All states › Missouri › Florissant › Rancho Rehab and Healthcare Center
615 Rancho Lane Florissant, MO 63031 · St. Louis County
All 9 nursing homes in Florissant, MO (9 take Medicaid)
CMS certification number 265402 · See this home on Medicare Care Compare
Is Rancho Rehab and Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Rancho Rehab and Healthcare Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.37 hours per resident per day at Rancho Rehab and Healthcare Center, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 2.86 hours, 15% below its all-week average. Ask how weekends are staffed. 80% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.
About this nursing home
Paying for care at Rancho Rehab and Healthcare Center: Medicare and Medicaid
Rancho Rehab and Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 11, 2025 and found 9 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 53 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 53 citations at Rancho Rehab and Healthcare Center across 11 inspection dates, 21 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 1, 2024 (complaint inspection). The most common areas cited were quality of life and care (15) and nutrition and dietary (7). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, October 1, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
June 5, 2026 · 1 citation · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
September 11, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 11, 2025 · 16 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EHave 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.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EEnsure 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.
EProvide timely, quality laboratory services/tests to meet the needs of residents.
EProvide and implement an infection prevention and control program.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
November 13, 2024 · 2 citations · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 1, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide safe, appropriate pain management for a resident who requires such services.
DImplement 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 24, 2024 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 11, 2024 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
February 23, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
November 14, 2023 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 29, 2023 · 17 citations
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
FKeep all essential equipment working safely.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EReasonably accommodate the needs and preferences of each resident.
EAssure the security of all personal funds of residents deposited with the facility.
EHonor 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAssess the resident when there is a significant change in condition
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DEnsure 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.
January 21, 2020 · 6 citations
EProvide enough food/fluids to maintain a resident's health.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
CEnsure residents have reasonable access to and privacy in their use of communication methods.
Questions to ask on a tour of Rancho Rehab and Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on October 1, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 5, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 80% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $28,060 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 1, 2024 | Fine | $14,433 |
| Feb 23, 2024 | Fine | $13,627 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Rancho Rehab and Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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5.3 mi
Christian Hospital Northeast St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 37m for patients treated and sent home
-
7.8 mi
SSM Depaul Health Center BridgetonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 33m for patients treated and sent home
- 8.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Rancho Rehab and Healthcare Center › All nursing homes in Florissant ›
Compare Rancho Rehab and Healthcare Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Christian Extended Care & Rehabilitation · Saint Louis · 5 stars · 4.9 mi
- NHC Healthcare, Maryland Heights · Maryland Heights · 4 stars · 8.6 mi
- Delmar Gardens North · Black Jack · 3 stars · 3.0 mi
- Stonebridge Florissant · Florissant · 3 stars · 4.5 mi
Other Ama Holdings nursing homes in Missouri
- Seasons Rehab and Healthcare Center · Kansas City · 4 stars
- River Crossing Rehab and Healthcare Center · Saint Louis · 3 stars
- Wilshire at Lakewood Rehab Center · Lees Summit · 3 stars
- Crown Rehab and Healthcare Center · Harrisonville · 3 stars
- Country Club Rehab and Healthcare Center · Warrensburg · 2 stars
- Rosewood Rehab and Healthcare Center · Independence · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Ama Holdings nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.