Manchester Rehab and Healthcare Center
312 Solley Drive · Ballwin, MO · 63021 · 6363910666
137 certified beds For profit - Corporation Chain: Ama Holdings
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $197,132 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$197,132 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $197,132 |
Inspection citations (53 in the current record)
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Immediate jeopardy · J May 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025
Ensure 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.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D May 23, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 30, 2025 · Administration
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Potential for harm · E May 23, 2025 · found via complaint
Honor 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.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · E May 23, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · D November 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 25, 2024 · Quality of Life and Care
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Potential for harm · D September 20, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 10, 2024 · Resident Assessment and Care Planning
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Actual harm · G July 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · E May 23, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 19, 2024 · Pharmacy Service
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Potential for harm · D May 23, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 16, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 5, 2023
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected January 18, 2024 · Resident Rights
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Potential for harm · D December 5, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 18, 2024 · Resident Rights
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Potential for harm · E December 5, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2023
Have 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.
Corrected January 18, 2024 · Nursing and Physician Services
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Potential for harm · D December 5, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected January 18, 2024 · Pharmacy Service
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Potential for harm · E December 5, 2023
Ensure 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.
Corrected February 6, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 23, 2025 | Fine | $197,132 |
| May 23, 2025 | Payment Denial | 12 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265352 · certified since January 18, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.