CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Manchester Rehab and Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in Ballwin, Missouri with 137 certified beds. It has been operating since 1989. Its overall CMS rating is 1 out of 5.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor 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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure 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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Have 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.
Ensure 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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Honor 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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
+ 23 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MANCHESTER HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 24, 2023 |
| AMA HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 24, 2023 |
| ANDREW CAPITAL LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 24, 2023 |
| DEF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 24, 2023 |
| MANCHESTER PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 24, 2023 |
| MO OPERATION EQUITIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 24, 2023 |
| ANDREW, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | May 24, 2023 |
| MARX, ASHER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | May 24, 2023 |
| WOLF, JACQUES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | May 24, 2023 |
| ANDREW, DAVID | W-2 MANAGING EMPLOYEE | Individual | N/A | May 24, 2023 |
| CAROSONE, RACHEL | W-2 MANAGING EMPLOYEE | Individual | N/A | Aug 14, 2023 |
| MARX, ASHER | CORPORATE DIRECTOR | Individual | N/A | May 24, 2023 |
| WOLF, JACQUES | CORPORATE DIRECTOR | Individual | N/A | May 24, 2023 |
| MARX, ASHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 24, 2023 |
| WOLF, JACQUES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 24, 2023 |
Compare CMS ratings and recorded fines for Manchester Rehab and Healthcare Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 13 facilities. View all →