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Nursing home report

GRAND MANOR HEALTH CARE CENTER

SAINT LOUIS, MO · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Grand Manor Health Care Center in Saint Louis has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. Reported staffing is 2.00 hours per resident per day, well below the 4.1 federal benchmark, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.0042 hrs/resident/day

Quality measures

Last inspection: May 28, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.0042.

Staffing detail

Registered nurses
0.17
Licensed practical nurses
0.45
Nurse aides
1.39
Weekend nursing
1.60

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

21.2%25.5%Worsening

Residents with a fall causing major injury

1.9%0%Improving

Residents with pressure ulcers (bedsores)

9.4%4.7%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

7%12%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

46.9%10.2%Improving

Residents whose ability to walk got worse

59.5%5.4%Improving

Long-stay residents on antianxiety or sleep medication

8.7%8.9%No change

Short-stay residents newly given an antipsychotic

4.3%

Residents with a long-term catheter

1.9%0%Improving

Residents with new or worsening incontinence

14.3%1.7%Improving

Residents with depressive symptoms

67.4%83.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

66%

Long-stay residents given the pneumonia vaccine

34.3%12.5%Worsening

Short-stay residents given the seasonal flu vaccine

20%

Short-stay residents given the pneumonia vaccine

32%4%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to ensure residents were free from significant medication errors. Cited February 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited November 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: E

The nursing home failed to provide services that met professional standards of quality. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $99,988 in total fines.

  • Federal fine

    Feb 13, 2024

    $99,988

Operator & ownership

Recent ownership change · May 1, 2024

Now operated by Grand Manor Health Care Center, previously Grand Manor Nursing & Rehabilitation Center.

Ownership
For profit - Limited Liability company
Chain
Part of RELIANT CARE MANAGEMENT · 33 homes · 1.2 stars avg
Occupancy
107.6 residents on an average day (90% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 25 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.