Manchester Rehab and Healthcare CenterCMS ratings, inspections and fines
- Address
- 312 Solley Drive, Ballwin, MO 63021
- CCN
- 265352
- Ownership type
- For-profit, corporation
- Certified beds
- 137
- Chain
- Ama Holdings
- Residents per day
- 87
- 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 Manchester Rehab and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 23 May 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $197,132 for this home in its penalties file. CMS also lists 1 payment denial.
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 County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 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 | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 69 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) | 23 May 2025 | 11 | 9 |
| Cycle 2 | 5 Dec 2023 | 16 | 10 |
| Cycle 3 | No date | 26 | 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 | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 May 2025 | 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 | Complaint investigation | 30 May 2025 |
| 23 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 30 May 2025 |
| 23 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 May 2025 |
| 23 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 30 May 2025 |
| 23 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jul 2025 |
| 23 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 30 May 2025 |
| 23 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jul 2025 |
| 23 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 May 2025 |
| 23 May 2025 | F0761 | 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. | E | Standard survey | 30 May 2025 |
| 23 May 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 30 May 2025 |
| 23 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 30 May 2025 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Oct 2024 |
| 20 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Oct 2024 |
| 5 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Jan 2024 |
| 5 Dec 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 18 Jan 2024 |
| 5 Dec 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 18 Jan 2024 |
| 5 Dec 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 18 Jan 2024 |
| 5 Dec 2023 | F0585 | 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. | D | Complaint investigation | 18 Jan 2024 |
| 5 Dec 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 18 Jan 2024 |
| 5 Dec 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 | 18 Jan 2024 |
| 5 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 18 Jan 2024 |
| 5 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Jan 2024 |
| 5 Dec 2023 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 18 Jan 2024 |
| 5 Dec 2023 | F0727 | 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. | E | Standard survey | 18 Jan 2024 |
| 5 Dec 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 Jan 2024 |
| 5 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 18 Jan 2024 |
| 5 Dec 2023 | F0761 | 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. | E | Standard survey | 6 Feb 2024 |
Survey cycle 3: 26 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 |
|---|---|---|---|---|---|
| 8 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 Jul 2024 |
| 23 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 19 Jun 2024 |
| 23 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 19 Jun 2024 |
| 23 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 19 Jun 2024 |
| 16 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 18 Jan 2024 |
| 16 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Jan 2024 |
| 25 Feb 2020 | 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 | 5 Jun 2020 |
| 25 Feb 2020 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | 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. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0732 | Post nurse staffing information every day. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | 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 | 5 Jun 2020 |
| 25 Feb 2020 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 5 Jun 2020 |
| 25 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Jun 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 |
|---|---|---|---|
| 23 May 2025 | Fine | $197,132 | |
| 23 May 2025 | Payment denial | 12 |
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 | 3.23 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.40 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.47 | 0.68 | |
| Nurse aides | 2.36 | 2.29 | |
| All nurse staff, weekends | 2.90 | 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
- 2
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 | 16.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | 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, corporation
- Legal business name
- Manchester Operator LLC
- Chain
- Ama Holdings (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Manchester Holdco LLC | 5% or greater direct ownership interest | 100% | 24 May 2023 |
| Ama Holdings LLC | 5% or greater indirect ownership interest | 24 May 2023 | |
| Andrew Capital LLC | 5% or greater indirect ownership interest | 24 May 2023 | |
| Def Holdings LLC | 5% or greater indirect ownership interest | 24 May 2023 | |
| Manchester Partners LLC | 5% or greater indirect ownership interest | 24 May 2023 | |
| Mo Operation Equities LLC | 5% or greater indirect ownership interest | 24 May 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Louis County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lutheran Senior Services at Meramec Bluffs | Ballwin | 5 of 5 | 3 | $0 | 9 Oct 2024 | |
| Delmar Gardens on the Green | Chesterfield | 2 of 5 | 12 | $46,589 | 4 Oct 2024 | |
| Athene Nursing and Rehabilitation | Town and Country | 1 of 5 | 31 | $122,846 | 13 Jan 2026 | |
| Big Bend Woods Healthcare Center | Valley Park | 1 of 5 | 9 | $85,176 | 12 Sep 2025 | |
| Garden View Care Center at Dougherty Ferry | Valley Park | 4 of 5 | 4 | $0 | 17 Apr 2026 | |
| Quarters at Des Peres, The | Des Peres | 1 of 5 | 23 | $334,933 | 3 Jun 2025 | |
| Ellisville Rehabilitation and NursingSpecial Focus candidate | Ellisville | 1 of 5 | 37 | $260,092 | 26 Nov 2024 | |
| Delmar Gardens West | Town and Country | 2 of 5 | 8 | $14,433 | 11 Apr 2025 | |
| Mason Pointe Care Center | Chesterfield | 5 of 5 | 1 | $0 | 22 Aug 2024 | |
| Garden View Care Center of Chesterfield | Chesterfield | 4 of 5 | 8 | $0 | 9 Jan 2025 | |
| Aegis Health and Rehabilitation | Wildwood | 1 of 5 | 8 | $275,739 | 30 May 2025 | |
| Brooking Park | Chesterfield | 3 of 5 | 12 | $15,646 | 24 Jul 2024 |
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 Manchester Rehab and Healthcare Center (CCN 265352). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/manchester-rehab-and-healthcare-center-ballwin-mo-265352/
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 Manchester Rehab and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 23 May 2025. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 5 Dec 2023.
- Who operates Manchester Rehab and Healthcare Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Ama Holdings. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Manchester Rehab and Healthcare 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.