Nursing home
Grand Manor Health Care Center
3645 Cook Ave, Saint Louis, MO 63113 · Map
For profit - Limited Liability company · Part of Reliant Care Management (29 facilities) · 120 certified beds
Grand Manor Health Care Center is a Medicare-certified nursing home in Saint Louis, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 1.93 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Sep 13, 2024 cited 18 deficiencies.
- 1 fine totaling $99,988In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grand Manor Health Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 1.93 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.12 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.38 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | —% | 57.0% | 46.4% | — |
| Deficiencies cited, last inspection | 18.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $99,988, 1 total penalty.
What inspectors found at Grand Manor Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 3, 2026 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Nov 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 17, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Apr 16, 2025 · Full report (PDF) - Potential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Sep 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3645 Cook Ave
Saint Louis, MO 63113 - CMS certification #
- 265717
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 110.5
- Provider type
- Medicare and Medicaid
- First certified
- 2000-12-18
- Chain
- Reliant Care Management (29 facilities)
- Setting
- Urban
Part of Reliant Care Management
Reliant Care Management operates 29 nursing facilities across the United States. View all Reliant Care Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Grand Manor Health Care Center using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Apr 19, 2022: follow-up inspection, partial (health). Case closed Jun 6, 2022. No violations cited. OSHA record. OSHA recorded the employer as Grand Manor Nursing & Rehabilitation Center, LLC.
- May 6, 2020: fatality or catastrophe inspection, partial (health). Case closed Aug 31, 2021. No violations cited. OSHA record. OSHA recorded the employer as Grand Manor Nursing & Rehabilitation Center, LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Ssm Health Saint Louis University Hospital, Saint Louis. 1.6 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Blue Circle Rehab and Nursing, Saint Louis. 0.7 miles away, straight line.
- Nearest home health agency office
- Medi-Plex Healthcare Professionals, LLC, Saint Louis. 2.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Boca Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63113 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Forest Park, Saint Louis, 1.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita St. Louis Dialysis Center, Saint Louis, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Chouteau, Saint Louis, 1.6 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 63113.
Medi-Plex Hospice, LLC, office in Saint Louis, 2.0 miles away, straight line
Unity Hospice Gsl, LLC, office in Saint Louis, 3.6 miles away, straight line (CMS family survey rating 2 of 5 stars)
Accentcare Hospice & Palliative Care Of Missouri, office in Saint Louis, 11.9 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Memory Care Home Solutions, Saint Louis. 1.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, tornado relatively high, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Grand Manor Health Care Center a good nursing home?
CMS gives Grand Manor Health Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Grand Manor Health Care Center staffed?
Grand Manor Health Care Center reports 1.93 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Grand Manor Health Care Center had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Grand Manor Health Care Center have?
Grand Manor Health Care Center is certified for 120 beds.