Grand Manor Health Care Center: Staffing, Turnover, and Inspection Record
Grand Manor Health Care Center is a 120-bed for-profit nursing home in Saint Louis, Missouri, part of Reliant Care Management. In the CMS August 2026 release it reported 1.39 nurse aide hours per resident per day, 39% below the Missouri average of 2.29.
Grand Manor Health Care Center
3645 Cook AveSaint Louis, MO 63113
St. Louis City County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grand Manor Health Care Center, nurse aides logged 1.39 hours per resident per day, 39% below the Missouri average. With about 108 residents a day, that works out to roughly 150 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.39 | 2.29 | 2.32 |
| Licensed practical nurses | 0.45 | 0.68 | 0.86 |
| Registered nurses | 0.17 | 0.46 | 0.69 |
| All nursing staff | 2.00 | 3.43 | 3.86 |
| All nursing staff, weekends | 1.60 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Grand Manor Health Care Center in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 13, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $126,118 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 15, 2026 | Fine | $26,130 |
| Feb 13, 2024 | Fine | $99,988 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grand Manor Health Care Center holds 1 of 5 overall; the Missouri average is 2.5.
About Grand Manor Health Care Center
- Ownership: For profit - Limited Liability company
- Chain: Reliant Care Management, 34 homes
- Legal name: Grand Manor Health Care Center LLC
- Medicare and Medicaid certified since: Dec 18, 2000
- Councils: resident council
- Area: urban
Nursing homes near Grand Manor Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Blue Circle Rehab and Nursing Saint Louis | 0.7 | 90 | 1.83 | 2.80 | 69.7% | 2 | $13,042 |
| Bernard Care Center Saint Louis | 1.2 | 141 | 1.56 | 1.99 | 45.3% | 1 | $37,388 |
| Life Care Center of St Louis Saint Louis | 1.4 | 100 | 2.14 | 3.54 | 66.4% | 4 | $15,646 |
| Delhaven Manor Saint Louis | 2.6 | 156 | 4.94 | 7.18 | — | 3 | $73,048 |
| Beauvais Rehab and Healthcare Center Saint Louis · abuse citation | 2.8 | 184 | 2.14 | 3.24 | 64.1% | 1 | None |
| Oak Park Care Center Saint Louis | 3.8 | 120 | 2.71 | 3.80 | 55.4% | 3 | None |
| Monarch Springs Wellness & Rehabilitation University City | 4.1 | 119 | 1.96 | 2.87 | — | 2 | None |
| Magnolia Wellness Center Saint Louis · abuse citation | 4.4 | 120 | 2.10 | 3.14 | 63.6% | 1 | $209,790 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.