The nursing home failed to ensure residents were free from significant medication errors. Cited February 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
GRAND MANOR HEALTH CARE CENTER
SAINT LOUIS, MO · Medicare-certified · 120 beds
Needs attention
For-profitChain member
1 of 5 overall
GRAND MANOR HEALTH CARE CENTER in Saint Louis, MO has a 1-star overall rating, with a 1-star staffing rating and reported nurse staffing well below the federal benchmark (1.86 vs 4.1 hours per resident per day). It has no fines in the last 24 months, but it carries the lowest overall rating flag and recent inspection citations included medication errors and food/menu standards.
Facility ratings
Health inspections
Staffing
1.861 hrs/resident/day
Quality measures
Last inspection: February 3, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.861.
Staffing detail
- Registered nurses
- 0.13
- Licensed practical nurses
- 0.43
- Nurse aides
- 1.31
- Weekend nursing
- 1.61
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
20.9%25.9%Worsening
Residents with a fall causing major injury
0%1.9%Worsening
Residents with pressure ulcers (bedsores)
4.8%6%Worsening
Residents with a urinary tract infection
0%0.9%Worsening
Residents who lost too much weight
7.5%12.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
48.2%22.5%Improving
Residents whose ability to walk got worse
47.4%25.1%Improving
Long-stay residents on antianxiety or sleep medication
6.4%7.7%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.8%0.9%Improving
Residents with depressive symptoms
13.6%90.5%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
58.3%9.4%Worsening
Short-stay residents given the seasonal flu vaccine
—20%—
Short-stay residents given the pneumonia vaccine
37.1%19%Worsening
What the inspectors found
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.
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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.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $99,988 in total fines.
- $99,988
Federal fine
Feb 13, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of RELIANT CARE MANAGEMENT · 32 homes · 1.2 stars avg
- Occupancy
- 108.4 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.