Facility type
Snf
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.
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
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%
Residents per day (avg)
75
Occupancy rate
28.2%
Residents per day (avg)
75
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
$2,488,223.00
Operating loss
$-1,257,385.00
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
License details
County:
SAINT LOUIS COUNTY
Additional licensing details
CMS Certification Number:
265352
Certification type:
Medicare/Medicaid
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
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.
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.
Health Inspection History
Inspections
Total health inspections
12
Missouri average 6.6
Last Health inspection on May 2025
Total health citations
62
Citations per inspection
5.17
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
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
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.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
-
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
-
10
-
+42%-2%+18%
Manchester Rehab and Healthcare Center
-45%
-58%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63021-5248
137
A+
-
MANCHESTER HOLDCO LLC
28.2%
$2,488,215.00
$1,707,405.00
68.6%
75.30
-
2
62
5
-45%
-
-58%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
-
38
-
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
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:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Manchester Rehab and Healthcare Center
Type of care:
SNF
AL
Community:
MO 63021-5248
Bed Count:
137
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:
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
62
Severe Citations:
5
RN share vs State Avg:
-45%
-45%
Occupancy vs State Avg:
-58%
-58%
Places of interest near Manchester Rehab and Healthcare Center
0.0 miles from city center
BALLWIN, MO 63021-5248
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
281
Total Staff
147
Employees
134
Contractors
31,760
Total Hours (Quarter)
41
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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
74 residents
Residents by payment source
Medicare
10 residents (13.5%)
Medicaid
56 residents (75.7%)
Private pay or other
8 residents (10.8%)
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
-$1,257,385
↑ ~$108K vs 2022
Total Payroll
$2,054,194
↓ ~$882K vs 2022
Profit Margin
-50.5%
↓ 16.1pp vs 2022
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