Grand Manor Health Care Center has received an F grade based on CMS data, with a score of 14/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Saint Louis facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Grand Manor Health Care Center, with 1.93 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 45 deficiencies at Grand Manor Health Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 1.93 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.12 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.43 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.38 | 2.4 | Below Average |
| Weekend Total Nursing | 1.49 | 3.8 | Below Average |
| Weekend RN Hours | 0.09 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeNov 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0688 Severity DProvide 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 medicNov 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Jun 16, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.3% | 4.5% | Worse |
| Falls with major injury | 1.5% | 3.0% | Better |
| On antipsychotic medication | 21.7% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 51.5% | 14.0% | Worse |
| Excessive weight loss | 5.0% | 7.5% | Better |
| New/worsened incontinence | 21.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $99,988
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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