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Grand Manor Nursing & Rehabilitation Center

Nursing Home Facility

3645 Cook Ave, Saint Louis, MO 63113

Nursing Home Care Senior Living

Grand Manor Nursing & Rehabilitation Center is a senior care community located in Saint Louis, MO. It provides nursing home care and senior living for older adults in the Saint Louis area. To learn more or schedule a tour, call (314) 531-2352.

Operated by Reliant Care Management, which runs 23 communities in our directory.

Grand Manor Nursing & Rehabilitation Center is licensed for 120 beds, about typical for the area, where senior care communities in Saint Louis average about 102 beds.

Federal reporting puts occupancy at about 90% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Saint Louis average of roughly 73%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Louis average about 1.8 stars. Its most recent standard health inspection was in September 2024 and recorded 15 deficiencies.

Residents receive about 2.0 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Communities in Saint Louis average about 3.2 hours.

The community is located in Saint Louis City County, MO.

Medicare five-star ratings

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

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 46 problems at Grand Manor Nursing & Rehabilitation Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 15 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $126,118.

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 April 2026, after a complaint.

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

    Honor the resident's right to choose his or her attending physician.

    Inspected May 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected February 2026, after a complaint. Corrected by February 5, 2026.

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

    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.

    Inspected November 2025, after a complaint. Corrected by November 18, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected November 2025, after a complaint. Corrected by September 25, 2025.

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

    Provide 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.

    Inspected November 2025, after a complaint. Corrected by November 18, 2025.

  • Could cause more than minimal harm, 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 November 2025, after a complaint. Corrected by September 25, 2025.

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

    Honor the resident's right to manage his or her financial affairs.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Notify 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.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Implement 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.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Provide and implement an infection prevention and control program.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected September 2024. Corrected by October 25, 2024.

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Inspected September 2024. Corrected by October 25, 2024.

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.

Grand Manor Nursing & Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 120
  • Occupancy 90%
  • Nursing hours per resident/day 2.0
  • Last health inspection September 2024

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