Senior Care Records.

Grand Manor Health Care Center

3645 COOK AVE, Saint Louis, MO, 63113

Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 15 deficiencies against Grand Manor Health Care Center in Saint Louis, Missouri at its most recent standard inspection on 2024-09-13, 7 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $99,988. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
120certified beds
15deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $99,988
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.43
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Honor the resident's right to choose his or her attending physician.

Resident Rights Deficiencies · F0555 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2026-04-15 · from a complaint · Immediate jeopardy to resident health or safety

J

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-02-03 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0803 · 2025-11-17 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0600 · 2025-11-17 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0688 · 2025-11-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-11-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · F0658 · 2025-06-17 · from a complaint · No actual harm, potential for more than minimal harm

E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies · F0925 · 2025-06-17 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · F0658 · 2025-04-16 · from a complaint · No actual harm, potential for more than minimal harm

E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies · F0925 · 2025-04-16 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0623 · 2025-04-16 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-04-16 · from a complaint · No actual harm, potential for more than minimal harm

D

Honor the resident's right to manage his or her financial affairs.

Resident Rights Deficiencies · F0567 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Resident Rights Deficiencies · F0568 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

E

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · F0582 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0623 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0625 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0758 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies · F0842 · 2024-09-13 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS2.00416
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$99,988
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Grand Manor Health Care Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
GRAND MANOR ASSOCIATES LLCOrganizationNOT APPLICABLEsince 05/01/2024
ARSHAD, ABDULLAHIndividualNOT APPLICABLEsince 05/01/2024
ALLEN, ROBINIndividualNOT APPLICABLEsince 05/01/2024
DESTEFANE, RICHARDIndividualNOT APPLICABLEsince 05/01/2024
RELIANT CARE MANAGEMENT COMPANY LLCOrganizationNOT APPLICABLEsince 12/10/2024
RCG INCOrganizationNOT APPLICABLEsince 12/10/2024
RELIANT CARE GROUP OF WEBSTER INCOrganizationNOT APPLICABLEsince 12/10/2024
TLG II LLPOrganizationNOT APPLICABLEsince 12/10/2024

Part of the RELIANT CARE MANAGEMENT group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Delhaven Manor

Saint Louis · 2.9 mi · 156 beds

Citations0Substantiated0
Contact

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 265717.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction