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Nursing HomeMedicaid Investigative

Grand Manor Health Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3645 Cook Ave, Grand Center · Saint Louis, MO 63113120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 22 Google reviews

5
4
3
2
1
Grand Manor Health Care Center Nursing Home in Saint Louis, MO — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (18 vs median 10)

Bottom 25% in MO · Critically understaffed (RN) · Significantly below average staffing · Worst in RELIANT CARE MANAGEMENT chain · $99,988 in fines

Source: Medicare data

What this means for your family

Grand Manor shows significant inconsistency in care quality. While some families report excellent experiences with the administration and staff, others have raised serious concerns about facility sanitation and responsiveness. We strongly recommend an unannounced visit to observe the cleanliness of the hallways and to speak directly with current residents about their daily care experience.

Google Reviews

Google Reviews

22 reviews on Google
Grand Manor Health Care Center receives highly polarized feedback, with some families praising the compassionate staff and improvements in resident health, while others report severe neglect and poor facility conditions. Recent reviews highlight concerns regarding hygiene, specifically odors and pest issues, alongside complaints about staff responsiveness and communication. Prospective families should carefully weigh the positive reports of attentive care against the serious allegations of neglect and unsanitary environments.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean3.0Activities8.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Visible improvements in resident health
  • Engaging holiday and community activities
  • Administrator involvement in patient care

Concerns

  • Poor facility hygiene and sanitation (mentioned by 2 reviewers)
  • Lack of staff responsiveness and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(3)'17(2)'19(1)'21(2)'23(1)'25(4)

Distribution · 23 analyzed

5
11
4
2
3
2
2
0
1
8

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on facility maintenance, what specific protocols are currently in place to ensure daily sanitation and cleanliness in resident rooms and common areas?
  • 2I noticed the administrator is very involved in patient care; how does this leadership approach help bridge the gap in communication between the nursing staff and family members?
  • 3With the current staffing levels, what is your process for ensuring that call lights are answered promptly and that residents receive timely assistance?
  • 4I see that holiday and community activities are a highlight here; could you walk me through a typical weekly activity schedule for a resident who enjoys staying socially active?
  • 5Regarding the recent health inspection findings, what specific steps has the facility taken to address those deficiencies and improve the overall quality of care?
  • 6In the event of a sudden change in a resident's health, what is your protocol for notifying family members and coordinating with their primary care physicians?

Personalized based on this facility's data


Key Review Excerpts

The staff here is very compassionate and eager to accommodate her many needs and requests.

Long-term resident's family · 2017★★★★★

This building is beyond clean the staff is extremely pleasant and the Administrator Robin truly cares about the patient care needs.

Visitor · 2024★★★★★

That place have rats and it need to be closed down no one knows nothing ask and don't get a answer hallways smell like pee need cleaning bad

Resident · 2025☆☆☆☆
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.13hrs
17%
Registered nurses for medical care
Total Nursing
1.86hrs
45%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility26.4%
Worse than Avg
Here
26.4%
US
93.4%
MO
84.4%
St. louis city
62.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility65.9%
Worse than Avg
Here
65.9%
US
12.1%
MO
16.7%
St. louis city
43.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility66.0%
Worse than Avg
Here
66.0%
US
95.5%
MO
90.9%
St. louis city
82.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility41.1%
Worse than Avg
Here
41.1%
US
15.3%
MO
18.9%
St. louis city
13.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility40.3%
Worse than Avg
Here
40.3%
US
14.4%
MO
19.1%
St. louis city
17.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
19.5%
MO
25.4%
St. louis city
15.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
79.7%
MO
63.5%
St. louis city
49.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
81.8%
MO
65.9%
St. louis city
41.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
St. louis city
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
1penalties
Above state avg (12.0)
15 complaint-triggered
$99,988 in fines

Families have filed multiple complaints triggering 16 deficiencies, raising concerns about this facility's care quality. The most recurring issues involve resident safety and accident prevention, resident rights violations, and medication management problems. While the facility has corrected individual violations when cited, the pattern of repeated deficiencies in safety and quality standards suggests ongoing operational challenges that families should carefully consider.

Feb 3, 2026Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Nov 17, 2025Complaint
4
0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 17, 2025Complaint
2
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Apr 16, 2025Complaint
4
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 13, 2024Routine
11
0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0568Potential for harm · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 13, 2024Complaint
2
0760Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Federal Penalties

Fine

Feb 13, 2024

$99,988

Ownership & Operations

Who Operates This Facility

Owner / Operator

Grand Manor Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Reliant Care Management

Chain Size

32 facilities nationwide

Chain avg rating: 1.1/5 · Rank 13 of 29 (Worst)

Ownership & Management

Key personnel

Grand Manor Associates LLC5% or Greater Mortgage InterestArshad, AbdullahContracted Managing EmployeeAllen, RobinW-2 Managing EmployeeDestefane, RichardOfficer / DirectorReliant Care Management Company LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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