Nursing home · Florissant, MO
Rancho Rehab and Healthcare Center
615 Rancho Lane, Florissant, MO 63031 · 120 certified beds · for profit ownership · part of Ama Holdings
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 5, 2026, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 11, 2025) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.30 hours per resident per day here, 4% less than the Missouri average (3.43) and 15% less than the U.S. average (3.86). Registered nurses account for 0.35 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 78% over the past year, 22 points higher than Missouri (56%) and 32 points higher than the U.S. (46%).
How Rancho Rehab and Healthcare Center compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.30 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.35 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.81 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 78% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 75% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 53 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 5, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | E | Deficient, Provider has date of correction |
| Sep 11, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Mar 11, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | F | Deficient, Provider has date of correction |
| Mar 11, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration | E | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service · complaint | E | Deficient, Provider has date of correction |
| Mar 11, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | E | Deficient, Provider has date of correction |
| Mar 11, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services · complaint | E | Deficient, Provider has date of correction |
| Mar 11, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Mar 11, 2025 | Provide and implement an infection prevention and control program. Infection control · complaint | E | Deficient, Provider has date of correction |
| Nov 13, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Nov 13, 2024 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 1, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | J immediate jeopardy | Past Non-Compliance |
| Oct 1, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Oct 1, 2024 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 1, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Oct 1, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| May 24, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| May 24, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 11, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 23, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Nov 14, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Sep 29, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 29, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Oct 1, 2024 | Fine | $14,433 |
| Feb 23, 2024 | Fine | $13,627 |
Location
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Reviews
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Questions about Rancho Rehab and Healthcare Center
Answers computed from CMS data for this facility.
What is Rancho Rehab and Healthcare Center's Medicare rating?
Medicare rates Rancho Rehab and Healthcare Center 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Rancho Rehab and Healthcare Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 5, 2026, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 11, 2025) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Rancho Rehab and Healthcare Center been fined?
Yes. CMS reports 2 fines totaling $28,060 in the past three years.
Does Rancho Rehab and Healthcare Center accept Medicaid?
Rancho Rehab and Healthcare Center is certified for both Medicare and Medicaid. Call (314) 839-2150 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.