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Data / Nursing homes / Missouri / Manchester Rehab and Healthcare Center

Manchester Rehab and Healthcare Center, Ballwin, MO: 1 star rating, fined $197,132 across 1 fine and had 1 payment denial

Manchester Rehab and Healthcare Center in Ballwin, MO is owned by Manchester HOLDCO LLC, is rated 1 of 5 stars by Medicare, and was fined $197,132 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 33 health citations from inspections in that time, the latest survey on May 23, 2025, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Missouri
Address
312 Solley Drive, Ballwin, MO 63021
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
1 of 5
Certified beds
137
Residents per day
92 on average
Ownership type
For profit, corporation
Legal business name
Manchester Operator LLC
Chain
Ama Holdings, 13 facilities
Fines
$197,132 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
33, of which 2 with actual harm or immediate jeopardy
Latest survey
May 23, 2025
CMS Certification Number
265352
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 23, 2025Fine$197,132Not listeddata.cms.gov
May 23, 2025Payment denialNot listedJune 28, 202512data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMay 30, 2025data.cms.gov
May 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
May 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
May 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 23, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
November 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceOctober 25, 2024data.cms.gov
September 20, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
July 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJuly 31, 2024data.cms.gov
May 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
May 23, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
May 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
January 16, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
January 16, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 6, 2024data.cms.gov
December 5, 2023F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C: widespread, minimal harm potentialCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 5, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (3 owners, 4 managers, 2 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Manchester HOLDCO LLCDirect owner100%May 24, 2023data.cms.gov
Ama Holdings LLCIndirect ownerNot listedMay 24, 2023data.cms.gov
Andrew Capital LLCIndirect ownerNot listedMay 24, 2023data.cms.gov
Def Holdings LLCIndirect ownerNot listedMay 24, 2023data.cms.gov
Manchester Partners LLCIndirect ownerNot listedMay 24, 2023data.cms.gov
Mo Operation Equities LLCIndirect ownerNot listedMay 24, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.