Nursing HomeInspections

Rancho Rehab and Healthcare Center

Nursing home in Florissant, MO

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (314) 839-2150Send a messageMap ↗

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

CMS certification number 265402. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Jun 5, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Sep 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Mar 11, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 11, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 11, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 11, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 11, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 11, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 11, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
E
Potential for more than minimal harm, pattern
Mar 11, 2025Have 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 inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 53. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $28,060 in the last three years.

Oct 1, 2024Fine: $14,433
Feb 23, 2024Fine: $13,627

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Florissant

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All 9 in Florissant →