Manchester Rehab And Healthcare Center
312 Solley Drive, Ballwin, MO, 63021
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Ama Holdings
- Certified beds
- 137 · avg 79 residents/day
- Administrators who left
- 1 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $197,132 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 265352
- Certified beds
- 137 beds · avg 79 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Manchester Operator Llc
- Chain affiliation
- Ama Holdings
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Ama Holdings chain — 14 facilities. Chain-wide average overall rating 1.5 / 5.
Disclosed owners (10 on record)
- Rachel Carosone
W-2 Managing Employee · since 2023
- Ama Holdings Llc
5% or Greater Indirect Ownership Interest · 43% · since 2023
- Andrew Capital Llc
5% or Greater Indirect Ownership Interest · 15% · since 2023
- Asher Marx
5% or Greater Indirect Ownership Interest · 40% · since 2023
- David Andrew
5% or Greater Indirect Ownership Interest · 14% · since 2023
- Def Holdings Llc
5% or Greater Indirect Ownership Interest · 43% · since 2023
+ 4 additional owners on the federal record.
Recent change of ownership
May 2023 (3 years ago) · acquired from West County Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 53)
- E0804·May 23, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0677·May 23, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0584·May 23, 2025Complaint
Resident Rights Deficiencies
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.
- D0770·May 23, 2025
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E0761·May 23, 2025
Pharmacy Service Deficiencies
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.
- D0698·May 23, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0695·May 23, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- J0689·May 23, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $197K · 1 payment denial
Most recent events
- May 23, 2025Payment denial · 12 days · starting Jun 28, 2025
- May 23, 2025Fine · $197K
Fire-safety citations
30 Life-Safety-Code citations on file. Most recent: May 23, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Manchester Rehab And Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.