Rancho Rehab and Healthcare CenterCMS ratings, inspections and fines
- Address
- 615 Rancho Lane, Florissant, MO 63031
- CCN
- 265402
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Ama Holdings
- Residents per day
- 81
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Rancho Rehab and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 11 Mar 2025. The latest survey cycle has 18 health citations. The median for nursing homes in Missouri is 9. CMS lists 2 fines with a total of $28,060 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Louis County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 69 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Mar 2025 | 18 | 9 |
| Cycle 2 | 29 Sep 2023 | 24 | 10 |
| Cycle 3 | No date | 11 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 9 Jul 2026 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Sep 2025 |
| 11 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 Apr 2025 |
| 11 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 Apr 2025 |
| 11 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Apr 2025 |
| 11 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0727 | 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. | E | Complaint investigation | 9 Apr 2025 |
| 11 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Apr 2025 |
| 11 Mar 2025 | F0761 | 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. | E | Complaint investigation | 24 Apr 2025 |
| 11 Mar 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Apr 2025 |
| 11 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Apr 2025 |
| 11 Mar 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 9 Apr 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Nov 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 10 Dec 2024 |
| 13 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Dec 2024 |
| 1 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 21 Sep 2024 |
| 1 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Oct 2024 |
| 1 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 10 Dec 2024 |
| 1 Oct 2024 | F0758 | 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. | D | Complaint investigation | 16 Oct 2024 |
| 1 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Dec 2024 |
| 29 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 9 Nov 2023 |
| 29 Sep 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 Nov 2023 |
| 29 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Nov 2023 |
| 29 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0761 | 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. | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0808 | 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. | D | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Nov 2023 |
| 29 Sep 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 9 Nov 2023 |
| 29 Sep 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 9 Nov 2023 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Jun 2024 |
| 24 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2024 |
| 11 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Mar 2024 |
| 23 Feb 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 23 Feb 2024 |
| 14 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Nov 2023 |
| 21 Jan 2020 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 7 Feb 2020 |
| 21 Jan 2020 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 5 Mar 2020 |
| 21 Jan 2020 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 7 Feb 2020 |
| 21 Jan 2020 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 5 Mar 2020 |
| 21 Jan 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Feb 2020 |
| 21 Jan 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Feb 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 1 Oct 2024 | Fine | $14,433 | |
| 23 Feb 2024 | Fine | $13,627 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.30 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.35 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.49 | 0.68 | |
| Nurse aides | 2.46 | 2.29 | |
| All nurse staff, weekends | 2.81 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 78.3%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.5% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Rancho Operator LLC
- Chain
- Ama Holdings (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mo Operation Holdings De Spe LLC | 5% or greater direct ownership interest | 99% | 25 Jan 2024 |
| Ama Holdings LLC | 5% or greater indirect ownership interest | 19 Oct 2021 | |
| Def Holdings LLC | 5% or greater indirect ownership interest | 19 Oct 2021 | |
| Mo Operation Holdings De Spe LLC | Operational/managerial control | 25 Jan 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Louis County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| St Sophia Health & Rehabilitation Center | Florissant | 1 of 5 | 41 | $69,203 | 28 Jan 2025 | |
| Bentwood Nursing & Rehab | Florissant | 1 of 5 | 15 | $107,465 | 24 Feb 2026 | |
| Willowcreek Wellness & Rehabilitation | Florissant | 1 of 5 | 30 | $90,333 | 14 Aug 2024 | |
| Pillars of North County Health & Rehab Center, The | Florissant | 2 of 5 | 18 | $0 | 21 Mar 2025 | |
| Lakeview Post Acute | Florissant | 1 of 5 | 25 | $242,461 | 21 Oct 2024 | |
| Delmar Gardens North | Black Jack | 2 of 5 | 6 | $39,299 | 17 Nov 2025 | |
| Florissant Valley Health & Rehabilitation Center | Florissant | 1 of 5 | 22 | $0 | 22 Nov 2024 | |
| Crestwood Health Care Center | Florissant | 1 of 5 | 19 | $146,887 | 1 May 2026 | |
| Stonebridge Florissant | Florissant | 2 of 5 | 8 | $0 | 22 Aug 2025 | |
| Atrium Place Health and Rehabilitation | Saint Louis | 1 of 5 | 15 | $157,667 | 2 Aug 2024 | |
| Christian Extended Care & Rehabilitation | Saint Louis | 5 of 5 | 2 | $0 | 28 Mar 2025 | |
| Arbor Hills Care & Rehab Center | Ferguson | 1 of 5 | 15 | $282,840 | 20 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Rancho Rehab and Healthcare Center (CCN 265402). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/rancho-rehab-and-healthcare-center-florissant-mo-265402/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Rancho Rehab and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 5 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 29 Sep 2023.
- Who operates Rancho Rehab and Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Ama Holdings. The CMS ownership file names Mo Operation Holdings De Spe LLC for operational or managerial control. This site does not show the names of persons.
- Is Rancho Rehab and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.