Nursing home report
BALLWIN, MO · Medicare-certified · 137 beds
Manchester Rehab and Healthcare Center in Ballwin, MO has a 1-star overall rating, with 1-star staffing and quality measures and 2-star health inspections. It reports 3.23 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $197,132 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.2323 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2323.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to properly watch nurse aides' work and provide regular training. Cited February 2020 — widespread issue, potential for harm.
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited February 2020 — widespread issue, potential for harm.
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2025 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2025 — limited pattern, potential for harm.
F-Tag 607 — 42 CFR §483.12 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal payment denial was recorded.
A federal fine of $197,132 was recorded.
Health inspection found 11 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $197,132 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
May 23, 2025
Federal fine
May 23, 2025
Now operated by Manchester Rehab and Healthcare Center, previously West County Care Center.
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.
