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C
Below Standard

MANCHESTER REHAB AND HEALTHCARE CENTER

312 SOLLEY DRIVE · BALLWIN, MO 63021

6363910666 · For profit - Corporation

137 beds78.6 residents203 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MANCHESTER REHAB AND HEALTHCARE CENTER receives an overall staffing grade of C (Below Standard). With 3.4503 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4721 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.23% compared to weekdays. The facility has low agency staff usage (6.74% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4503 HPRD — needs 0.03 more hours per resident per day.
⚠️RN staffing (0.4721 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4503hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.4721hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
18.23%
3.6378 weekday → 2.9745 weekend
Agency Staff
6.74%
2.67% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6116hrs/resident/day
Direct care aides
LPN HPRD
0.5234hrs/resident/day
Licensed practical nurses
Consistency
0.4008std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Louis County Average-0.37 HPRD
3.82
03.45 HPRD
vs. Missouri State Average-0.03 HPRD
3.48
03.45 HPRD
vs. National Average-0.45 HPRD
3.90
03.45 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MANCHESTER REHAB AND HEALTHCARE CENTER ★
BALLWIN · This facility
—
C
3.45030.4721★☆☆☆☆
DELMAR GARDENS ON THE GREEN
CHESTERFIELD
2.1 mi
D
4.52950.3822★★★☆☆
ATHENE NURSING AND REHABILITATION
TOWN AND COUNTRY
2.7 mi
D
2.97920.273★☆☆☆☆
BIG BEND WOODS HEALTHCARE CENTER
VALLEY PARK
3.1 mi
D
2.96520.3448★☆☆☆☆
MASON POINTE CARE CENTER
CHESTERFIELD
3.8 mi
A
4.34681.0051★★★★★
DELMAR GARDENS WEST
TOWN AND COUNTRY
3.8 mi
C
3.85850.4429★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
60
Total Deficiencies
$239,993
Fines Assessed
May 23, 2025Health
11 deficiencies cited· Includes actual harm
▼
Nov 7, 2024Health
1 deficiency cited
▼
Sep 20, 2024Health
1 deficiency cited
▼
Jul 8, 2024Health
1 deficiency cited· Includes actual harm
▼
May 23, 2024Health
3 deficiencies cited
▼
Jan 16, 2024Health
2 deficiencies cited
▼
Dec 5, 2023Health
14 deficiencies cited
▼
May 1, 2023Health
4 deficiencies cited· Includes actual harm
▼
Apr 5, 2023Health
1 deficiency cited· Includes actual harm
▼
Feb 15, 2023Health
2 deficiencies cited· Includes actual harm
▼
Feb 25, 2020Health
20 deficiencies cited
▼

Penalty History

May 23, 2025Fine
$197,132
May 23, 2025Payment Denial
May 1, 2023Fine
$42,861
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.