Rancho Rehab and Healthcare Center
Nursing home in Florissant, MO
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 615 Rancho Lane, Florissant, MO 63031
- Phone
- (314) 839-2150
- Listed under
- For-profit
- Medicare CCN
- 265402
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 120
- Average residents per day
- 81
- Ownership
- For-profit, limited Liability company
- Legal business name
- Rancho Operator LLC
- Chain
- Ama Holdings (13 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Sep 15, 1989
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 11, 2025. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 21, 2020 to Jun 5, 2026): 23 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 5, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. | E |
| Sep 11, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| Mar 11, 2025 | Ensure each resident receives an accurate assessment. | D |
| Mar 11, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Mar 11, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Mar 11, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Mar 11, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| Mar 11, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Mar 11, 2025 | Ensure medication error rates are not 5 percent or greater. | D |
| Mar 11, 2025 | Ensure that residents are free from significant medication errors. | D |
| Mar 11, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 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. | E |
Fines and payment denials
CMS records 2 fines totalling $28,060 in the last three years.
| Oct 1, 2024 | Fine: $14,433 |
| Feb 23, 2024 | Fine: $13,627 |
Staffing
- Total nurse staffing per resident per day
- 3.30 hours
- Registered nurse (RN) time per resident per day
- 0.35 hours
- Nurse aide time per resident per day
- 2.46 hours
- Total nurse staffing on weekends
- 2.81 hours
- Nursing staff turnover (yearly)
- 78%
- RN turnover (yearly)
- 75%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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