What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Manchester Rehab and Healthcare Center

BALLWIN, MO 63021-5248 View Map

Manchester Rehab and Healthcare Center is a Nursing Home in Missouri

Manchester Rehab and Healthcare… is a Nursing Home in Missouri

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Overview of Manchester Rehab and Healthcare Center

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.

(636) 391-0666 admissions@manchesterhc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

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.

28.2%

TYPE OF STAY

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.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

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

Home revenue

$2.5M

Operating loss

-$1.3M

Proprietary home Other

Home revenue

$2,488,223.00

Operating loss

$-1,257,385.00

Payroll costs

$1.7M

68.6% of revenue

Other operating costs

$2.0M

Total costs $3.7M

137-bed community

A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265352

Certification type: Medicare/Medicaid

County: SAINT LOUIS COUNTY

Ownership & operating entity

Manchester Rehab and Healthcare Center is administrated by SUSAN FRANKLIN.

Owner name: MANCHESTER OPERATOR LLC

Care Services

Accepts Medicaid

Nursing Services

Rehabilitation Services

Licensed Nurses/CNAs

Amenities & Lifestyle

Programs & Activities

Specific Programs

skilled nursing, daily care, medication management, rehabilitation therapy, wound care, dental services, podiatry, optometry, audiology care, counseling

Dining & Nutrition

Food Description

We provide a dining experience with nutritious and diverse options for breakfast, lunch, and dinner, as well as an open snack bar.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Payment & Funding Options

Medicaid

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Manchester Rehab and Healthcare Center

SNF

MO 63021-5248

137

MANCHESTER HOLDCO LLC

28.2%

$2,488,215.00

$1,707,405.00

68.6%

75.30

1/5

2/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Manchester Rehab and Healthcare Center

Type of care: SNF AL

Community: MO 63021-5248

Bed Count: 137

Pets Allowed: No

Operator: MANCHESTER HOLDCO LLC

CCN: 265352

Occupancy: 28.2%

Home Revenue: $2,488,215.00

Payroll Costs: $1,707,405.00

Payroll %: 68.6%

Avg Residents/Day: 75.30

Overall Rating: 1/5

Health Insp Rating: 1/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 2

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

BALLWIN, MO 63021-5248

Calculate Travel Distance to Manchester Rehab and Healthcare Center

Add your location

281

Total Staff

147

Employees

134

Contractors

31,760

Total Hours (Quarter)

Avg Staff/Day

8.5

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	12	9.9	Yes
Licensed Practical Nurse	67	9.3	Yes
Certified Nursing Assistant	114	8.6	Yes

Staff by Category

Administration

3 staff

8hs shift avg

Nursing Staff

233 staff

9hs shift avg

Physicians & Practitioners

4 staff

7.8hs shift avg

Therapy Services

35 staff

7.5hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

2 staff

6hs shift avg

Dietary Services

3 staff

7.5hs shift avg

Other Services

1 staff

8hs shift avg

Contractor Analysis

9.5%

of total hours from contractors

3,005 contractor hours this quarter

Certified Nursing Assistant: 67 Licensed Practical Nurse: 51 Medication Aide/Technician: 13 Registered Nurse: 3

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
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

View All Staffing Data

Total Health inspections 12

82% above Missouri average

Missouri average: 6.6

Last Health inspection on May 2025

Total Health citations 62

70% above Missouri average

Missouri average: 36.5

5.17 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 45 citations

Complaint investigations 26 citations

Breakdown of citations

Critical Health citations 3

329% above Missouri average

Missouri average: 0.7

Serious Health citations 2

100% above Missouri average

Missouri average: 1.0

Moderate Health citations 55

Minor Health citations 2

Citations history (last 3 years)

Abuse/Neglect moderate citation May 23, 2025

Corrected

Administration moderate citation May 23, 2025

Corrected

Nutrition moderate citation May 23, 2025

Corrected

Pharmacy moderate citation May 23, 2025

Corrected

Ownership: For-Profit Corporation

Part of: LUXOR HEALTHCARE

Resident Census by Payment Source

74 Total Residents

Medicare 10 (13.5%)

Medicaid 56 (75.7%)

Private Pay/Other 8 (10.8%)

Specialized Care Beds

39 Total Specialty Beds

28.5% of Bed Capacity

Alzheimer's / Dementia Beds

28.5%

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 4.7

57% better than Missouri average

Missouri average: 10.9

Functional decline score 11.2

43% better than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 8.5%

57% below Missouri average.

Walking Ability Worsened 3.8%

82% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 21.2%

17% above Missouri average.

Falls with Major Injury 1.0%

76% below Missouri average.

High Risk Residents with Pressure Ulcers 10.3%

106% above Missouri average.

Urinary Tract Infection 0.5%

81% below Missouri average.

Depressive Symptoms 55.3%

330% above Missouri average.

Antipsychotic Use 10.4%

53% below Missouri average.

Pneumococcal Vaccine 81.5%

4% below Missouri average.

Influenza Vaccine 90.3%

1% below Missouri average.

Lost Too Much Weight 0.0%

100% below Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 24.1%

64% worse than Missouri average

Antipsychotic medication increase 1.9%

15% better than Missouri average

Influenza Vaccine 26.2%

59% worse than Missouri average

Total fines amount $240K

This home paid 229% more in fines than the state average.

Missouri average: $73K

Number of Fines 2

This home received 18% fewer fines than the state average.

Missouri average: 2.4

Payment Denials 1

This home had 45% more payment denials than the state average.

Missouri average: 0.7

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty May 23, 2025

$197K

Payment Denial May 23, 2025

12 days

Civil Money Penalty 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 -$1,257,385 ↑ ~$108K vs 2022

Total Payroll $2,054,194 ↓ ~$882K vs 2022

Profit Margin -50.5% ↓ 16.1pp vs 2022

Loading trend charts...

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	61.0%	61.7%	62.9%	60.0%	57.1%	57.4%	49.6%	43.8%	40.8%	29.4%	32.6%	28.2%
Beds	137	137	137	137	137	137	137	137	137	137	137	137
Net Income	-$622,334	-$584,997	-$233,030	-$45,008	$7,069	-$187,931	-$1,240,464	-$1,138,709	-$1,398,317	-$1,505,093	-$1,365,621	-$1,257,385
Gross Revenue	$27,205,464	$27,404,765	$27,733,811	$26,562,011	$25,239,123	$25,594,243	$22,066,519	$19,274,552	$8,954,419	$2,611,495	$3,965,740	$2,488,215
Operating Expenses	$5,938,611	$6,010,752	$5,750,350	$5,591,369	$5,499,743	$5,750,420	$5,690,001	$5,043,664	$5,178,602	$4,041,281	$5,123,480	$3,786,868
Net Patient Revenue	$5,226,328	$5,323,699	$5,430,927	$5,458,903	$5,430,294	$5,482,776	$4,368,351	$3,853,222	$3,731,007	$2,529,519	$3,757,485	$2,529,475
Total Payroll	$3,397,672	$3,507,534	$3,487,395	$3,385,381	$3,336,424	$3,497,846	$3,574,279	$3,184,054	$3,412,900	$2,151,293	$2,936,378	$2,054,194
Profit Margin %	-2.3%	-2.1%	-0.8%	-0.2%	0.0%	-0.7%	-5.6%	-5.9%	-15.6%	-57.6%	-34.4%	-50.5%
Medicare %	7.0%	4.6%	3.5%	4.1%	2.2%	4.7%	3.9%	3.6%	5.7%	4.5%	7.9%	13.1%
Medicaid %	72.4%	74.2%	79.7%	77.0%	79.6%	72.1%	73.9%	81.0%	84.5%	85.2%	71.2%	63.1%
Private %	20.6%	21.2%	16.8%	18.9%	18.2%	23.2%	22.2%	15.4%	9.9%	10.3%	20.9%	23.8%
Revenue/Day	$171	$172	$173	$182	$190	$191	$176	$176	$182	$205	$231	$295
Cost/Day	$194	$195	$183	$186	$192	$200	$229	$230	$253	$328	$314	$442
Avg Length of Stay	78.6 days	90.8 days	92.0 days	80.7 days	90.1 days	75.2 days	91.2 days	187.1 days	128.8 days	95.5 days	107.2 days	82.4 days

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

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

Manchester Rehab and Healthcare Center

Manchester Rehab and Healthcare Center is a Nursing Home in Missouri

Manchester Rehab and Healthcare… is a Nursing Home in Missouri

Manchester Rehab and Healthcare Center

Manchester Rehab and Healthcare Center is a Nursing Home in Missouri

Manchester Rehab and Healthcare… is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Medium-capacity home

This home usually has availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Access & Eligibility

Payment & Funding Options

Compare Nursing Homes around Missouri

Places of interest near Manchester Rehab and Healthcare Center

Calculate Travel Distance to Manchester Rehab and Healthcare Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Specialized Care Beds

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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