MANCHESTER REHAB AND HEALTHCARE CENTER

St. Louis · MO · For profit - Corporation · AMA HOLDINGS chain · 137 certified beds · CCN 265352 · MANCHESTER OPERATOR LLC


MANCHESTER REHAB AND HEALTHCARE CENTER operates 137 certified beds in BALLWIN, Missouri. Its Medicare and Medicaid certification dates to 1989-01-18. It averages 86.9 residents a day.

What harm was found in the violations cited at MANCHESTER REHAB AND HEALTHCARE CENTER?

CMS lists 53 health-inspection deficiencies for MANCHESTER REHAB AND HEALTHCARE CENTER since 2020-02-25, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-05-23.

Survey dateTagDeficiencySeverity
2025-05-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-05-23F0584, F0607, F0677, F0761, F0804Honor 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-05-23F0641, F0684, F0695, F0698, F0770Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide timely, quality laboratory services/tests to meet the needs of residents.D
2024-11-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-20F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-07-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-05-23F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-05-23F0759, F0842Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-01-16F0607, F0609Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-12-05F0569, F0656, F0658, F0679, F0727, F0761Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / 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. / 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.E
2023-12-05F0550, F0582, F0585, F0677, F0759, F0760Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2023-12-05F0577, F0623Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C
2020-02-25F0730, F0838Observe each nurse aide's job performance and give regular training. / 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.F
2020-02-25F0578, F0658, F0677, F0688, F0689, F0690, F0732, F0755, F0756, F0812, F0880Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2020-02-25F0604, F0657, F0679, F0684, F0686, F0758, F0760Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure that residents are free from significant medication errors.D

Why was MANCHESTER REHAB AND HEALTHCARE CENTER fined?

DateTypeAmount
2025-05-23Fine$197,132

Has MANCHESTER REHAB AND HEALTHCARE CENTER had payment denied by Medicare?

Payment denial startLength in days
2025-06-2812

How is MANCHESTER REHAB AND HEALTHCARE CENTER staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.232303.43324
Average number of residents per day86.973.0

Who owns MANCHESTER REHAB AND HEALTHCARE CENTER, and what chain is it in?

MANCHESTER REHAB AND HEALTHCARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name MANCHESTER OPERATOR LLC and belongs to the AMA HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMANCHESTER HOLDCO LLCsince 05/24/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTAMA HOLDINGS LLC, ANDREW CAPITAL LLC, DEF HOLDINGS LLC, MANCHESTER PARTNERS LLC, MO OPERATION EQUITIES LLC, ANDREW, DAVID, MARX, ASHER, WOLF, JACQUESsince 05/24/2023
W-2 MANAGING EMPLOYEEANDREW, DAVID, CAROSONE, RACHELsince 05/24/2023
CORPORATE DIRECTORMARX, ASHER, WOLF, JACQUESsince 05/24/2023
OPERATIONAL/MANAGERIAL CONTROLMARX, ASHER, WOLF, JACQUESsince 05/24/2023

Were you or a family member harmed at MANCHESTER REHAB AND HEALTHCARE CENTER?