• 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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure each resident receives an accurate assessment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure medication error rates are not 5 percent or greater.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 medication error rates are not 5 percent or greater.
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.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
+ 30 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 |
| MARX, ASHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 24, 2023 |
| WOLF, JACQUES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 24, 2023 |
| MARX, ASHER | CORPORATE DIRECTOR | Individual | N/A | May 24, 2023 |
| WOLF, JACQUES | CORPORATE DIRECTOR | 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 |
This chain operates 14 facilities. View all →