01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-13 | 15 | 2024-09-13 | 3 |
| Cycle 2 | 2023-07-14 | 20 | 2023-07-14 | 14 |
| Cycle 3 | 2019-12-06 | 11 | 2019-12-06 | 3 |
CMS CCN 2657172026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Grand Manor Health Care Center
3645 Cook Ave · Saint Louis, MO 63113 · St. Louis City County
Certified beds120CMS provider file
Recent citation rows66current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
66 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-28 · HEALTHF0555Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
Correction field: Past Non-Compliance · complaint2026-04-15 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · complaint2026-02-03 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-02-05 · complaint2025-11-17 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Past Non-Compliance · 2025-09-25 · complaint2025-11-17 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-11-18 · complaint2025-11-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-09-25 · complaint2025-11-17 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-11-18 · complaint2025-06-17 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-07-14 · complaint2025-06-17 · HEALTHF0925Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-07-14 · complaint2025-04-16 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2025-04-16 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-07-14 · complaint2025-04-16 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-04-02 · complaint2025-04-16 · HEALTHF0925Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-07-14 · complaint2024-09-13 · HEALTHF0567Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0568Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-13 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-10-2503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-15 | Fine | $26,130 | 0 |
| 2024-02-13 | Fine | $99,988 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GRAND MANOR ASSOCIATES LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 05/01/2024
- ARSHAD, ABDULLAHIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 05/01/2024
- ALLEN, ROBINIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/01/2024
- DESTEFANE, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2024
- RELIANT CARE MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/10/2024
- RCG INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/10/2024
- RELIANT CARE GROUP OF WEBSTER INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/10/2024
- TLG II LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/10/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.00per resident day
RN hours0.17per resident day
Weekend nurse hours1.60per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Saint Louis ledger →Other published facilities nearby
Amberwood Estates Nursing And Rehabilitation115 beds · CMS overall 1/5101 citation rowsAtrium Place Health And Rehabilitation120 beds · CMS overall 1/576 citation rowsBarnes-Jewish Extended Care120 beds · CMS overall 3/541 citation rowsBeauvais Rehab And Healthcare Center184 beds · CMS overall 1/580 citation rowsBernard Care Center141 beds · CMS overall 1/597 citation rowsBethesda Dilworth350 beds · CMS overall 3/538 citation rowsBethesda Southgate130 beds · CMS overall 5/532 citation rowsBlue Circle Rehab And Nursing90 beds · CMS overall 2/5104 citation rows