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Nursing HomeMedicaid Investigative

Manchester Rehab and Healthcare Center

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

312 Solley Drive, Ballwin, MO 63021137 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 77 Google reviews

5
4
3
2
1
Manchester Rehab and Healthcare Center Nursing Home in Ballwin, 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 (11 vs median 10)

Bottom 25% in MO · Below recommended RN staffing · Worst in AMA HOLDINGS chain · $239,993 in fines

Source: Medicare data

What this means for your family

This facility's physical therapy department is highly regarded and may be effective for short-term recovery. However, the recurring, serious allegations regarding basic nursing care and patient neglect are significant red flags; if you choose this facility, ensure you have a plan for frequent, in-person monitoring of your loved one.

Google Reviews

Google Reviews

77 reviews on Google
Manchester Rehab and Healthcare Center receives highly polarized feedback, with many families praising the physical therapy department and recent facility renovations. However, a significant number of reviewers report severe concerns regarding basic care, including allegations of neglect, failure to assist with feeding, and the development of pressure sores. Potential families should be aware of the stark contrast between the positive experiences of some rehab patients and the distressing reports of inadequate nursing oversight.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean7.0Activities5.0Meds2.0MemoryN/AComms3.0Value6.0

Strengths

  • Highly effective physical and occupational therapy
  • Modern, newly renovated facility
  • Clean and well-maintained environment
  • Professional and compassionate individual staff members

Concerns

  • Neglect of basic needs including feeding and hygiene (mentioned by 9 reviewers)
  • Development or worsening of pressure sores (mentioned by 5 reviewers)
  • Poor communication and unresponsive administration (mentioned by 4 reviewers)
  • Inconsistent staffing levels and slow response times (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.82024(44)3.52025(24)4.52026(12)

Distribution · 80 analyzed

5
53
4
3
3
2
2
1
1
21
10 reviews posted between Mar 5, 2026Mar 6, 2026 · 9 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent facility renovations, what specific steps are you taking to ensure that the physical environment is matched by consistent, high-quality daily care and hygiene support for residents?
  • 2I noticed the facility has a strong reputation for physical and occupational therapy; how do you integrate those therapy goals with daily assistance for residents who need help with feeding or mobility?
  • 3With the current staffing levels, what is your protocol for ensuring that call bells are answered promptly and that residents receive timely attention for their basic needs?
  • 4How does your administration team manage communication with families to ensure we are kept fully informed regarding any changes in our loved one's health or medication management?
  • 5What specific training or oversight programs are in place to ensure that skin integrity and pressure sore prevention are prioritized throughout the day and night?
  • 6Could you walk me through how you handle medical emergencies or sudden changes in a resident's condition, especially during weekend or evening hours?

Personalized based on this facility's data


Key Review Excerpts

My mother is a resident and went in to this facility for rehabilitation after a surgery. She has declined severely and hasn't been getting fed. She needed help feeding her self and required OT for that and other reasons and could sit up when she got there but is now bed ridden and shows no sign of recovery with stage 4bedsores.

Long-term resident's family · 2024☆☆☆☆

The therapy (Physical Therapy/Occupational Therapy) team is outstanding. I would not be getting up or walking without them. About 90% of the CNA’s are great. The Housekeeping department is wonderful; they have met my personal needs with laundry and cleaning my room.

Rehab patient · 2025★★★★★

My Mother was a resident at this facility for several months. My family and I attempted to advocate for her care and found the staff to be polite and pleasant, but functionally unable to provide appropriate care. Parkinson’s meds were not given on a consistent schedule causing my mother to struggle greatly with symptoms.

Long-term resident's family · 2024☆☆☆☆
Source: 77 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
48%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
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
1/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility63.8%
Worse than Avg
Here
63.8%
US
12.1%
MO
16.7%
St. louis
18.3%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.1%
Worse than Avg
Here
78.1%
US
93.4%
MO
84.4%
St. louis
83.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
15.4%
MO
23.6%
St. louis
19.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
14.4%
MO
19.1%
St. louis
15.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
15.3%
MO
18.9%
St. louis
16.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility90.3%
Worse than Avg
Here
90.3%
US
95.5%
MO
90.9%
St. louis
91.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility17.0%
Worse than Avg
Here
17.0%
US
81.8%
MO
65.9%
St. louis
64.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
79.7%
MO
63.5%
St. louis
66.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Mixed vs Avgs
Here
1.8%
US
1.6%
MO
2.2%
St. louis
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Near state avg (12.0)
21 complaint-triggered
$239,993 in fines

Manchester Rehab has a concerning pattern of 26 family complaints leading to inspection findings, including serious issues with abuse prevention and medication management. Recent deficiencies (2024-2025) show ongoing problems with accident prevention, daily care assistance, medication errors, and fire safety systems. While the facility has corrected most violations, recurring issues with safety oversight, medication management, and care planning persist across multiple surveys, suggesting systemic challenges that families should carefully evaluate before placement.

May 23, 2025Routine
19
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

May 23, 2025Complaint
3
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nov 7, 2024Complaint
1
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 20, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 8, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 23, 2024Complaint
3
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

Federal Penalties

Fine

May 23, 2025

$197,132

Payment Denial

May 23, 2025

12-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Manchester Rehab and Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Ama Holdings

Chain Size

14 facilities nationwide

Chain avg rating: 1.7/5 · Rank 14 of 14 (Worst)

Ownership & Management

Owners

Manchester Holdco LLC

Owner · Organization

100%

Ama Holdings LLC

Owner (parent company) · Organization

Andrew Capital LLC

Owner (parent company) · Organization

Def Holdings LLC

Owner (parent company) · Organization

Manchester Partners LLC

Owner (parent company) · Organization

Mo Operation Equities LLC

Owner (parent company) · Organization

Andrew, David

Owner (parent company)

Marx, Asher

Owner (parent company)

Wolf, Jacques

Owner (parent company)

Key personnel

Andrew, DavidW-2 Managing EmployeeCarosone, RachelW-2 Managing EmployeeMarx, AsherOfficer / DirectorWolf, JacquesOfficer / DirectorMarx, AsherManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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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