Manchester Rehab and Healthcare Center

Nursing Home · Ballwin, MO

CMS overall rating 1/5 For profit - Corporation

CMS certification number265352

Contact & location

312 Solley Drive
Ballwin, MO 63021
St. Louis County
Phone
(636) 391-0666
ZIP code
63021 – all care providers

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Facility details

Certified beds
137
Residents per day
86.9 (63% occupied)
Ownership
For profit - Corporation
Legal name
Manchester Operator LLC
Chain
Ama Holdings (13 facilities, avg 1.6★)
Medicare certified since
January 18, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 1/5
State avg 2.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.23 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.40 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.47 (state 0.68 · U.S. 0.86)
Nurse aides
2.36 (state 2.29 · U.S. 2.32)
Weekend total
2.90 (state 3.02 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 23, 2025
Health deficiencies (last cycle)
11.0 (state 11.5 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
53 health · 27 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-05-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-05-30
2025-05-23 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-05-23 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-05-23 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2025-05-23 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-30
2024-11-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-25
2024-09-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-10
2024-07-08 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-07-31
2024-05-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-19
2024-05-23 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-19
2024-05-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-19
2024-01-16 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2024-01-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-18
2023-12-05 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-01-18
2023-12-05 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-01-18
2020-02-25 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 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.
F0688 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05
2020-02-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-06-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $197,132 in fines.

DateTypeAmount
2025-05-23Payment Denial12 days payment denial
2025-05-23Fine$197,132

Ownership & management

NameRoleSince
Manchester Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
Ama Holdings LLC (organization)5%+ Indirect Ownership Interest
Andrew Capital LLC (organization)5%+ Indirect Ownership Interest
Andrew, David (individual)5%+ Indirect Ownership Interest
Def Holdings LLC (organization)5%+ Indirect Ownership Interest
Manchester Partners LLC (organization)5%+ Indirect Ownership Interest
Marx, Asher (individual)5%+ Indirect Ownership Interest
Mo Operation Equities LLC (organization)5%+ Indirect Ownership Interest
Wolf, Jacques (individual)5%+ Indirect Ownership Interest
Marx, Asher (individual)Corporate Director · NOT APPLICABLE
Wolf, Jacques (individual)Corporate Director · NOT APPLICABLE
Marx, Asher (individual)Operational/managerial Control · NOT APPLICABLE
Wolf, Jacques (individual)Operational/managerial Control · NOT APPLICABLE
Andrew, David (individual)W-2 Managing Employee · NOT APPLICABLE
Carosone, Rachel (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Manchester Rehab and Healthcare Center?

Manchester Rehab and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Manchester Rehab and Healthcare Center have?

It has 137 certified beds and cares for about 87 residents per day.

Has Manchester Rehab and Healthcare Center been fined?

Yes. CMS lists 2 penalties totaling $197,132 in the last three years.

Who owns Manchester Rehab and Healthcare Center?

It is part of Ama Holdings and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Manchester Rehab and Healthcare Center?

(636) 391-0666. The facility is located at 312 Solley Drive, Ballwin, MO 63021.

Other nursing homes in Ballwin

Compare all nursing homes in Ballwin, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.