Grand Manor Health Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 23 analyzed
How They Respond to Reviews
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.”
“This building is beyond clean the staff is extremely pleasant and the Administrator Robin truly cares about the patient care needs.”
“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”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
6
measures
9
measures
2
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 17, 2025Complaint4
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.
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.
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.
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, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Apr 16, 2025Complaint4
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
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, 2024Routine11
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
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.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 13, 2024Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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
Grand Manor Health Care Center
for profit
Chain Affiliation
Reliant Care Management
32 facilities nationwide
Chain avg rating: 1.1/5 · Rank 13 of 29 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
Visit grandmanornursingandrehab.com
Medicare data downloads
Original nursing home datasets
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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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