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Grand Manor Health Care Center

3645 Cook Ave, Saint Louis, Missouri 63113

Overview

Grand Manor Health Care Center has a Medicare overall rating of 1 out of 5, below the Missouri average of 2.6. It ranks 17th of 34 nursing homes in Saint Louis. It scores best on quality of care (4 of 5) and lowest on staffing (1 of 5).

Residents receive about 1.6 hours of nursing care per day, fewer than at 97% of nursing homes in Missouri (the state average is 3.4 hours). Of that, 0.1 hours come from registered nurses.

Its most recent standard inspection, on September 13, 2024, found 16 health deficiencies, more than the Missouri average of 11.4. 8 of them came from complaint investigations. Medicare records 2 fines totaling $126,118 in the past three years.

Grand Manor Health Care Center is a for-profit facility with 120 certified beds, caring for about 105 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2000.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In Saint Louis17th of 34 facilities

Top 50%

Within 100 miles164th of 293 facilities

Top 56%

In Missouri334th of 479 facilities

Top 70%

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Inspections and penalties

Most recent standard inspection
September 13, 2024
Health deficiencies cited
16
Complaint-related deficiencies
8
Fines in the last 3 years
2 totaling $126,118
Payment denials
0
Total penalties
2

Staffing

Average hours of care each resident receives per day.

  • All nursing staff1.63 hrs
  • Registered nurses (RN)0.11 hrs
  • Licensed practical nurses (LPN)0.41 hrs
  • Nurse aides1.12 hrs
  • Physical therapists0.02 hrs

Facility details

Ownership
For profit - Limited Liability company
Certified beds
120
Average residents per day
105
Participates in
Medicare and Medicaid
Medicare/Medicaid since
December 18, 2000
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes