Grand Manor Health Care Center
3645 Cook Ave · Saint Louis, MO · 63113 · 3145312352
120 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
1.86 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 1.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 1.61 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $99,988 |
Inspection citations (45 in the current record)
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Immediate jeopardy · J April 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D February 3, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2025 · found via complaint
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.
Corrected November 18, 2025 · Quality of Life and Care
-
Potential for harm · D November 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 25, 2025 · Quality of Life and Care
-
Potential for harm · E November 17, 2025 · found via complaint
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.
Corrected November 18, 2025 · Nutrition and Dietary
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Potential for harm · E June 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 17, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 14, 2025 · Environmental
-
Potential for harm · D April 16, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 30, 2025 · Resident Rights
-
Potential for harm · E April 16, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
-
Potential for harm · E April 16, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 14, 2025 · Environmental
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Potential for harm · E September 13, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected October 25, 2024 · Resident Rights
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Potential for harm · E September 13, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected October 25, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 25, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 25, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected October 25, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 25, 2024 · Pharmacy Service
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Potential for harm · D September 13, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 25, 2024 · Infection Control
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Immediate jeopardy · J February 13, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 17, 2024 · Pharmacy Service
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Potential for harm · D February 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 14, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected August 28, 2023 · Resident Rights
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Potential for harm · E July 14, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected August 28, 2023 · Resident Rights
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Potential for harm · D July 14, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 28, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2024 | Fine | $99,988 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265717 · certified since December 18, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.