Grand Manor Health Care Center
3645 Cook Ave, Saint Louis, MO, 63113
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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 - Limited Liability company · Chain: Reliant Care Management
- Certified beds
- 120 · avg 108 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $99,988 total
Medicare certification
- CMS Certification Number
- 265717
- Certified beds
- 120 beds · avg 108 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Grand Manor Health Care Center Llc
- Chain affiliation
- Reliant Care Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Reliant Care Management chain — 32 facilities across 2 states. Chain-wide average overall rating 1.2 / 5.
Parent entity
Richard j. Destefane Revocable Living Trust
Disclosed owners (10 on record)
- Rcg IncHolding
Adp of The Snf · since 2024
- Reliant Care Group of Webster IncHolding
Adp of The Snf · since 2024
- Reliant Care Management Company Llc
Operational/managerial Control · since 2024
- Tlg ii LlpHolding
Adp of The Snf · since 2024
- Abdullah Arshad
Contracted Managing Employee · since 2024
- Grand Manor Associates Llc
5% or Greater Mortgage Interest · 100% · since 2024
+ 4 additional owners on the federal record.
Recent change of ownership
May 2024 (2 years ago) · acquired from Grand Manor Nursing & Rehabilitation 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 45)
- J0689·Apr 15, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0610·Feb 3, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0803·Nov 17, 2025Complaint
Nutrition and Dietary Deficiencies
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.
- D0689·Nov 17, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0688·Nov 17, 2025Complaint
Quality of Life and Care Deficiencies
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.
- D0600·Nov 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0925·Jun 17, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0658·Jun 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal penalties
By year
- 20241 fine · $100K
Most recent events
- Feb 13, 2024Fine · $100K
Fire-safety citations
20 Life-Safety-Code citations on file. Most recent: Sep 13, 2024. 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 Grand Manor Health Care 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.