NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriGrand Manor Health Care Center

Grand Manor Health Care Center

3645 Cook Ave, Saint Louis, MO 631133145312352
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
2/5
Beds
120
certified
This facility has been flagged for abuse.
1 fine(s) totaling $99,988

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 110.5 residents per day (92% occupancy)

• Last health inspection found 18 deficiencies (inspected Sep 13, 2024)

• Has been fined a total of $99,988 across 1 fine(s)

• Total nursing staff: 1.93 hours per resident per day

• Part of the Reliant Care Management chain (30 facilities)

Grand Manor Health Care Center is a 1-star Medicare and Medicaid certified nursing home in Saint Louis, Missouri with 120 certified beds. It has been operating since 2000. The facility scored below average compared to Missouri facilities.

Beds
120
Avg Residents/Day
110.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 18, 2000
Sprinklers
Yes
Council
Resident
County
St. Louis City
Last Inspection
Sep 13, 2024
Deficiencies (Cycle 1)
18
Weighted Score
124.8
Infection Citations
0

Deficiency Citations (48)

F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Jun 17, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jun 17, 2025Corrected: NoCycle: 1
F0623Potential for Harm

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

Survey: Apr 16, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Apr 16, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Apr 16, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Apr 16, 2025Corrected: NoCycle: 1
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0582Potential for Harm

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

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0623Potential for Harm

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

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 13, 2024Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 13, 2024Corrected: NoCycle: 2
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Feb 13, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0578Potential for Harm

Honor 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.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0688Potential for Harm

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.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0700Potential for Harm

Try 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.

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 2

+ 18 more deficiencies

Total Fines
$99,988
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineFeb 13, 2024
$99,988
Payment DenialFeb 24, 2023
5 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.38 hrs
National avg: 2.35 hrs
LPN0.43 hrs
National avg: 0.86 hrs
RN0.12 hrs
National avg: 0.68 hrs
Total Nursing1.93 hrs
National avg: 3.89 hrs
Weekend Total1.49 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
RELIANT CARE GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2024
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 1, 2024
DESTEFANE, RICHARD5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMay 1, 2024
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 10, 2024
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/AMay 1, 2024
ARSHAD, ABDULLAHCONTRACTED MANAGING EMPLOYEEIndividualN/AMay 1, 2024
ALLEN, ROBINW-2 MANAGING EMPLOYEEIndividualN/AMay 1, 2024
GRAND MANOR ASSOCIATES LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMay 1, 2024

Nearby Nursing Homes

All Missouri facilities

Blue Circle Rehab and Nursing

Saint Louis, MO · 90 beds

For profit$34,502 in fines
Health
Staffing
Quality
3806 ft

Bernard Care Center

Saint Louis, MO · 141 beds

For profit$85,186 in fines
Health
Staffing
Quality
1.2 mi

Life Care Center of St Louis

Saint Louis, MO · 100 beds

For profit$15,646 in fines
Health
Staffing
Quality
1.4 mi

Delhaven Manor

Saint Louis, MO · 156 beds

For profit$73,048 in fines
Health
Staffing
Not Rated
Quality
2.6 mi

Beauvais Rehab and Healthcare Center

Saint Louis, MO · 184 beds

For profit$91,045 in fines
Health
Staffing
Quality
2.8 mi

Oak Park Care Center

Saint Louis, MO · 120 beds

For profit
Health
Staffing
Quality
3.8 mi

Frequently Asked Questions

What is the CMS rating for Grand Manor Health Care Center?▾
Grand Manor Health Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Grand Manor Health Care Center had any health inspection violations?▾
Grand Manor Health Care Center had 18 deficiency citations in its most recent health inspection (Sep 13, 2024). The facility has been fined a total of $99,988 across 1 fine(s).
What are the staffing levels at Grand Manor Health Care Center?▾
Grand Manor Health Care Center provides 1.93 total nursing staff hours per resident per day, including 0.12 RN hours, 0.43 LPN hours, and 1.38 nurse aide hours.
How many beds does Grand Manor Health Care Center have?▾
Grand Manor Health Care Center has 120 certified beds with an average of 110.5 residents per day, resulting in approximately 92% occupancy. The facility is For profit - Limited Liability company owned and is part of the Reliant Care Management chain.
Are there other nursing homes near Grand Manor Health Care Center?▾
Yes, there are 35 other nursing homes in Saint Louis, Missouri with an average rating of 2/5. You can compare all facilities on the Saint Louis nursing homes page.

Part of Reliant Care Management

This chain operates 30 facilities. View all →