All states › Missouri › Saint Louis › Grand Manor Health Care Center
3645 Cook Ave Saint Louis, MO 63113 · St. Louis City County
All 36 nursing homes in Saint Louis, MO (35 take Medicaid)
CMS certification number 265717 · See this home on Medicare Care Compare
Is Grand Manor Health Care 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 Grand Manor Health Care 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 1.63 hours per resident per day at Grand Manor Health Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.11 of those hours are from registered nurses. On weekends it falls to 1.37 hours, 16% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at Grand Manor Health Care Center: Medicare and Medicaid
Grand Manor Health Care 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 September 13, 2024 and found 8 deficiencies, plus 8 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 47 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 47 citations at Grand Manor Health Care Center across 11 inspection dates, 16 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 15, 2026 (complaint inspection). The most common areas cited were resident rights (14) and quality of life and care (11). 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, April 15, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2026 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
May 28, 2026 · 1 citation · includes complaint inspection
DHonor the resident's right to choose his or her attending physician.
April 15, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 3, 2026 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
November 17, 2025 · 4 citations · includes complaint inspection
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 17, 2025 · 2 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
April 16, 2025 · 4 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 13, 2024 · 8 citations
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
February 13, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that residents are free from significant medication errors.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 14, 2023 · 14 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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.
EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
December 6, 2019 · 9 citations
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 safe, appropriate dialysis care/services for a resident who requires such services.
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.
DKeep residents' personal and medical records private and confidential.
DProvide enough food/fluids to maintain a resident's health.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Questions to ask on a tour of Grand Manor Health Care Center
- Inspectors cited the home at the immediate-jeopardy level on April 15, 2026 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 August 14, 2026. 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?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- 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 $126,118 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 15, 2026 | Fine | $26,130 |
| Feb 13, 2024 | Fine | $99,988 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Grand Manor Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.2 mi
-
1.7 mi
St Louis University Hospital St LouisEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 5h 35m for patients treated and sent home
- 1.7 mi
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 Grand Manor Health Care Center › All nursing homes in Saint Louis ›
Compare Grand Manor Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Christian Extended Care & Rehabilitation · Saint Louis · 5 stars · 9.1 mi
- Life Care Center of St Louis · Saint Louis · 4 stars · 1.4 mi
- Lutheran Convalescent Home · Webster Groves · 4 stars · 6.2 mi
- McKnight Place Extended Care · Saint Louis · 4 stars · 7.9 mi
Other Reliant Care Management nursing homes in Missouri
- Greenville Health Care Center · Greenville · 3 stars
- Portageville Health Care Center · Portageville · 3 stars
- Cedargate Health Care Center · Poplar Bluff · 2 stars
- Sarcoxie Health Care Center · Sarcoxie · 2 stars
- Edgewood Manor Health Care Center · Raytown · 2 stars
- Nick's Health Care Center · Plattsburg · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 35 Reliant Care Management 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.