The home failed to run its operations effectively and efficiently using its available resources. Cited May 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: K
Nursing home report
MANCHESTER REHAB AND HEALTHCARE CENTER
BALLWIN, MO · Medicare-certified · 137 beds
Needs attention
For-profitChain member
1 of 5 overall
1 out of 5 stars overall. Manchester Rehab and Healthcare Center has very low staffing and quality ratings (both 1 out of 5), reported nurse staffing below the federal benchmark (3.37 vs. 4.1 hours/resident/day), and $197,132 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3679 hrs/resident/day
Quality measures
Last inspection: May 23, 2025Penalties, last 24 months: $197,132recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3679.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.48
- Weekend nursing
- 2.97
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
14.7%14%Improving
Residents with a fall causing major injury
0%3.9%Worsening
Residents with pressure ulcers (bedsores)
10.4%6.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%6.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6%20%Worsening
Residents whose ability to walk got worse
4.5%20.7%Worsening
Long-stay residents on antianxiety or sleep medication
21.1%16.4%Improving
Short-stay residents newly given an antipsychotic
4%4%No change
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
21%13.6%Improving
Residents with depressive symptoms
60.4%71.6%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
—90.3%—
Long-stay residents given the pneumonia vaccine
86.2%64.9%Worsening
Short-stay residents given the seasonal flu vaccine
—26.2%—
Short-stay residents given the pneumonia vaccine
28.8%11.1%Worsening
What the inspectors found
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $197,132 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- 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 · $197,132 in total fines · 1 payment denial.
- 12 days
Medicare/Medicaid payment denial
May 23, 2025
- $197,132
Federal fine
May 23, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AMA HOLDINGS · 14 homes · 1.5 stars avg
- Occupancy
- 79.2 residents on an average day (58% of 137 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.