Grand Manor Health Care Center
3645 Cook Ave, Saint Louis, MO 63113 · (314) 531-2352
For profit - Limited Liability company · 120 certified beds
Grand Manor Health Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2024, found 8 citations (the Missouri average is 11.4). It was fined 2 times in the last three years, $126,118 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on September 13, 2024 found 8 citations. What an inspection citation means
- Honor the resident's right to manage his or her financial affairs.September 13, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.September 13, 2024 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.September 13, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.September 13, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify 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.September 13, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement 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.September 13, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 13, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 15 citations.
- Honor the resident's right to choose his or her attending physician.May 28, 2026 · F0555 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 15, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Respond appropriately to all alleged violations.February 3, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 17, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide 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.November 17, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 17, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure 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.November 17, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.June 17, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.June 17, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 16, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.April 16, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 16, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.April 16, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 13, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 13, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Fines and payment denials
- Fine of $26,130April 15, 2026
- Fine of $99,988February 13, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.00 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.17 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.45 | 0.68 | 0.86 |
| Nurse aides | 1.39 | 2.29 | 2.32 |
| Total nursing staff turnover | Not available | 56% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 120 |
| Average residents per day | 107.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Aberdeen Heights Saint Louis · ★★★★★ 5 out of 5 stars
- Bethesda Southgate Saint Louis · ★★★★★ 5 out of 5 stars
- Christian Extended Care & Rehabilitation Saint Louis · ★★★★★ 5 out of 5 stars
- Lutheran Convalescent Home Saint Louis · ★★★★★ 5 out of 5 stars
- Delmar Gardens South Saint Louis · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Grand Manor Health Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.