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

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriManchester Rehab and Healthcare Center

Manchester Rehab and Healthcare Center

312 Solley Drive, Ballwin, MO 630216363910666
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
137
certified
2 fine(s) totaling $239,993

Key Findings

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

• Has 137 certified beds with an average of 78.6 residents per day (57% occupancy)

• Last health inspection found 11 deficiencies (inspected May 23, 2025)

• Has been fined a total of $239,993 across 2 fine(s)

• Total nursing staff: 3.45 hours per resident per day

• Part of the Ama Holdings chain (14 facilities)

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. The facility scored below average compared to Missouri facilities.

Beds
137
Avg Residents/Day
78.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 18, 1989
Sprinklers
Yes
Council
Resident
County
St. Louis
Last Inspection
May 23, 2025
Deficiencies (Cycle 1)
11
Weighted Score
176.3
Infection Citations
0

Deficiency Citations (60)

F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: May 23, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 23, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 23, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: May 23, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: May 23, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: May 23, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 23, 2025Corrected: NoCycle: 1
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: May 23, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: May 23, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 23, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: May 23, 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 7, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Sep 20, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Jul 8, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 23, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 23, 2024Corrected: NoCycle: 2
F0842Potential for Harm

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

Survey: May 23, 2024Corrected: NoCycle: 2
F0569Potential for Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0582Potential for Harm

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

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0623Minimal Harm

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

Survey: Dec 5, 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: Dec 5, 2023Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 5, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Dec 5, 2023Corrected: NoCycle: 2

+ 30 more deficiencies

Total Fines
$239,993
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineMay 1, 2023
$42,861
FineMay 23, 2025
$197,132
Payment DenialMay 23, 2025
12 days denied

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

Nurse Aide2.45 hrs
National avg: 2.35 hrs
LPN0.52 hrs
National avg: 0.86 hrs
RN0.47 hrs
National avg: 0.68 hrs
Total Nursing3.45 hrs
National avg: 3.89 hrs
Weekend Total2.97 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
2

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (15)

NameRoleTypeOwnership %Since
MANCHESTER HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 24, 2023
AMA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 24, 2023
ANDREW CAPITAL LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 24, 2023
DEF HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 24, 2023
MANCHESTER PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 24, 2023
MO OPERATION EQUITIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 24, 2023
ANDREW, DAVID5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMay 24, 2023
MARX, ASHER5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMay 24, 2023
WOLF, JACQUES5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMay 24, 2023
MARX, ASHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 24, 2023
WOLF, JACQUESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 24, 2023
MARX, ASHERCORPORATE DIRECTORIndividualN/AMay 24, 2023
WOLF, JACQUESCORPORATE DIRECTORIndividualN/AMay 24, 2023
ANDREW, DAVIDW-2 MANAGING EMPLOYEEIndividualN/AMay 24, 2023
CAROSONE, RACHELW-2 MANAGING EMPLOYEEIndividualN/AAug 14, 2023

Nearby Nursing Homes

All Missouri facilities

Lutheran Senior Services at Meramec Bluffs

Ballwin, MO · 32 beds

Non profit
Health
Staffing
Quality
1.0 mi

Frequently Asked Questions

What is the CMS rating for Manchester Rehab and Healthcare Center?▾
Manchester Rehab and Healthcare Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Manchester Rehab and Healthcare Center had any health inspection violations?▾
Manchester Rehab and Healthcare Center had 11 deficiency citations in its most recent health inspection (May 23, 2025). The facility has been fined a total of $239,993 across 2 fine(s).
What are the staffing levels at Manchester Rehab and Healthcare Center?▾
Manchester Rehab and Healthcare Center provides 3.45 total nursing staff hours per resident per day, including 0.47 RN hours, 0.52 LPN hours, and 2.45 nurse aide hours.
How many beds does Manchester Rehab and Healthcare Center have?▾
Manchester Rehab and Healthcare Center has 137 certified beds with an average of 78.6 residents per day, resulting in approximately 57% occupancy. The facility is For profit - Corporation owned and is part of the Ama Holdings chain.
Are there other nursing homes near Manchester Rehab and Healthcare Center?▾
Yes, there are 1 other nursing home in Ballwin, Missouri with an average rating of 3/5. You can compare all facilities on the Ballwin nursing homes page.

Part of Ama Holdings

This chain operates 14 facilities. View all →