 2026 | Fine | $26,130 | |
| 13 Feb 2024 | Fine | $99,988 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 2.00 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.17 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.45 | 0.68 | |
| Nurse aides | 1.39 | 2.29 | |
| All nurse staff, weekends | 1.60 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.3% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Grand Manor Health Care Center LLC
- Chain
- Reliant Care Management (34 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Grand Manor Associates LLC | 5% or greater mortgage interest | 1 May 2024 | |
| Reliant Care Management Company LLC | Operational/managerial control | 10 Dec 2024 | |
| RCG Inc | Adp of the snf | 10 Dec 2024 | |
| Reliant Care Group of Webster Inc | Adp of the snf | 10 Dec 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Louis city
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Blue Circle Rehab and Nursing | Saint Louis | 2 of 5 | 23 | $13,042 | 11 Dec 2024 | |
| Bernard Care Center | Saint Louis | 1 of 5 | 24 | $37,388 | 19 Dec 2025 | |
| Life Care Center of St Louis | Saint Louis | 4 of 5 | 7 | $15,646 | 16 Jan 2026 | |
| Delhaven Manor | Saint Louis | 3 of 5 | 9 | $73,048 | 13 Nov 2024 | |
| Beauvais Rehab and Healthcare Center | Saint Louis | 1 of 5 | 20 | $0 | 21 Mar 2025 | |
| Oak Park Care Center | Saint Louis | 3 of 5 | 5 | $0 | 14 Aug 2024 | |
| Magnolia Wellness Center | Saint Louis | 1 of 5 | 26 | $209,790 | 15 Feb 2024 | |
| Pine Grove Manor | Saint Louis | 1 of 5 | 21 | $31,665 | 13 Mar 2026 | |
| Lansdowne Village | Saint Louis | 1 of 5 | 14 | $15,015 | 17 Nov 2025 | |
| Hillside Health Care CenterSpecial Focus Facility | Saint Louis | Not rated | 28 | $168,680 | 24 Apr 2026 | |
| Carrie Elligson Gietner Health Care Center | Saint Louis | 1 of 5 | 17 | $92,561 | 21 May 2026 | |
| St Louis Altenheim | Saint Louis | Not rated | 10 | $0 | 10 Oct 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Grand Manor Health Care Center (CCN 265717). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/grand-manor-health-care-center-saint-louis-mo-265717/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Grand Manor Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 28 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 14 Jul 2023.
- Who operates Grand Manor Health Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Reliant Care Management. The CMS ownership file names Reliant Care Management Company LLC for operational or managerial control. This site does not show the names of persons.
- Is Grand Manor Health Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.