Nursing homes › Missouri › Grand Manor Health Care Center
3645 Cook Ave, Saint Louis, MO 63113 · 3145312352 · 120 certified beds
Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 2.00 (Missouri median: 3.36). RN hours: 0.17. Weekend total: 1.60.
All-time on record: 46 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-28 | Honor the resident's right to choose his or her attending physician. | D | complaint | Past Non-Compliance |
| 2026-04-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | Past Non-Compliance |
| 2026-02-03 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-02-05 |
| 2025-11-17 | 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. | E | complaint | corrected 2025-11-18 |
| 2025-11-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-09-25 |
| 2025-11-17 | 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. | D | complaint | corrected 2025-11-18 |
| 2025-11-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-09-25 |
| 2025-06-17 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2025-07-14 |
| 2025-06-17 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-07-14 |
| 2025-04-16 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2025-07-14 |
| 2025-04-16 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-07-14 |
| 2025-04-16 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2025-05-30 |
| 2025-04-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-02 |
| 2024-09-13 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2024-10-25 |
| 2024-09-13 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Health | corrected 2024-10-25 |
| 2024-09-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-10-25 |
| 2024-09-13 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-10-25 |
| 2024-09-13 | 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. | D | Health | corrected 2024-10-25 |
| 2024-09-13 | 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. | D | Health | corrected 2024-10-25 |
| 2024-09-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-10-25 |
| 2024-09-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-25 |
| 2024-02-13 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2024-02-17 |
| 2024-02-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-03-27 |
| 2023-07-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-08-28 |
| 2023-07-14 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Health | corrected 2023-08-28 |
| 2023-07-14 | 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. | E | complaint | corrected 2023-08-28 |
| 2023-07-14 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Health | corrected 2023-08-28 |
| 2023-07-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-08-28 |
| 2023-07-14 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Health | corrected 2023-08-28 |
| 2023-07-14 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Health | corrected 2023-08-28 |
| 2023-07-14 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2023-08-28 |
| 2023-07-14 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2023-08-28 |
| 2023-07-14 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-08-28 |
| 2023-07-14 | 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. | D | Health | corrected 2023-08-28 |
| 2023-07-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-08-28 |
| 2023-07-14 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-08-28 |
| 2023-07-14 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2023-08-28 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-13 | Fine | $99,988 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DESTEFANE, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2024 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/10/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265717. Corrections: data@carerecords.org.