Grand Manor Nursing & Rehabilitation

    3645 Cook Ave, Saint Louis, MO, 63113
    3.3 · 26 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful unclean understaffed money-driven management

    I placed my mother here and at first the therapists and many caring staff (Robin included) helped her recover, kept residents safe during COVID, and some nurses were attentive and family-like. Over time care declined after staff/management changes - chronic understaffing, poor communication, long waits, patients left in hallways, and staff sometimes eating during care. I witnessed neglect: weight loss, dehydration/malnutrition, COVID infections, rats, hallways that smell like pee, outdated rooms and terrible food. There are commendable, quick-responding staff, but money-driven management and untrustworthy practices overshadow them. I would not recommend sending a loved one here until leadership, cleanliness and basic care standards are fixed.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.35 · 26 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.6
    • Meals

      2.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Caring and compassionate staff
    • Attentive nurses
    • Quick response to incidents
    • Proactive communication about events and medication changes
    • Kept residents safe during COVID (per some reviewers)
    • Improved resident health outcomes (better breathing, eating, walking)
    • Family-like treatment and strong staff support
    • Organized and (at times) clean facility
    • Residents appeared happy and smiled
    • Engaging activities and holiday visits (Easter bunny)
    • Supportive administration (named administrator Robin)
    • Therapy that produced progress for some residents
    • Staff who go above-and-beyond (attended funerals, expressed gratitude)

    Cons

    • Poor or neglectful care quality reported by multiple reviewers
    • COVID-19 infections and safety concerns
    • Malnutrition, dehydration, and weight loss
    • Long wait times; residents left sitting up or in hallways for hours
    • Staff shortages and understaffing (noted during COVID)
    • Instances of unprofessional behavior (staff eating during care)
    • Unorganized management and frequent miscommunication
    • Perception of money-driven staff/management
    • Unsanitary conditions reported (urine smell, rats)
    • Outdated rooms and complaints about terrible food
    • Care quality decline after staff changes
    • Untrustworthy staff/management; calls for inspection
    • Inconsistent therapy experiences; therapy described as long and difficult
    • Some residents/families strongly would not recommend and wanted to leave

    Summary review

    Overall sentiment across the reviews is mixed and polarizing: many reviewers praise individual staff members and note meaningful improvements in residents’ condition, while a significant number report serious problems with care quality, safety, and facility conditions. Positive comments emphasize compassionate, attentive caregivers, proactive communication, and cases where therapy and nursing care led to tangible recovery—improvements in breathing and eating, increased mobility (walking 100 feet), avoidance of rehospitalization, and a sense that residents were treated like family. Multiple reviewers specifically named leadership or staff (administrator Robin) and recounted gestures beyond routine care (staff attending a funeral, holiday visits), which support a narrative of strong, committed employees who create a warm environment for some residents.

    Counterbalancing those positive reports are numerous and, in several cases, severe complaints. Multiple summaries describe neglectful care: malnutrition, dehydration, weight loss, COVID-19 infections, and even near-death situations. There are repeated allegations of residents being left unattended—sitting up for long periods, placed in hallways for hours, or not receiving timely assistance—which point to systemic staffing or workflow failures. Several reviewers explicitly described the facility as unsafe during COVID and called for inspections, reflecting deep mistrust among some families. These critical accounts often attribute problems to understaffing, rushed or unprofessional behavior (including staff eating during care), and a management focus on money over resident well‑being.

    Facility conditions and operations also show clear contradictions across reviews. Some families say the building is clean, organized, and that residents appear happy, while others report unsanitary hallways that smell of urine, rodent presence, outdated rooms, and very poor food. This inconsistency suggests variability over time or across units/staffing shifts. Staffing issues are a recurring explanation: several positive reviews note excellent staff performance but also acknowledge COVID-related shortages; negative reviews point to a decline in care after staff changes, implying that outcomes are highly dependent on which personnel are present. Therapy and rehabilitation similarly appear inconsistent—where some residents experience meaningful progress, others describe therapy as a long, difficult journey with little benefit.

    Communication and management earn both praise and criticism. Some reviewers appreciate prompt, proactive updates about events and medication changes, while others characterize the facility as unorganized, with miscommunication and lack of compassion. There are explicit allegations of management being untrustworthy or money-driven and calls from families for regulatory inspection. Yet other reviewers found the administration caring and accessible, further underscoring variability in experiences.

    In summary, the reviews portray Grand Manor Nursing & Rehabilitation as a facility with notable strengths in personnel—there are clear instances of dedicated, compassionate staff who achieve positive outcomes and foster a family-like atmosphere. However, the presence of multiple serious complaints (neglect, malnutrition, COVID outbreaks, unsanitary conditions, long waits, and inconsistent therapy) indicates persistent risk factors that prospective families should carefully evaluate. The pattern suggests that quality may depend heavily on staffing levels and specific staff members or shifts. Anyone considering the facility should probe recent inspection reports, ask specifics about current staffing ratios and infection-control measures, observe cleanliness and dining conditions on a tour, and request references from current families to gauge consistency of care.

    Location

    Map showing location of Grand Manor Nursing & Rehabilitation

    About Grand Manor Nursing & Rehabilitation

    Grand Manor Nursing & Rehabilitation, sometimes called Grand Manor Nursing Home or Grand Manor Nursing & Rehabilitation Center, runs as a for-profit facility owned and managed by Reliant Care Management Company, LLC, and it's been around since 1996, offering care at two locations in Saint Louis, Missouri-one on Cook Ave and the other on South Grand-and while some people might think of nursing homes as all the same, this place holds 17 certified beds as of June 2025 and lists a total of 75 beds, taking in residents for both short and long stays, whether someone comes with Medicare, Medicaid, private insurance, or other types of payment, and you'll find they try to serve seniors and adults over 18 with medical, mental health, or rehabilitation needs, including folks with dementia, traumatic brain injuries, or who need dialysis or wound care.

    Grand Manor provides a full menu of in-room and community amenities, like dining services with a dining room, professional chef, and meals for special diets such as diabetes or food allergies, and residents can eat in a restaurant-style setting, enjoy all-day dining, or get nutrition through specialized diets set up by dieticians. Rooms come furnished and include private bathrooms, air conditioning, cable TV, kitchenettes, telephones, and high-speed internet or Wi-Fi, which makes it more comfortable for folks who want a bit of privacy, and laundry or housekeeping services take care of the basics, so family doesn't have to worry about chores.

    The facility hosts many activities, some planned by the staff and some run by the residents, and these range from art projects, games, movie nights in the dedicated movie room, music programs, to time in the arts room or game room, with outdoor activities and walking paths so nobody's cooped up inside when the weather's nice. Grand Manor also provides a spa, sauna, barber/beauty shop, library, and access to community gardens. Residents can take part in worship or religious services for different denominations if they wish, and there's a strong smoke- and vape-free policy in place for everyone's health.

    When it comes to medical care, the community rests near Barnes-Jewish Hospital, a Walgreens pharmacy, and the VA Medical Center Spinal Cord Injury Program, and offers on-site nursing and rehabilitation for things like post-surgery recovery, IV therapy, physical therapy, occupational, speech, cognitive, and restorative therapies, and there's plenty of support for medication management including injections and insulin, all backed by 24-hour supervision with an emergency call system. They've got doctors and specialist consultants on call, including psychiatrists and dentists, and offer care for geriatric patients and those with primary medical diagnoses or psychiatric conditions.

    Transportation to appointments and community events is available, and parking is provided for those who need it, while move-in help and concierge services take some stress out of getting settled, and house staff maintain safety rules with a proactive infection-minimizing approach and regular inspections to meet health codes. Residents who need extra help with bathing, dressing, or other daily routines will find direct assistance, plus support for families coping with a loved one's health changes. Grand Manor's been rated A+ by the Better Business Bureau, though it's not BBB-accredited, and people tend to recognize the place as steady and reliable for seniors and adults who need more than basic support but want to live somewhere that's more homelike than a hospital.

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