Nursing homeFAID #7067
Manchester Rehab and Healthcare Center
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare
Photo via Google · Manchester Rehab and Healthcare Center
Public record summary
What we can show you for free.
Bed capacity
137
State license
052588
CMS facility ID
265352
Care type
Nursing home
Facility name
Manchester Rehab and Healthcare Center
Street address
312 SOLLEY DRIVE
City / state / ZIP
Ballwin, MO 63021
Phone
(636) 391-0666
Website
State license #
052588
About this facility — Manchester Rehab and Healthcare Center
Manchester Rehab and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Ballwin, Missouri. It is licensed for 137 beds — above the median for skilled nursing facilities in Missouri (97 beds).
It is one of 7 senior care facilities in Ballwin and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Manchester Rehab and Healthcare Center 83 times across 13 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $197,132 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 August 31, 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
Manchester Operator Llc
Parent company
Ama Holdings
Ownership type
For profit - Corporation
Administrator
Michael Riggins
Registered owners & officers
Manchester Holdco Llc
Direct owner — 100% stake — since 2023
Ama Holdings Llc
Indirect owner — since 2023
Andrew Capital Llc
Indirect owner — since 2023
Andrew, David
Indirect owner · Managing employee — since 2023
Carosone, Rachel
Managing employee — since 2023
Def Holdings Llc
Indirect owner — since 2023
Manchester Partners Llc
Indirect owner — since 2023
Marx, Asher
Indirect owner · Director · Operational control — since 2023
Mo Operation Equities Llc
Indirect owner — since 2023
Wolf, Jacques
Indirect owner · Director · Operational control — since 2023
Regulatory standing
Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-01-18
License expires
2027-03-31
CMS overall rating
1 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$197,132 total
Last standard inspection
2025-05-23
Nurse staffing
3.2 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$290 per day (≈ $8,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 13% Medicare · 24% private/other
Occupancy
28% (fiscal year 2023)
Vs. state median
13% above the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
137
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 2026-08-31. 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 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-05-23Health inspectionComplaint-triggered11 citations
F-0584
E · No harm foundFrom a complaint
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 2025-05-30
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-05-30
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-30
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-10
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-30
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-10
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-05-30
F-0761
E · No harm found
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.
Corrected 2025-05-30
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-05-30
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-30
2024-11-07Health inspectionComplaint-triggered1 citation
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 2024-10-25
9 earlier / fire-safety inspections (71 citations)
2024-09-20Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-10
2024-07-08Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-31
2024-05-23Health inspectionComplaint-triggered3 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-19
F-0759
D · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-19
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-19
2024-01-16Health inspectionComplaint-triggered2 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-01-18
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-18
2023-12-05Health inspectionComplaint-triggered14 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-18
F-0569
E · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-01-18
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-01-18
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-01-18
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2024-01-18
F-0623
C · 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 2024-01-18
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 2024-01-18
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-18
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-18
F-0679
E · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-01-18
F-0727
E · No harm found
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.
Corrected 2024-01-18
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-18
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-01-18
F-0761
E · No harm found
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.
Corrected 2024-02-06
2020-02-25Health inspection20 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 2020-06-05
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2020-06-05
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-06-05
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-06-05
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-06-05
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2020-06-05
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-06-05
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-06-05
F-0688
E · 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 2020-06-05
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-06-05
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2020-06-05
F-0730
F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2020-06-05
F-0732
E · No harm found
Post nurse staffing information every day.
Corrected 2020-06-05
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-06-05
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2020-06-05
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 2020-06-05
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2020-06-05
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 2020-06-05
F-0838
F · No harm found
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.
Corrected 2020-06-05
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2020-06-05
2025-05-23Fire-safety inspection11 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2025-05-30
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-30
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 2025-05-30
K-0281
E · No harm found
Install proper backup exit lighting.
Corrected 2025-05-30
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-30
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-05-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-30
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-08-15
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-15
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-05-30
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-30
2023-12-05Fire-safety inspection12 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-01-18
E-0029
F · No harm found
Develop a communication plan.
Corrected 2024-01-18
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2024-01-18
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-01-18
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2024-01-18
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-01-18
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-01-18
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-18
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-18
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-18
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-18
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-18
2020-02-25Fire-safety inspection7 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2020-06-05
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-06-05
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-06-05
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-06-05
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-06-05
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 2020-06-05
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 2020-06-05
Federal penalties
2025-05-23Fine$197,132
2025-05-23Medicare payment denial — 12 days
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 265352.
Visitor reviews
What people say on Google.
4.0★★★★★88 ratings on Google
★Jim Freeman · 2026-04-23 · via Google“The initial interaction with the receptionist was enough for me to make an informed decision about this facility. When I called, I greeted her, introduced myself, and politely asked for her name. She responded only with, “I’m the receptionist.” I asked again, simply wanting to know who I was speaking with, and she replied, “I’m not giving you my name you don’t need to know my name.” That level o…”
★★★★★Dorian Lee · 2026-03-06 · via Google“I’ve had a really good experience with the staff at Manchester Nursing and Rehab. The team works hard to make sure residents are comfortable, cared for, and treated with respect. The environment is welcoming and the staff truly try their best to support both residents and families. I appreciate the dedication that goes into caring for everyone here every day. Thank you to the whole team for the wo…”
★★★★★Britany Reed · 2026-06-04 · via Google“Great facility and great staff. Their admissions coordinator Brandy is top notch and she does a great job making the residents and families feel at home. They also just hired a new activities director :)”
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 tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 83 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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