Show Inspection Reports
Total health inspections
12
Missouri average 6.6
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Manchester Rehab and Healthcare Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Manchester Rehab and Healthcare Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Manchester Rehab and Healthcare Center is a compassionate and nurturing healthcare facility that prioritizes the well-being of its residents during post acute care. It offers a wide range of services including skilled nursing, daily care, medication management, rehabilitation therapy, and more. The center emphasizes personalized care and provides a variety of amenities to enhance the quality of life for its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
137
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
28.2%
Avg. Length of Stay
82 days
Occupancy rate
28.2%
Avg. Length of Stay
82 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
49% of new residents, often for short stays.
Typical stay
1 months
Medicaid
31% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Finances and operations
Privately-owned community
Home revenue
$2.5M
Operating loss
-$1.3M
Privately-owned community
Home revenue
$2.5M
Operating loss
-$1.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.7M
137-bed community
A larger shared setting that may offer more common spaces and organized community services.
42 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeSnf
CountySaint Louis
CMS Certification Number265352
Certification TypeMedicare/Medicaid
Manchester Rehab and Healthcare Center is legally operated by Manchester Operator Llc, and administrated by Carla Riva.
Owner NameMANCHESTER OPERATOR LLC
Accept Medicaid
Rehabilitation Services
Specific Programsdaily care, rehabilitation therapy, wound care, dental services, podiatry, optometry, audiology care, counseling
Food DescriptionWe provide a dining experience with nutritious and diverse options for breakfast, lunch, and dinner, as well as an open snack bar.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Health Inspection History
Inspections
Total health citations
62
Missouri average 36.5
Citations per inspection
5.17
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 62 citations resulted from standard inspections; 17 of 62 resulted from complaint investigations; and 9 of 62 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
329% worse than Missouri averageMissouri average: 0.7
Serious Health citations
2
2
100% worse than Missouri averageMissouri average: 1
3 critical citations
2 serious citations
55 moderate citations
2 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 23, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 23, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 23, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 23, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Aberdeen Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | 0 | 9 | 2.3 | 0 | 34 | - | - | Ashfield Active Living And Wellness Communities, Inc. | $27.3M | $7.2M | 26.3% | 265841 | ||||
| Bertrand Nursing And Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Manchester Rehab and Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Ballwin | 137 | 28.2% | -58% | - | -45% | - | 2 | 62 | 5.2 | 5 | 75 | A+ | - | Manchester Holdco Llc | $2.5M | $1.7M | 68.6% | 265352 | ||||
| Good Shepherd Care Community | - |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
Financial Assistance for
Nursing Home in Missouri
Get Financial aid guidance
Places of interest near Manchester Rehab and Healthcare Center
0.0 miles from city center
Estimated distance in miles from BALLWIN's city center to Manchester Rehab and Healthcare Center's address, calculated via Google Maps.
Calculate Travel Distance to Manchester Rehab and Healthcare Center
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
281
Employees
147
Contractors
134
Staff to resident ratio
3.80:1
122% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
41
Average shift
8.5 hours
5% better than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
31,760
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
67
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
114
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
9.5%
3,005 contractor hours this quarter
Certified Nursing Assistant: 67
Licensed Practical Nurse: 51
Medication Aide/Technician: 13
Registered Nurse: 3
Staff by category
| Certified Nursing Assistant | 47 | 67 | 114 | 10,308 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 16 | 51 | 67 | 4,940 | 91 | 100% | 9.3 |
| Nurse Aide in Training | 12 | 0 | 12 | 3,384 | 91 | 100% | 9.5 |
| Physical Therapist | 24 | 0 | 24 | 3,338 | 90 | 99% | 8.2 |
| Medication Aide/Technician | 14 | 13 | 27 | 3,107 | 91 | 100% | 9.8 |
| Registered Nurse | 9 | 3 | 12 | 1,044 | 71 | 78% | 9.9 |
| Qualified Social Worker | 2 | 0 | 2 | 757 | 78 | 86% | 6 |
| Nurse Practitioner | 2 | 0 | 2 | 696 | 71 | 78% | 8 |
| Administrator | 3 | 0 | 3 | 576 | 65 | 71% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 553 | 65 | 71% | 7.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 537 | 65 | 71% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 497 | 64 | 70% | 7.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 461 | 64 | 70% | 7.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 452 | 59 | 65% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 339 | 61 | 67% | 5.3 |
| Physical Therapy Assistant | 3 | 0 | 3 | 331 | 66 | 73% | 4.8 |
114 Certified Nursing Assistant
% of Days
100%
67 Licensed Practical Nurse
% of Days
100%
12 Nurse Aide in Training
% of Days
100%
24 Physical Therapist
% of Days
99%
27 Medication Aide/Technician
% of Days
100%
12 Registered Nurse
% of Days
78%
2 Qualified Social Worker
% of Days
86%
2 Nurse Practitioner
% of Days
78%
3 Administrator
% of Days
71%
3 Other Dietary Services Staff
% of Days
71%
2 Speech Language Pathologist
% of Days
71%
1 RN Director of Nursing
% of Days
70%
2 Physical Therapy Aide
% of Days
70%
2 Clinical Nurse Specialist
% of Days
65%
1 Mental Health Service Worker
% of Days
60%
4 Respiratory Therapy Technician
% of Days
67%
3 Physical Therapy Assistant
% of Days
73%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74
Medicare
10
13.5% of residents
Medicaid
56
75.7% of residents
Private pay or other
8
10.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
57% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
43% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
57% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.8%
Percent of long-stay residents whose ability to move independently worsened
3.8%
82% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
17% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
76% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.3%
Percent of long-stay high risk residents with pressure ulcers
10.3%
106% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.5%
Percent of long-stay residents with a urinary tract infection
0.5%
81% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
55.3%
Percent of long-stay residents who have depressive symptoms
55.3%
330% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.4%
Percent of long-stay residents who received an antipsychotic medication
10.4%
53% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
24.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
24.1%
64% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
15% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
26.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
26.2%
59% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$240K
229% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$240K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2025
$197K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 23, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 23, 2025
12 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2023
$43K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Manchester Rehab and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
28.2%
↓ 4.4pp vs 2022
Net Income
-$1.3M
↑ ~$108.2K vs 2022
Total Payroll
$2.1M
↓ ~$882.2K vs 2022
Profit Margin
-50.5%
↓ 16.1pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Manchester Rehab and Healthcare Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
Write a review for Manchester Rehab and Healthcare Center
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
