Nursing home
Manchester Rehab and Healthcare Center
312 Solley Drive, Ballwin, MO 63021 · Map
For profit - Corporation · Part of Ama Holdings (14 facilities) · 137 certified beds
Manchester Rehab and Healthcare Center is a Medicare-certified nursing home in Ballwin, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.45 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on May 23, 2025 cited 11 deficiencies.
- 2 fines totaling $239,993In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Manchester Rehab and Healthcare 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) | 3.45 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.47 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.45 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | —% | 57.0% | 46.4% | — |
| Deficiencies cited, last inspection | 11.0 | 12.0 | 9.5 | below 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.
- Every deficiency from the May 23, 2025 inspection was corrected by July 10, 2025
Penalties in CMS records: 2 fines totaling $239,993, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Manchester Rehab and Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · May 23, 2025 · Full report (PDF) - Potential 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.
Pharmacy Service Deficiencies · May 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 23, 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 7, 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
- 312 Solley Drive
Ballwin, MO 63021 - CMS certification #
- 265352
- Ownership
- For profit - Corporation
- Certified beds
- 137
- Avg residents/day
- 78.6
- Provider type
- Medicare and Medicaid
- First certified
- 1989-01-18
- Chain
- Ama Holdings (14 facilities)
- Setting
- Urban
Part of Ama Holdings
Ama Holdings operates 14 nursing facilities across the United States. View all Ama Holdings facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Manchester Rehab and Healthcare Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- St Lukes Hospital, Chesterfield. 4.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Lutheran Senior Services at Meramec Bluffs, Ballwin. 1.0 mile away, straight line.
- Nearest home health agency office
- Med-Staff Home Health, LLC, Saint Louis. 2.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS 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 63021 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Ellisville Dialysis, Ellisville, 3.2 miles away, straight line (CMS rating 3 of 5 stars)
Nxstage Kidney Care - St Louis, Saint Louis, 4.1 miles away, straight line (CMS rating 5 of 5 stars)
Davita Town And Country West Dialysis, Saint Louis, 4.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 26 Medicare hospices tell CMS they serve ZIP code 63021.
Breeze Hospice Of Missouri, office in Ballwin, 2.1 miles away, straight line (CMS family survey rating 2 of 5 stars)
Mercy Hospice, office in Saint Louis, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Bristol Hospice - St Louis, office in Saint Louis, 4.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Physical Therapy Spine And Sports Medicine LLC, Ballwin. 1.9 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, wildfire very low, tornado relatively moderate, 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 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| 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 | No plain statements of services found |
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Frequently asked questions
Is Manchester Rehab and Healthcare Center a good nursing home?
CMS gives Manchester Rehab and Healthcare Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Manchester Rehab and Healthcare Center staffed?
Manchester Rehab and Healthcare Center reports 3.45 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Manchester Rehab and Healthcare Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Manchester Rehab and Healthcare Center have?
Manchester Rehab and Healthcare Center is certified for 137 beds.