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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ■ Avg State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 31m per day | ▼ 24% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 27m per day | ▲ 6% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 58m per day | ▼ 3% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▲ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 40% State avg: 20m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
20% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #196 / 245Payroll — state benchmarkedThis home is ranked 196th out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%Manchester Rehab and Healthcare Center is legally operated by Manchester Operator Llc, and administrated by Carla Riva.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 72 | 35 | This facility has 106% more total deficiencies than a typical Missouri nursing home (72 vs. MO avg 35).↑ 106% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 12 | 5.8 | This facility has 107% more deficiencies per year than a typical Missouri nursing home (12 vs. MO avg 5.8).↑ 107% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 8 | 5 | This facility has 60% more deficiencies per inspection than a typical Missouri nursing home (8 vs. MO avg 5).↑ 60% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 7 | This facility has 29% more total inspections than a typical Missouri nursing home (9 vs. MO avg 7).↑ 29% worse |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on May 2025
Missouri average 36.5
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).
329% worse than Missouri averageMissouri average: 0.7
2
100% worse than Missouri averageMissouri average: 1
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 23, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
May 23, 2025
Corrected
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.
Manchester Rehab and Healthcare Center is located in BALLWIN, Missouri.
Here are the financial assistance programs available to residents in Missouri.
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.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
122% better than Missouri averageMissouri average ratio: 1.71:1
5% better than Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
Total hours from contractors
3,005 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
57% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
3.8%
82% better than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
76% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
10.3%
106% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.5%
81% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
55.3%
330% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
10.4%
53% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
In line with Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.52
21% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.34
43% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
24.1%
64% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
15% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
26.2%
59% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.1%
31% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.6%
54% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
33.3%
38% worse than Missouri averageMissouri average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
229% higher than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 23, 2025Last updated: Jan 2026
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| 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 | - | 34 | - | 89 | Ashfield Active Living And Wellness Communities, Inc. | $30.1M | $7.2M | 23.8% | 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 | - | 54 | - | 5 | Don Chance | $5.2M | $2.3M | 43.7% | 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+ | 52 | Manchester Holdco LLC | $2.5M | $1.7M | 68.6% | 265352 |
Historical financial and operational data for Manchester Rehab and Healthcare Center based on CMS SNF Cost Reports.
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The legal owner and operator of Manchester Rehab and Healthcare Center is Manchester Operator Llc.
Manchester Rehab and Healthcare Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Manchester Rehab and Healthcare Center's occupancy is 54%.
Carla Riva is the administrator of Manchester Rehab and Healthcare Center.
Manchester Rehab and Healthcare Center has 137 beds.
Yes — there are 4 photos of Manchester Rehab and Healthcare Center in the photo gallery on this page.
Manchester Rehab and Healthcare Center is located at 312 SOLLEY DR.
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