Grand Manor Nursing & Rehabilitation Center
3645 Cook Ave, Saint Louis MO 63113 · (314) 531-2352 · 89% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Grand Manor Nursing & Rehabilitation Center is an average-sized nursing home in Saint Louis, Missouri. We gave this nursing home a C overall, which isn't a bad score. This is comparable with the city grade in Saint Louis, which is a B-. Based on our ratings, there are definitely much worse facilities out there. One of the highlights of this nursing home's report card is its impressive inspection score, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 120 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To go along with its decent overall grade, we awarded this facility an A- for its inspection grade. This score is far better than the facility's overall rating. We weigh several aspects of a nursing home's inspection report in computing our inspection grades. One critical factor is deficiencies. You should keep in mind that the severity of these deficiencies is arguably more meaningful than the number of deficiencies, as some of these are quite minor. Although this facility had some deficiencies on its government inspection report, none were severe based on CMS' deficiency scale. A few minor deficiencies should not lead you to cross a nursing home off your list.
Long-term Care Quality
This nursing home also was given a strong long-term care grade. Indeed, we gave them a grade of B+ in this area, which is one of our more favorable scores. Facilities that do well in long-term care tend to be well-staffed and offer extensive hands on care to patients. In addition to considering the amount of care provided by nurses and other staff, we looked at the number of residents vaccinated against pneumonia. This facility administered the vaccine to 98.71795 percent of its residents, which is what we like to see. Pneumonia is often a life threatening health condition for nursing home patients so we like it when a facility does not roll the dice on this issue. Lastly, we looked at the facility's number of hospitalizations. We found that this place had 3.57 hospitalizations per one thousand long-term resident days. Although this wasn't as strong as some of its other scores in this category, this number may be skewed for some facilities due to some of the preexisting medical conditions of residents.
Nurse Quality
This facility's next best category grade came in the area of nursing. In that category, we gave this nursing home a grade of C. Our nursing score weighs many factors, however, the primary one is the quantity of nurse hours per patient per week. This nursing home provides 2.7 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Although this place ranked poorly in terms of the quantity of nursing care provided, it performed admirably in some of our quality measures. It was above average in two of the areas we assess, with favorable scores for minimizing its patients' major falls and pressure ulcers.
Short-term Care Quality
Switching gears to the next category, this nursing home didn't perform well. With a rock bottom grade of F in short-term care, this is this nursing home's worst area. Our short-term care ratings are considered to be more meaningful for those in need of a nursing home for rehabilitation. Rehabilitation generally utilizes higher levels of highly-skilled nursing services. This includes not merely nursing, but also physical and occupational therapy, as well as other variations of therapy. Based on its score in this category, we weren't surprised to find that this place is well below average in terms of the number of physical therapy and registered nurse hours offered to its patients based on the metrics we looked at. Honestly, this was what we expected to find. Finally, we looked at the percentage of residents who were able to return to the community from this nursing home. We found that just 23.7 percent of this facility's residents returned home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Grand Manor Nursing & Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage caused by staying in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is a measure of the percent of long-term stay residents who have experienced a fall resulting in severe injury. We use this statistic in computing our nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure gauges the percent of long-term stay residents who had a urinary tract infection. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be problematic to compare between nursing homes due to nursing homes having reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of patients given antipsychotic drugs. Antipsychotic drugs are given to residents for many conditions, including dementia. Tragically, in some situations, excessive reliance on these medications may suggest a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients who were given antianxiety drugs. These medications are prescribed to residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of residents showing signs of depression. High levels of depression could reveal a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint is a measure of the percent of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and eating. Some would argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term residents who maintained mobility. Many in the industry would argue that mobility is important for residents' physical and mental health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of hospitalizations per thousand days of patient care. Staying out of the hospital is critical to the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint is a measure of the number of rehospitalizations per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This tells you the number of times residents are sent to the emergency room per thousand days of short-term care.
Percentage of Patients
Lower is Better