Grand Manor Health Care Center

Nursing home in Saint Louis, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (314) 531-2352 Send a message Map ↗

Public-record details

Address: 3645 Cook Ave, Saint Louis, MO 63113
Phone: (314) 531-2352
Listed under: For-profit
Medicare CCN: 265717
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 2 of 5
Certified beds: 120
Average residents per day: 108
Ownership: For-profit, limited Liability company
Legal business name: Grand Manor Health Care Center LLC
Chain: Reliant Care Management (34 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Dec 18, 2000
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 265717. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 13, 2024. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 6, 2019 to May 28, 2026): 15 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

Inspection	Citation	Severity
May 28, 2026	Honor the resident's right to choose his or her attending physician. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 15, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Feb 3, 2026	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Nov 17, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Nov 17, 2025	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. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 17, 2025	Ensure 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
Nov 17, 2025	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. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Jun 17, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
Jun 17, 2025	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
Apr 16, 2025	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 16, 2025	Ensure 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
Apr 16, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 46. 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 Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $126,118 in the last three years.

Apr 15, 2026	Fine: $26,130
Feb 13, 2024	Fine: $99,988

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

Staffing

Total nurse staffing per resident per day: 2.00 hours
Registered nurse (RN) time per resident per day: 0.17 hours
Nurse aide time per resident per day: 1.39 hours
Total nurse staffing on weekends: 1.60 hours

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.

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