GRAND MANOR HEALTH CARE CENTER
3645 COOK AVE, SAINT LOUIS, MO 63113 · CCN 265717
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 110.5
- Phone
- 3145312352
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-13 | 18 | 11.9 | 9.5 | +6.1 worse |
| 2 | 2023-07-14 | 14 | 13.0 | 9.8 | +1.0 worse |
| 3 | 2019-12-06 | 13 | 11.0 | 9.3 | +2.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Resident rights | 6 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 1.93 | — |
| RN staffing (reported) | 0.12 | — |
| Total nurse staffing (adjusted) | 1.83 | — |
Fines & penalties
- Total fines
- $99,988
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- RELIANT CARE MANAGEMENT
- Facilities in chain
- 29
- Chain avg overall
- 1.10 / 5
Inspection citations (45)1 immediate jeopardy
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-17 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0688Provide 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.2025-11-17 · Health · corrected 2025-11-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-17 · Health · corrected 2025-09-25
Potential for more than minimal harm
- EF0803Ensure 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.2025-11-17 · Health · corrected 2025-11-18
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-17 · Health · corrected 2025-07-14
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-06-17 · Health · corrected 2025-07-14
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-16 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-16 · Health · corrected 2025-07-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-16 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-16 · Health · corrected 2025-07-14
Potential for more than minimal harm
- EF0567Honor the resident's right to manage his or her financial affairs.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0625Notify 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.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0758Implement 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.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-13 · Health · corrected 2024-03-27
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2024-02-13 · Health · corrected 2024-02-17
Immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0584Honor 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.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0688Provide 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.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-07-14 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0584Honor 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.2023-04-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-12-06 · Health · corrected 2020-01-15
Potential for minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2019-12-06 · Health · corrected 2020-01-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-05-01 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-01 |
| DESTEFANE, RICHARD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-01 |
| DESTEFANE, RICHARD | Individual | CORPORATE OFFICER | — | 2024-05-01 |
| ARSHAD, ABDULLAH | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2024-05-01 |
| ALLEN, ROBIN | Individual | W-2 MANAGING EMPLOYEE | — | 2024-05-01 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-10 |
| GRAND MANOR ASSOCIATES LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-05-01 |
Other facilities in SAINT LOUIS
| Name | Overall | Beds |
|---|---|---|
| BETHESDA SOUTHGATE | ★★★★★ | 130 |
| CHRISTIAN EXTENDED CARE & REHABILITATION | ★★★★★ | 60 |
| DELMAR GARDENS SOUTH | ★★★★☆ | 184 |
| FRIENDSHIP VILLAGE SUNSET HILLS | ★★★★☆ | 144 |
| BARNES-JEWISH EXTENDED CARE | ★★★★☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.