All states › Missouri › Ballwin › Manchester Rehab and Healthcare Center
312 Solley Drive Ballwin, MO 63021 · St. Louis County
All 2 nursing homes in Ballwin, MO (2 take Medicaid)
CMS certification number 265352 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
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.
September 20, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
May 23, 2024 · 3 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure medication error rates are not 5 percent or greater.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 16, 2024 · 2 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
December 5, 2023 · 14 citations · includes complaint inspection
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide activities to meet all resident's needs.
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.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
February 25, 2020 · 20 citations
FObserve each nurse aide's job performance and give regular training.
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.
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.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EPost nurse staffing information every day.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Manchester Rehab and Healthcare Center
- 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?
- CMS cited the home under its abuse and neglect rules on May 23, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 80.6% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- 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?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount or length |
|---|---|---|
| May 23, 2025 | Fine | $197,132 |
| May 23, 2025 | Payment Denial | 12 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
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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.
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4.4 mi
St Lukes Hospital ChesterfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 32m for patients treated and sent home
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5.2 mi
SSM St Clare Health Center FentonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 20m for patients treated and sent home
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5.4 mi
Missouri Baptist Medical Center Town and CountryEmergency room ★★★★★ Medicare overall 5 of 5Median 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
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
- Lutheran Senior Services at Meramec Bluffs · Ballwin · 5 stars · 1.0 mi
- Mason Pointe Care Center · Chesterfield · 5 stars · 3.8 mi
- Friendship Village Chesterfield · Chesterfield · 5 stars · 5.1 mi
- Aberdeen Heights · Kirkwood · 5 stars · 5.7 mi
Other Ama Holdings nursing homes in Missouri
- Seasons Rehab and Healthcare Center · Kansas City · 4 stars
- River Crossing Rehab and Healthcare Center · Saint Louis · 3 stars
- Wilshire at Lakewood Rehab Center · Lees Summit · 3 stars
- Crown Rehab and Healthcare Center · Harrisonville · 3 stars
- Country Club Rehab and Healthcare Center · Warrensburg · 2 stars
- Rosewood Rehab and Healthcare Center · Independence · 2 stars
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.