MANCHESTER REHAB AND HEALTHCARE CENTER
312 SOLLEY DRIVE, BALLWIN, MO 63021 · CCN 265352
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 137
- Avg residents/day
- 78.6
- Phone
- 6363910666
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 | 2025-05-23 | 11 | 11.9 | 9.5 | -0.9 better |
| 2 | 2023-12-05 | 20 | 13.0 | 9.8 | +7.0 worse |
| 3 | 2020-02-25 | 27 | 11.0 | 9.3 | +16.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.45 | — |
| RN staffing (reported) | 0.47 | — |
| Total nurse staffing (adjusted) | 3.32 | — |
Fines & penalties
- Total fines
- $239,993
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- AMA HOLDINGS
- Facilities in chain
- 14
- Chain avg overall
- 1.70 / 5
Inspection citations (58)3 immediate jeopardy1 actual 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.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-23 · Health · corrected 2025-07-10
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-23 · Health · corrected 2025-05-30
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-23 · Health · corrected 2025-07-10
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0761Ensure 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.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-23 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-07 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-20 · Health · corrected 2024-10-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-08 · Health · corrected 2024-07-31
Actual harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-23 · Health · corrected 2024-06-19
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-05-23 · Health · corrected 2024-06-19
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.2024-05-23 · Health · corrected 2024-06-19
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-16 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-16 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-12-05 · Health · corrected 2024-01-18
Potential for minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-12-05 · Health · corrected 2024-01-18
Potential for minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-12-05 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0761Ensure 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.2023-12-05 · Health · corrected 2024-02-06
Potential for more than minimal harm
- EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-05-01 · Health · corrected 2023-06-07
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-01 · Health · corrected 2023-06-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-01 · Health · corrected 2023-06-07
Potential for more than minimal harm
- KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-05-01 · Health · corrected 2023-06-07
Immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-05 · Health · corrected 2023-01-26
Immediate jeopardy
- 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.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0688Provide 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.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2020-02-25 · Health · corrected 2020-06-05
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.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2020-02-25 · Health · corrected 2020-06-05
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.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2020-02-25 · Health · corrected 2020-06-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MANCHESTER HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-05-24 |
| AMA HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| ANDREW CAPITAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| DEF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| MANCHESTER PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| MO OPERATION EQUITIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| ANDREW, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| MARX, ASHER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| WOLF, JACQUES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-24 |
| MARX, ASHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-24 |
| WOLF, JACQUES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-24 |
| MARX, ASHER | Individual | CORPORATE DIRECTOR | — | 2023-05-24 |
| WOLF, JACQUES | Individual | CORPORATE DIRECTOR | — | 2023-05-24 |
| ANDREW, DAVID | Individual | W-2 MANAGING EMPLOYEE | — | 2023-05-24 |
| CAROSONE, RACHEL | Individual | W-2 MANAGING EMPLOYEE | — | 2023-08-14 |
Other facilities in BALLWIN
| Name | Overall | Beds |
|---|---|---|
| LUTHERAN SENIOR SERVICES AT MERAMEC BLUFFS | ★★★★★ | 32 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.