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    Nursing home · SAINT LOUIS, MO

    GRAND MANOR HEALTH CARE CENTER

    3645 COOK AVE, SAINT LOUIS, MO 63113

    CMS certification number: 265717 · Updated October 1, 2026

    Request care assistance3145312352Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    120

    Residents / day

    104.9

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    St. Louis City
    Certified beds
    120
    Average residents per day
    104.9
    First certified
    December 18, 2000

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    2 / 5
    Staffing
    1 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in St. Louis City, Missouri. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    1.80
    n=10
    State peers
    2.62

    Nurse hours / resident / day

    This home
    1.63
    County peers
    3.20
    n=12
    State peers
    3.40
    n=475

    Weekend nurse hours / resident / day

    This home
    1.37
    County peers
    2.75
    n=12
    State peers
    2.97
    n=475

    Nursing staff turnover (%)

    This home
    Not reported
    County peers
    69.50
    n=10
    State peers
    56.94
    n=426

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 16.2% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • How do you retain nursing staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    20
    Health citations
    47
    Resident measures
    17
    Ownership records
    8
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    1.63257
    Reported RN Staffing Hours per Resident per Day
    0.10724
    Reported LPN Staffing Hours per Resident per Day
    0.40703
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.11830
    Total number of nurse staff hours per resident per day on the weekend
    1.36814
    Registered Nurse hours per resident per day on the weekend
    0.09949
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01906
    Total nursing staff turnover
    Not reported
    Registered Nurse turnover
    Not reported
    Number of administrators who have left the nursing home
    Not reported
    Chain Name
    RELIANT CARE MANAGEMENT
    Number of Facilities in Chain
    35
    Chain Average Overall 5-star Rating
    1.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    MO
    Urban
    Y
    Chain ID
    446
    Latitude
    38.6461
    Location
    3645 COOK AVE,SAINT LOUIS,MO,63113
    ZIP Code
    63113
    City/Town
    SAINT LOUIS
    Longitude
    -90.231
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    RELIANT CARE MANAGEMENT
    County/Parish
    St. Louis City
    Provider Name
    GRAND MANOR HEALTH CARE CENTER
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    3645 COOK AVE
    Telephone Number
    3145312352
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    GRAND MANOR HEALTH CARE CENTER LLC
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.48695
    Chain Average QM Rating
    3.3
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    120
    Provider SSA County Code
    950
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    Not reported
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.05438
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    Not reported
    Chain Average Staffing Rating
    1.0
    Number of Facilities in Chain
    35
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    265717
    Administrator turnover footnote
    26
    Total Amount of Fines in Dollars
    126118.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    92
    Registered Nurse turnover footnote
    26
    Total Weighted Health Survey Score
    121.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    104.9
    Chain Average Overall 5-star Rating
    1.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    211
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    26
    Chain Average Health Inspection Rating
    1.7
    Rating Cycle 1 Health Deficiency Score
    92
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    211
    Rating Cycle 1 Standard Survey Health Date
    2024-09-13
    Rating Cycle 2 Standard Health Survey Date
    2023-07-14
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.10091
    Case-Mix RN Staffing Hours per Resident per Day
    0.72925
    Reported RN Staffing Hours per Resident per Day
    0.10724
    Adjusted LPN Staffing Hours per Resident per Day
    0.38300
    Case-Mix LPN Staffing Hours per Resident per Day
    0.90873
    Reported LPN Staffing Hours per Resident per Day
    0.40703
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    16
    Most Recent Health Inspection More Than 2 Years Ago
    Y
    Rating Cycle 2/3 Total Number of Health Deficiencies
    22
    Rating Cycle 1 Number of Standard Health Deficiencies
    8
    Rating Cycle 2 Number of Standard Health Deficiencies
    14
    Reported Licensed Staffing Hours per Resident per Day
    0.51427
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    8
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.05230
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.47501
    Number of administrators who have left the nursing home
    Not reported
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.11830
    Adjusted Total Nurse Staffing Hours per Resident per Day
    1.53621
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.11299
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    8
    Reported Total Nurse Staffing Hours per Resident per Day
    1.63257
    Registered Nurse hours per resident per day on the weekend
    0.09949
    Date First Approved to Provide Medicare and Medicaid Services
    2000-12-18
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01906
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    1.28739
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.61973
    Total number of nurse staff hours per resident per day on the weekend
    1.36814

    COMMUNITY EXPERIENCE

    Reviews of GRAND MANOR HEALTH CARE CENTER

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026