facebook tracking Manchester Rehab and Healthcare Center, Ballwin MO
Skip to content

Manchester Rehab and Healthcare Center

All states › Missouri › Ballwin › Manchester Rehab and Healthcare Center

312 Solley Drive Ballwin, MO 63021 · St. Louis County

(636) 391-0666

All 2 nursing homes in Ballwin, MO (2 take Medicaid)

Accepts Medicare Accepts Medicaid 137 certified beds For profit

CMS certification number 265352 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Manchester Rehab and Healthcare Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Manchester Rehab and Healthcare Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6. Inspectors issued 53 citations in the last three years. CMS imposed 2 penalties, including $197,132 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.37 hours per resident per day at Manchester Rehab and Healthcare Center, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 2.95 hours, 13% below its all-week average. 80.6% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.

Nursing care per resident per day 3.37 hours
About the Missouri median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.37 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.95 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 80.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds137
Residents per day 92 About 67% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1989
Part of a chainAma Holdings
Legal business nameMANCHESTER OPERATOR LLC

Paying for care at Manchester Rehab and Healthcare Center: Medicare and Medicaid

Manchester Rehab and Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 23, 2025 and found 8 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 53 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 53 citations at Manchester Rehab and Healthcare Center across 8 inspection dates, 17 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 23, 2025. The most common areas cited were quality of life and care (17) and pharmacy service (9). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, May 23, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.

May 23, 2025 · 11 citations · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 30, 2025)

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (May 30, 2025)

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (May 30, 2025)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (May 30, 2025)

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 30, 2025)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (May 30, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 30, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 10, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 10, 2025)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (May 30, 2025)

DProvide timely, quality laboratory services/tests to meet the needs of residents.

Potential for more than minimal harm · Administration Deficiencies · Tag F0770 · Deficient, Provider has date of correction (May 30, 2025)

November 7, 2024 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Oct 25, 2024)

September 20, 2024 · 1 citation · includes complaint inspection

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Oct 10, 2024)

July 8, 2024 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2024)

May 23, 2024 · 3 citations · includes complaint inspection

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jun 19, 2024)

January 16, 2024 · 2 citations · includes complaint inspection

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

December 5, 2023 · 14 citations · includes complaint inspection

ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Jan 18, 2024)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jan 18, 2024)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Jan 18, 2024)

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 6, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jan 18, 2024)

DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jan 18, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2024)

CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0577 · Deficient, Provider has date of correction (Jan 18, 2024)

CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jan 18, 2024)

February 25, 2020 · 20 citations

FObserve each nurse aide's job performance and give regular training.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Jun 5, 2020)

FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Jun 5, 2020)

EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jun 5, 2020)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 5, 2020)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jun 5, 2020)

EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Jun 5, 2020)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 5, 2020)

EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jun 5, 2020)

EPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jun 5, 2020)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 5, 2020)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jun 5, 2020)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 5, 2020)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 5, 2020)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Jun 5, 2020)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 5, 2020)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jun 5, 2020)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jun 5, 2020)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jun 5, 2020)

DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jun 5, 2020)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jun 5, 2020)

Questions to ask on a tour of Manchester Rehab and Healthcare Center

  1. Inspectors cited the home at the immediate-jeopardy level on May 23, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 23, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 80.6% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $197,132 in fines.

DateTypeAmount or length
May 23, 2025 Fine $197,132
May 23, 2025 Payment Denial 12 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 1/5
August 2026 1/5 2/5 1/5 1/5
Add this rating badge to your websiteFree. Shows Manchester Rehab and Healthcare Center's Medicare star rating and updates itself.

Size and colour

Preview

Manchester Rehab and Healthcare Center Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

Location

Hospitals near Manchester Rehab and Healthcare Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 4.4 mi
    St Lukes Hospital Chesterfield
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 32m for patients treated and sent home
  • 5.2 mi
    SSM St Clare Health Center Fenton
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 20m for patients treated and sent home
  • 5.4 mi
    Missouri Baptist Medical Center Town and Country
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 4h 22m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Lutheran Senior Services at Meramec Bluffs Ballwin · 1.0 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 32 beds · Medicaid
Delmar Gardens on the Green Chesterfield · 2.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 3/5 120 beds · Medicaid
Athene Nursing and Rehabilitation Town and Country · 2.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 282 beds · Medicaid
Big Bend Woods Healthcare Center Valley Park · 3.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 135 beds · Medicaid
Garden View Care Center at Dougherty Ferry Valley Park · 3.2 mi away ★★★★☆ Inspection 5/5 · Staffing 4/5 66 beds · Medicaid

More nursing homes near Manchester Rehab and Healthcare Center ›   All nursing homes in Ballwin ›

Compare Manchester Rehab and Healthcare Center with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Ama Holdings nursing homes in Missouri

Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Ama Holdings nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

Compare

https://www.nursinghomesineachstate.com/missouri/ballwin/manchester-rehab-and-healthcare-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.