Grand Manor Nursing & Rehabilitation

    3645 Cook Ave, Saint Louis, MO 63113
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Felt like family; excellent care

    I've had a very positive experience at Grand Manor. The staff - from administrator Robin to the nurses and caregivers - are warm, attentive, and treated my mother like family (they even attended a funeral and organized sweet events like an Easter bunny visit). Her health improved-breathing, eating, and walking better with no hospitalizations-while communication was proactive, the facility stayed clean and organized, and residents seemed genuinely happy; overall very good with a bit of room to grow.

    Loved one of resident
    Jul 2026

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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

    Reviews

    3.26·(27)

    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

    • Compassionate, family-like staff
    • Attentive nursing and therapy support
    • Demonstrated rehabilitation progress
    • Proactive family communication and care coordination
    • Engaging activities and seasonal events
    • Clean, well-maintained common areas
    • Responsive management and visible administrator leadership
    • Strong resident social and emotional support
    • Effective infection-control responsiveness during COVID-19 surges

    Cons

    • Inconsistent clinical care quality
    • Variable staffing levels and staff turnover
    • Delays in resident assistance and response times
    • Inadequate nutritional and hydration monitoring
    • Gaps in medication-management and clinical oversight
    • Communication and organizational breakdowns
    • Pest-control and odor concerns in some areas
    • Deterioration in care continuity following staffing changes
    • Outdated resident rooms and inconsistent dining quality
    • Perceived prioritization of financial concerns over individualized care

    Summary of reviews

    Feedback for Grand Manor Nursing & Rehabilitation is mixed, with clear strengths around individualized attention and several notable operational concerns. Positive accounts emphasize compassionate, family-like interactions from staff, attentive nursing and therapy that supported measurable rehabilitation (improved breathing, stronger eating, and increased ambulation). Families described proactive communication about events and medication changes, visible administrator involvement, and engaging activities — for example seasonal visits and small events that contributed to residents’ social engagement and emotional well-being.

    At the same time, a number of comments describe inconsistent care quality and operational weaknesses. Reviewers pointed to variable staffing levels and turnover that coincided with slower response times, delays in assistance, and interruptions to therapy continuity. Several accounts raised concerns about nutritional and hydration monitoring, and about gaps in medication-management and clinical oversight; there are also references to serious clinical events and allegations prompting calls for inspection. COVID-19 created additional staffing pressure for the facility, and reviewers’ experiences around infection outcomes were mixed — some praised responsive infection-control measures while others described COVID-related infections.

    Dining, activities, and facilities received both praise and criticism. Multiple families appreciated organized programming and friendly event staff, and some visitors found common areas clean and well-maintained. Conversely, there are recurring comments about outdated resident rooms, inconsistent food quality, and pest-control and odor concerns in parts of the building. Organizational issues — including miscommunication and lapses in coordination — were linked by several reviewers to a perceived decline in care quality after staff changes.

    For prospective residents and families: the facility shows strengths in staff warmth, rehabilitation capability, and engagement programming, but also exhibits variability in day-to-day clinical operations and facility upkeep. When evaluating this provider, ask about current staffing ratios and turnover, nutrition and hydration monitoring protocols, medication-safety procedures, recent inspection history and corrective actions, infection-control data, and continuity plans for therapy. Those conversations can help determine whether the facility’s strengths align with a prospective resident’s clinical and social needs.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Grand Manor Nursing & Rehabilitation

    Grand Manor Nursing & Rehabilitation is located at 3645 Cook Ave, Saint Louis, MO, 63113.

    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.

    People often ask...

    Grand Manor Nursing & Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 3645 Cook Ave, Saint Louis, MO 63113.

    No, Grand Manor Nursing & Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Grand Manor Nursing & Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Grand Manor Nursing & Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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