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Manchester Rehab and Healthcare Center

Nursing Home Facility

312 Solley Drive, Ballwin, MO 63021

Nursing Home Care Senior Living

Manchester Rehab and Healthcare Center is a senior care community located in Ballwin, MO. It provides nursing home care and senior living for older adults in the Ballwin area. To learn more or schedule a tour, call (636) 391-0666.

Operated by Ama Holdings, which runs 11 communities in our directory.

With 137 beds, Manchester Rehab and Healthcare Center is one of the larger communities in the area, senior care communities in Ballwin average about 75 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 63% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Ballwin average of roughly 79%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Ballwin average about 2.3 stars. Its most recent standard health inspection was in May 2025 and recorded 11 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Ballwin average about 4.0 hours.

The community is located in Saint Louis County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 53 problems at Manchester Rehab and Healthcare Center. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 17 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $197,132. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected May 2025, after a complaint. Corrected by May 30, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected May 2025, after a complaint. Corrected by May 30, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected May 2025, after a complaint. Corrected by May 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2025. Corrected by July 10, 2025.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected May 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Inspected May 2025. Corrected by May 30, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Manchester Rehab and Healthcare Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 137
  • Occupancy 63%
  • Nursing hours per resident/day 3.2
  • Last health inspection May 2025

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