The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Manor Grove
Registered name: GROVE AT KIRKWOOD, THE
KIRKWOOD, MO · Medicare-certified · 117 beds
Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall
Manor Grove in Kirkwood, MO has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 3.86 nurse staffing hours per resident per day versus the 4.1 federal benchmark, along with $172,400 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8632 hrs/resident/day
Quality measures
Last inspection: April 2, 2026Penalties, last 24 months: $172,400recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8632.
Staffing detail
- Registered nurses
- 0.16
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.79
- Weekend nursing
- 3.50
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
9.1%12%Worsening
Residents with a fall causing major injury
5.7%5%Improving
Residents with pressure ulcers (bedsores)
9.3%8.9%No change
Residents with a urinary tract infection
3%1.3%Improving
Residents who lost too much weight
6.9%13.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.9%15.3%Improving
Residents whose ability to walk got worse
—21.1%—
Long-stay residents on antianxiety or sleep medication
9.7%15.9%Worsening
Short-stay residents newly given an antipsychotic
0%2.9%Worsening
Residents with a long-term catheter
0%1.9%Worsening
Residents with new or worsening incontinence
15.2%2.6%Improving
Residents with depressive symptoms
0%29.7%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
—97.1%—
Long-stay residents given the pneumonia vaccine
100%73.8%Worsening
Short-stay residents given the seasonal flu vaccine
—83.9%—
Short-stay residents given the pneumonia vaccine
92.9%62.7%Worsening
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to provide needed social services to help each resident reach the best possible quality of life. Cited April 2026 — isolated incident, actual harm.
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F-Tag 745 — 42 CFR §483.40 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2019 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure residents could keep Medicare or Medicaid and failed to clearly tell them what care it does not provide. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 620 — 42 CFR §483.15(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $172,400 was recorded.
- PENALTY
A federal fine of $117,800 was recorded.
- INSPECTION
Health inspection found 21 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $172,400 in total fines · 1 payment denial.
- 57 days
Medicare/Medicaid payment denial
Jan 29, 2026
- $172,400
Federal fine
Jan 29, 2026
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 101 residents on an average day (86% of 117 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 years
The most recent standard health inspection was more than two years ago.
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.