About Grand Manor Health Care CenterGrand Manor Health Care Center is located at 3645 Cook Ave, Saint Louis, MO, reachable at (314) 531-2352. This For profit – Limited Liability company facility operates 120.0 certified beds and serves an average of 110 residents per day. It is part of the Reliant Care Management network (29 facilities nationwide). Medicare and Medicaid services have been provided since 2000-12-18. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#13729 of 14703 nationally – #374 of 487 in Missouri
Who Is This Facility Best For?
Grand Manor Health Care Center may be considered for families with limited options in Saint Louis, MO, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★2 / 5
Staffing Rating
★★★★★1 / 5
Quality Measures (QM)
★★★★★2 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightGrand Manor Health Care Center currently provides 1 hour 56 minutes of total nurse staffing per resident per day, including 7 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing1 hour 56 minutes
Nurse Aide Hours1 hour 23 minutes
Licensed Practical Nurse (LPN) Hours26 minutes
Registered Nurse (RN) Hours7 minutes
Physical Therapist Hours2 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours1 hour 30 minutes
Weekend Registered Nurse (RN) Hours6 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $99,988. 25 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Grand Manor Health Care Center ranks 13729th out of 14,703 facilities (composite score: 52.3/100), placing it in the bottom 25% nationwide. Within MO, it ranks 374th out of 487 nursing homes. In Saint Louis, it ranks 26th out of 36 facilities. For 2026 staffing: total nurse hours rank #14,123 nationally and RN hours rank #14,106 nationally (#455 in MO).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MO State Rank
Note
2022
2.94
#12,098 / 14,703
#271 / 487
⚠️ Bottom 25%
2023
2.75
#13,118 / 14,703
#358 / 487
⚠️ Bottom 25%
2024
3.00
#12,500 / 14,703
#317 / 487
⚠️ Bottom 25%
2025
—
#14,282 / 14,703
#459 / 487
⚠️ Bottom 5%
2026
1.93
#14,123 / 14,703
#459 / 487
⚠️ Bottom 5%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MO State Rank
Note
2022
0.26
#13,041 / 14,703
#360 / 487
⚠️ Bottom 25%
2023
0.38
#10,545 / 14,703
#235 / 487
Below average
2024
0.39
#10,697 / 14,703
#217 / 487
Below average
2025
—
#14,282 / 14,703
#459 / 487
⚠️ Bottom 5%
2026
0.12
#14,106 / 14,703
#455 / 487
⚠️ Bottom 5%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Grand Manor Health Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2000-12-18. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (314) 531-2352 or your local Medicaid office to verify current eligibility.
Grand Manor Health Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 52.3/100, placing it #13729 of 14703 facilities nationally and #374 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Grand Manor Health Care Center receives a reported average of 1 hour 56 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 7 minutes; Licensed Practical Nurse (LPN) — 26 minutes; Nurse Aide — 1 hour 23 minutes. On weekends, total nurse staffing is 1 hour 30 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $99,988. 25 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $99,988, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 120.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Grand Manor Health Care Center ranks 13729th out of 14,703 facilities (composite score: 52.3/100), placing it in the bottom 25% nationwide. Within MO, it ranks 374th out of 487 nursing homes. In Saint Louis, it ranks 26th out of 36 facilities. For 2026 staffing: total nurse hours rank #14,123 nationally and RN hours rank #14,106 nationally (#455 in MO). Our composite quality score of 52.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Saint Louis, visit: https://nursinghomesnearme.org/missouri/saint-louis/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.