nursing home in Saint Louis, MO

Grand Manor Health Care Center

3645 Cook Ave, Saint Louis, MO 63113 · (314) 531-2352

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★2

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Grand Manor Health Care Center at a glance

Grand Manor Health Care Center is a 120-bed for-profit nursing home in Saint Louis, Missouri (St. Louis City County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.

Residents receive about 2 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (September 13, 2024) found 15 health citations. The Missouri average is 11.4.

Federal regulators fined it 2 times in the past three years, totaling $126,118.

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
120
Certified for
Medicare and Medicaid
Chain / affiliated entity
Reliant Care Management
Medicare-certified since
December 18, 2000
Resident/family council
Resident
County
St. Louis City County
CMS Certification Number
265717

Ratings

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.2 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 52.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 52.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 52.7 / 53.3 / 5Worse

Staffing

This facility2.00 hrsMissouri average3.43 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.00 hrs3.43 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.17 hrs0.46 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.39 hrs2.29 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)1.60 hrs3.01 hrs3.42 hrsWorse

Inspections

This facility15Missouri average11U.S. average9
Health citations in the most recent inspection: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)15119Worse
Citations from complaint investigations (latest cycle) (lower is better)733Worse
Weighted health inspection score ⓘ (lower is better)118.8111.880.6Worse

Penalties

This facility2Missouri average1U.S. average1
Fines in the past 3 years: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$126,118$37,425$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Certified beds120103107
Average residents per day1087386
Occupancy89.7%72.4%80.9%

Long-stay residents

This facility1.4%Missouri average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.4%4.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)6.4%4.5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)23.3%23.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.2%2.3%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.5%1.1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)31.1%18.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)31.5%17.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)9%5.3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)82.1%18.5%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)8.7%25.6%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)8.4%17.8%19%Better
Long-stay residents given a flu vaccine (higher is better)66%90.9%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)15.7%84.1%93.6%Worse

Short-stay residents

This facility4.3%Missouri average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)4.3%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)20%63.5%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)15.9%65.7%82%Worse

Inspection citations

State inspectors cited this home for 46 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
May 28, 2026
Complaint
Honor the resident's right to choose his or her attending physician.
Resident Rights Deficiencies · Tag F0555
D
Potential harm, isolated
Past Non-Compliance
April 15, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected April 6, 2026
February 3, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected February 5, 2026
November 17, 2025
Complaint
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 Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected November 18, 2025
November 17, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 25, 2025
November 17, 2025
Complaint
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 Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected September 25, 2025
November 17, 2025
Complaint
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 Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected November 18, 2025
June 17, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected July 14, 2025
June 17, 2025
Complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected July 14, 2025
April 16, 2025
Complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected July 14, 2025
April 16, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected July 14, 2025
April 16, 2025
Complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected May 30, 2025
April 16, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 2, 2025
September 13, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected October 25, 2024
September 13, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected October 25, 2024
September 13, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected October 25, 2024
September 13, 2024
Standard
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
E
Potential harm, pattern
Corrected October 25, 2024
September 13, 2024
Standard
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Tag F0568
E
Potential harm, pattern
Corrected October 25, 2024
September 13, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 25, 2024
September 13, 2024
Standard
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 Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected October 25, 2024
September 13, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected October 25, 2024
September 13, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected October 25, 2024
September 13, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected October 25, 2024
September 13, 2024
Standard
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 Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected October 25, 2024
February 13, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
J
Immediate jeopardy, isolated
Corrected February 17, 2024
February 13, 2024
Complaint
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 Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected March 27, 2024
July 14, 2023
Fire safety
Have elevators that firefighters can control in the event of a fire.
Services Deficiencies · Tag K0531
F
Potential harm, widespread
Corrected August 28, 2023
July 14, 2023
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected August 28, 2023
July 14, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected August 28, 2023
July 14, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected August 28, 2023
July 14, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected August 28, 2023
July 14, 2023
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected August 28, 2023
July 14, 2023
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
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 Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Tag F0568
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
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 Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected August 28, 2023
July 14, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected August 28, 2023
July 14, 2023
Standard
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 Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected August 28, 2023
July 14, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 28, 2023
July 14, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected August 28, 2023
July 14, 2023
Standard
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 Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected August 28, 2023
July 14, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 28, 2023
July 14, 2023
Standard
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 Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected August 28, 2023
December 6, 2019
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected January 15, 2020
December 6, 2019
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
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 Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
E
Potential harm, pattern
Corrected January 15, 2020
December 6, 2019
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected January 15, 2020
December 6, 2019
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected January 15, 2020
December 6, 2019
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
B
No harm, pattern
Corrected January 15, 2020

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $126,118 in fines.

DatePenaltyAmount / length
April 15, 2026Fine$26,130
February 13, 2024Fine$99,988

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
GRAND MANOR ASSOCIATES LLC
Organization
5% or greater mortgage interestNOT APPLICABLE05/01/2024
RCG INC
Organization
adp of the snfNOT APPLICABLE12/10/2024
RELIANT CARE GROUP OF WEBSTER INC
Organization
adp of the snfNOT APPLICABLE12/10/2024
TLG II LLP
Organization
adp of the snfNOT APPLICABLE12/10/2024
ARSHAD, ABDULLAH
Individual
contracted managing employeeNOT APPLICABLE05/01/2024
DESTEFANE, RICHARD
Individual
corporate officerNOT APPLICABLE05/01/2024
RELIANT CARE MANAGEMENT COMPANY LLC
Organization
operational/managerial controlNOT APPLICABLE12/10/2024
ALLEN, ROBIN
Individual
w-2 managing employeeNOT APPLICABLE05/01/2024

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  5. Beauvais Rehab and Healthcare Center

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    • Abuse citation
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Frequently asked questions

What is Grand Manor Health Care Center's rating?

Grand Manor Health Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.

How many inspection citations did Grand Manor Health Care Center receive?

Its most recent standard health inspection found 15 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.

Does Grand Manor Health Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Grand Manor Health Care Center?

It is for profit - limited liability company and part of Reliant Care Management. The ownership section on this page lists the owners and managers reported to CMS.

Where is Grand Manor Health Care Center and how do I contact it?

Grand Manor Health Care Center is at 3645 Cook Ave, Saint Louis, MO 63113. Phone: (314) 531-2352.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.