Lutheran Senior Services at Meramec Bluffs, Ballwin
50 Meramec Trails Drive, Ballwin, MO 63021 · 1.0 mi
5 of 5 CMS overall · Much above average
- Inspections5/5
- Staffing5/5
- Quality4/5
- 32 beds
- Nonprofit
- Continuing care community
Nursing Home in Ballwin, MO · CMS Data August 2026
Manchester Rehab and Healthcare Center
How Does Manchester Rehab and Healthcare Center Rate?
Manchester Rehab and Healthcare Center is a 137-bed for-profit nursing home in Ballwin, MO. CMS rates it 1 out of 5 stars overall (August 2026), with 2 for health inspections, 1 for staffing and 1 for quality measures. Residents got an average of 3.2 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on May 23, 2025, cited 11 health deficiencies.
- CMS overall rating
- 1 of 5
- Nursing per resident per day
- 3.2 hours
- Deficiencies at last inspection
- 11
- Certified beds
- 137
312 Solley Drive
Ballwin, MO 63021
1 of 5 CMS overall · Much below average
From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.
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CMS Star Ratings
| Rating | Stars | CMS label |
|---|---|---|
| Overall rating | 1 of 5 | Much below average |
| Health inspections | 2 of 5 | Below average |
| Staffing | 1 of 5 | Much below average |
| Quality measures | 1 of 5 | Much below average |
| Quality for long-stay residents | 3 of 5 | Average |
| Quality for short-stay residents | 1 of 5 | Much below average |
CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.
Staffing and Turnover
| Measure | This home | National median |
|---|---|---|
| Total nursing hours per resident per day | 3.2 hours | 3.7 hours |
| Registered nurse hours per resident per day | 0.4 hours | 0.6 hours |
| Nurse aide hours per resident per day | 2.4 hours | 2.2 hours |
| Total nursing hours per resident on weekends | 2.9 hours | 3.3 hours |
Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.
Inspections and Penalties
| Last standard health inspection | May 23, 2025 |
|---|---|
| Health deficiencies cited at that inspection | 11 |
| Deficiencies from complaint inspections (same rating cycle) | 3 |
| Fines in the past 3 years | 1 totaling $197,132 |
| Payment denials in the past 3 years | 1 |
The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.
Quality Measures for Long-Stay Residents
The share of residents in long-term care (101 days or more) at Manchester Rehab and Healthcare Center who, according to CMS's resident assessments (2025Q2 to 2026Q1):
| Residents who | This home | National median | Compared |
|---|---|---|---|
| Received an antipsychotic medication | 11% | 13% | Lower than the national median |
| Received an antianxiety or hypnotic medication | 21% | 18% | Higher than the national median |
| Had a fall with major injury | 2.4% | 2.8% | Lower than the national median |
| Have pressure ulcers | 7.1% | 4.2% | Higher than the national median |
| Lost too much weight | 4.1% | 4.7% | Lower than the national median |
| Were physically restrained | 0.0% | 0.0% | At the national median |
| Have depressive symptoms | 68% | 3.6% | Higher than the national median |
| Needed more help with daily activities over time | 16% | 13% | Higher than the national median |
Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.
About the Home
| Certified beds | 137 |
|---|---|
| Average residents per day | 87 |
| Ownership | For profit - Corporation |
| Legal business name | MANCHESTER OPERATOR LLC |
| Chain or affiliated group | AMA HOLDINGS (13 homes) |
| Certified for | Medicare and Medicaid |
| First certified | January 1989 |
| Councils | Resident council |
Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Missouri's Missouri Long-Term Care Ombudsman Program (800-309-3282) can answer questions about residents' rights. See all nursing homes and senior care in Missouri.
Other Nursing Homes Near Manchester Rehab and Healthcare Center
Measured by straight-line distance. See every home on the Ballwin nursing homes page.
Delmar Gardens on the Green, Chesterfield
15197 Clayton Road, Chesterfield, MO 63017 · 2.1 mi
2 of 5 CMS overall · Below average
- Inspections3/5
- Staffing2/5
- Quality1/5
- 120 beds
- For-profit
Athene Nursing and Rehabilitation, Town and Country
13995 Clayton Road, Town and Country, MO 63017 · 2.7 mi
1 of 5 CMS overall · Much below average
- Inspections1/5
- Staffing1/5
- Quality2/5
- CMS abuse icon: cited for abuse
- 282 beds
- For-profit
Big Bend Woods Healthcare Center, Valley Park
110 Highland Avenue, Valley Park, MO 63088 · 3.1 mi
1 of 5 CMS overall · Much below average
- Inspections3/5
- Staffing1/5
- Quality1/5
- 135 beds
- For-profit
Garden View Care Center at Dougherty Ferry, Valley Park
13612 Big Bend Road, Valley Park, MO 63088 · 3.2 mi
4 of 5 CMS overall · Above average
- Inspections5/5
- Staffing4/5
- Quality1/5
- 66 beds
- For-profit
Quarters at Des Peres, the, Des Peres
13230 Manchester Road, Des Peres, MO 63131 · 3.5 mi
1 of 5 CMS overall · Much below average
- Inspections1/5
- Staffing2/5
- Quality3/5
- 147 beds
- For-profit