Manchester Rehab and Healthcare Center: Staffing, Turnover, and Inspection Record
Manchester Rehab and Healthcare Center is a 137-bed for-profit nursing home in Ballwin, Missouri, part of Ama Holdings. In the CMS August 2026 release it reported 2.36 nurse aide hours per resident per day, 3% above the Missouri average of 2.29.
Manchester Rehab and Healthcare Center
312 Solley DriveBallwin, MO 63021
St. Louis 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 Manchester Rehab and Healthcare Center, nurse aides logged 2.36 hours per resident per day, 3% above the Missouri average. With about 87 residents a day, that works out to roughly 205 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.36 | 2.29 | 2.32 |
| Licensed practical nurses | 0.47 | 0.68 | 0.86 |
| Registered nurses | 0.40 | 0.46 | 0.69 |
| All nursing staff | 3.23 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.90 | 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 Manchester Rehab and Healthcare Center in this release. 2 administrators left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on May 23, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $197,132 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 23, 2025 | Fine | $197,132 |
| May 23, 2025 | Payment Denial | 12 days from Jun 28, 2025 |
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. Manchester Rehab and Healthcare Center holds 1 of 5 overall; the Missouri average is 2.5.
About Manchester Rehab and Healthcare Center
- Ownership: For profit - Corporation
- Chain: Ama Holdings, 13 homes
- Legal name: Manchester Operator LLC
- Medicare and Medicaid certified since: Jan 18, 1989
- Councils: resident council
- Area: urban
Nursing homes near Manchester Rehab and Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lutheran Senior Services at Meramec Bluffs Ballwin | 1.0 | 32 | 2.60 | 5.25 | 27.1% | 5 | None |
| Delmar Gardens on the Green Chesterfield | 2.1 | 120 | 3.40 | 4.38 | 57.7% | 2 | $46,589 |
| Athene Nursing and Rehabilitation Town and Country · abuse citation | 2.7 | 282 | 2.00 | 2.90 | 61.2% | 1 | $122,846 |
| Big Bend Woods Healthcare Center Valley Park | 3.1 | 135 | 1.99 | 2.84 | 67.0% | 1 | $85,176 |
| Garden View Care Center at Dougherty Ferry Valley Park | 3.2 | 66 | 4.18 | 5.96 | — | 4 | None |
| The Quarters at Des Peres Des Peres | 3.5 | 147 | 2.76 | 4.04 | 68.8% | 1 | $334,933 |
| Ellisville Rehabilitation and Nursing Ellisville · SFF candidate · abuse citation | 3.7 | 210 | 2.69 | 3.92 | 71.9% | 1 | $260,092 |
| Mason Pointe Care Center Chesterfield | 3.8 | 63 | 2.64 | 4.32 | 40.3% | 5 | None |
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.