Home›Browse›Missouri›Saint Louis›Grand Manor Health Care Center

Nursing homeFAID #7309

Grand Manor Health Care Center

3645 COOK AVE, SAINT LOUIS, MO, 63113

(314) 531-2352

www.grandmanornursingandrehab.com

120 licensed beds

CMS rates Grand Manor Health Care Center 1 out of 5 overall. Federal inspectors issued 67 citations across 14 inspections in the last three years, with $126,118 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo via Google · mooshay monroe Ross

Address

3645 Cook Ave

Saint Louis, MO 63113

Get directions

Map facilities in this area

All facilities in Saint Louis

Public record summary

What we can show you for free.

Bed capacity

120

State license

053721

CMS facility ID

265717

Care type

Nursing home

Facility name

Grand Manor Health Care Center

Street address

3645 COOK AVE

City / state / ZIP

Saint Louis, MO 63113

Phone

(314) 531-2352

Website

www.grandmanornursingandrehab.com

State license #

053721

About this facility — Grand Manor Health Care Center

Grand Manor Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Saint Louis, Missouri. It is licensed for 120 beds — above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 168 senior care facilities in Saint Louis and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Reliant Care Management, a group of 35 facilities on this site.

Federal inspectors have cited Grand Manor Health Care Center 67 times across 14 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $126,118 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Grand Manor Snf Opco Llc

Parent company

Reliant Care Management

Ownership type

For profit - Limited Liability company

Administrator

Emmanuel Jackson

Registered owners & officers

Allen, Robin

Managing employee — since 2024

Arshad, Abdullah

Managing employee — since 2024

Destefane, Richard

Officer — since 2024

Grand Manor Associates Llc

Mortgage holder — since 2024

Rcg Inc

Additional disclosable party — since 2024

Reliant Care Group of Webster Inc

Additional disclosable party — since 2024

Reliant Care Management Company Llc

Operational control — since 2024

Tlg Ii Llp

Additional disclosable party — since 2024

Regulatory standing

Federal court records

6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2000-12-18

License expires

2026-08-31

CMS overall rating

1 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$126,118 total

Last standard inspection

2024-09-13

Nurse staffing

1.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$205 per day (≈ $6,230/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

95% Medicaid · 3% Medicare · 2% private/other

Occupancy

54% (fiscal year 2023)

Vs. state median

20% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

120

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-14Health inspectionComplaint-triggered1 citation

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-09-02

2026-05-28Health inspectionComplaint-triggered1 citation

F-0555

D · No harm foundFrom a complaint

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

12 earlier / fire-safety inspections (65 citations)

2026-04-15Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2026-04-06

2026-02-03Health inspectionComplaint-triggered1 citation

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-02-05

2025-11-17Health inspectionComplaint-triggered4 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-25

F-0688

D · No harm foundFrom a 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 2025-11-18

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-09-25

F-0803

E · No harm foundFood safetyFrom a 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 2025-11-18

2025-06-17Health inspectionComplaint-triggered2 citations

F-0658

E · No harm foundFrom a complaint

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

Corrected 2025-07-14

F-0925

E · No harm foundFrom a complaint

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

Corrected 2025-07-14

2025-04-16Health inspectionComplaint-triggered4 citations

F-0623

D · No harm foundFrom a complaint

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-05-30

F-0658

E · No harm foundFrom a complaint

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

Corrected 2025-07-14

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-04-02

F-0925

E · No harm foundFrom a complaint

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

Corrected 2025-07-14

2024-09-13Health inspection8 citations

F-0567

E · No harm found

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

Corrected 2024-10-25

F-0568

E · No harm found

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

Corrected 2024-10-25

F-0582

D · No harm found

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

Corrected 2024-10-25

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-25

F-0625

D · No harm found

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 2024-10-25

F-0758

D · No harm found

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 2024-10-25

F-0842

D · No harm found

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

Corrected 2024-10-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-25

2024-02-13Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-27

F-0760

J · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-02-17

2023-07-14Health inspection14 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-08-28

F-0568

E · No harm found

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

Corrected 2023-08-28

F-0578

D · No harm found

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 2023-08-28

F-0584

E · No harm found

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.

Corrected 2023-08-28

F-0640

E · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-08-28

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-08-28

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-28

F-0688

D · No harm found

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 2023-08-28

F-0689

D · No harm found

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

Corrected 2023-08-28

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-08-28

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2023-08-28

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-08-28

F-0868

E · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-08-28

F-0882

E · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-08-28

2019-12-06Health inspection9 citations

F-0578

E · No harm found

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 2020-01-15

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2020-01-15

F-0623

B · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2020-01-15

F-0658

E · No harm found

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

Corrected 2020-01-15

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-01-15

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2020-01-15

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-01-15

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-01-15

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2020-01-15

2024-09-13Fire-safety inspection3 citations

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-25

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-25

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-25

2023-07-14Fire-safety inspection14 citations

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2023-08-28

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-08-28

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-08-28

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-08-28

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-08-28

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-28

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-08-28

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-28

K-0531

F · No harm found

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-08-28

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-08-28

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-08-28

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-28

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-28

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-08-28

2019-12-06Fire-safety inspection3 citations

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-01-15

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2020-01-15

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2020-01-15

Federal penalties

2026-04-15Fine$26,130

2024-02-13Fine$99,988

Total fines$126,118

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265717.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 68% of nursing homes in the state

State median: 50

Federal fines, 3 years

$126,118

More than 91% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

1.6

Among the lowest of nursing homes in the state

State median: 3.4

Resident outcomes

On 19 federal quality measures, this facility does better than the Missouri average on 7 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	20.5%	17.4%	13.5%	Worse than state
Lose too much weight	10.5%	5.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.9%	0.7%	Better than state
With a urinary tract infection	0.2%	2.2%	1.5%	Better than state
Have depressive symptoms	83.9%	20.0%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.0%	4.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	9.3%	84.0%	93.7%	Worse than state
Ability to walk independently worsened	16.6%	15.8%	12.7%	Near state average
Received an antianxiety or hypnotic medication	10.7%	25.6%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	67.6%	90.8%	95.3%	Worse than state
With pressure ulcers	6.5%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	5.6%	17.1%	18.3%	Better than state
Received an antipsychotic medication	25.0%	23.5%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	1.88	1.98	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	0.69	2.16	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	6.4%	65.7%	82.3%	Worse than state
Newly received an antipsychotic medication	9.1%	2.1%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	11.5%	61.4%	80.1%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0623 3 inspections. Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
K-0372 3 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
F-0610 2 inspections. Respond appropriately to all alleged violations.
F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

St Louis-john Cochran Va Medical Center, about 0.3 miles. CMS rating 5 of 5.
Ssm Health Saint Louis University Hospital, about 1.6 miles. CMS rating 1 of 5.
St Louis Childrens Hospital, about 1.9 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Blue Circle Rehab and Nursing, Saint Louis, about 0.7 miles. CMS rating 2 of 5.
Bernard Care Center, Saint Louis, about 1.2 miles. CMS rating 1 of 5.
Life Care Center of St Louis, Saint Louis, about 1.4 miles. CMS rating 4 of 5.
Delhaven Manor, Saint Louis, about 2.6 miles. CMS rating 3 of 5.
Beauvais Rehab and Healthcare Center, Saint Louis, about 2.8 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.223 ratings on Google

★Emily · 2026-07-06 · via Google
“If I could leave 0 stars, I would, because 1 is too generous. If you are considering Grand Manor to care for your loved one, I cannot stress this enough: PLEASE LOOK ELSEWHERE. I would not trust this facility with someone you love. My mother was a resident here for nearly a year, and our experience was one of the most heartbreaking, frustrating, and stressful experiences our family has ever endur…”

★★★★★Tina Summers · 2017-05-18 · via Google
“From the time my Mom was admitted at Grand Manor, I have seen great improvement in my Mom's overall health. Since being admitted here she hasn't had any hospitalizations. The staff here is very compassionate and eager to accommodate her many needs and requests. My Mom even told me "she's breathing better and eating healthier and now walks over 100ft.! To the Grand Manor family, we love you and we'…”

★★★★Gary James Chaffin · 2025-02-03 · via Google
“I am living there now and they are great for the most part smiling faces and good care people don't realize how much the nurses have to go through”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 67 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered