Nursing HomeInspections

Manchester Rehab and Healthcare Center

Nursing home in Ballwin, MO

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
312 Solley Drive, Ballwin, MO 63021
Phone
(636) 391-0666
Listed under
For-profit
Medicare CCN
265352
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
137
Average residents per day
92
Ownership
For-profit, corporation
Legal business name
Manchester Operator LLC
Chain
Ama Holdings (13 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 18, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265352. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 23, 2025. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 25, 2020 to May 23, 2025): 17 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 23, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 23, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 23, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 23, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 23, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration		D
Potential for more than minimal harm, isolated
May 23, 2025Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
May 23, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
May 23, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
May 23, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 23, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
May 23, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		J
Immediate jeopardy, isolated
Nov 7, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 53. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $197,132 and 1 denial of Medicare payment for new admissions in the last three years.

May 23, 2025Fine: $197,132
May 23, 2025Payment denial for 12 days from Jun 28, 2025

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.37 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.50 hours
Total nurse staffing on weekends
2.95 hours
Nursing staff turnover (yearly)
81%
RN turnover (yearly)
67%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Ballwin

Lutheran Senior Services at Meramec Bluffs50 Meramec Trails Drive · Ballwin, MO 63021 · (636) 861-0600 · Nonprofit8 health citations in 3 inspection cycles · last standard inspection Oct 9, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Ballwin →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error