3114 Franklin Ave, Saint Louis, MO 63106
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
🏥
Medicare-certifiedSkilled Nursing
Grand Manor Health Care Center
Saint Louis, MissouriMedicare inspection record
About Grand Manor Health Care Center
Grand Manor Health Care Center brings skilled nursing and rehabilitation expertise to Saint Louis, Missouri families navigating recovery and complex care needs. Our compassionate team focuses on helping patients regain independence through personalized treatment plans and round-the-clock medical support.
Community at a glance
Capacity
120 residents
Location
Saint Louis, MO
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
3645 COOK AVE, Saint Louis, Missouri 63113
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on September 13, 2024, state inspectors cited 15 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 2 hours with each resident a day, below the Missouri average of 3 hours 26 minutes.
Medicare fined Grand Manor Health Care Center 2 times in the last three years, $126,118 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hoursBelow the Missouri average |
| Registered nurse time per resident, per day | 10 minutesBelow the Missouri average |
Inspections
23 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 28, 2026 · Complaint investigation · 1 citation
Honor the resident's right to choose his or her attending physician.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintAlready fixed before the inspection
April 15, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Apr 6, 2026
February 3, 2026 · Complaint investigation · 1 citation+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 5, 2026
November 17, 2025 · Complaint investigation · 4 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Nov 18, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Sep 25, 2025Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Sep 25, 2025
June 17, 2025 · Complaint investigation · 2 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 14, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jul 14, 2025
April 16, 2025 · Complaint investigation · 4 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 14, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jul 14, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Apr 2, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 30, 2025
September 13, 2024 · Standard inspection · 8 citations+
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 25, 2024Honor the resident's right to manage his or her financial affairs.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 25, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 25, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 25, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Oct 25, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 25, 2024Notify 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 25, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 25, 2024
February 13, 2024 · Complaint investigation · 2 citations+
Ensure that residents are free from significant medication errors.
Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Feb 17, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 27, 2024
Fines and payment denials
2 fines totaling $126,118 in the last three years.
- April 15, 2026Fine: $26,130
- February 13, 2024Fine: $99,988
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Grand Manor Health Care Center LLC
- Medicare-certified beds
- 120
- Average residents per day
- 108
- Accepts
- Medicare and Medicaid
- First certified
- December 18, 2000
- Part of a chain
- Reliant Care Management, 34 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 265717
Location
Loading map…
3645 COOK AVESaint Louis, MO 63113
12 other communities within 10 miles
Senior living near Saint Louis
716 N COMPTON AVE, Saint Louis, MO 63103
Adult Day Services
Adult day servicesDaytime supervision & activitiesRespite for caregivers
Call for pricing
Prices not published
3922 DELMAR BLVD, Saint Louis, MO 63108
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Questions about Grand Manor Health Care Center
How did Grand Manor Health Care Center do on its last inspection?+
State inspectors visited on September 13, 2024 and cited 15 health deficiencies, 7 of them from complaint investigations. The Missouri average is 11.4.
How much nursing care does each resident get at Grand Manor Health Care Center?+
Nurses and aides spend 2 hours with each resident per day, including 10 minutes from registered nurses.
Has Grand Manor Health Care Center been fined by Medicare?+
Yes. Medicare fined Grand Manor Health Care Center 2 times in the last three years, totaling $126,118.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.