Nursing home
Rancho Rehab and Healthcare Center
615 Rancho Lane, Florissant, MO 63031 · Map
For profit - Limited Liability company · Part of Ama Holdings (14 facilities) · 120 certified beds
Rancho Rehab and Healthcare Center is a Medicare-certified nursing home in Florissant, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.17 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Mar 11, 2025 cited 17 deficiencies.
- 2 fines totaling $28,060In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rancho Rehab and Healthcare Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.17 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.16 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 76.1% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $28,060, 2 total penalties.
What inspectors found at Rancho Rehab and Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 11, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 615 Rancho Lane
Florissant, MO 63031 - CMS certification #
- 265402
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 85.9
- Provider type
- Medicare and Medicaid
- First certified
- 1989-09-15
- Chain
- Ama Holdings (14 facilities)
- Setting
- Urban
Part of Ama Holdings
Ama Holdings operates 14 nursing facilities across the United States. View all Ama Holdings facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rancho Rehab and Healthcare Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2021
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 19, 2021 to Jan 29, 2022. Violations found: Overtime. Back wages: $1,624 owed to 18 employees. Employer as DOL recorded it: Rancho Rehab and Healthcare Center (Rancho Operator LLC). Case 1957269.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Christian Hospital Northeast, Saint Louis. 5.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- St Sophia Health & Rehabilitation Center, Florissant. 1.9 miles away, straight line.
- Nearest home health agency office
- Life Fountain Health Care, Inc., Saint Louis. 4.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63031 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Cross Keys Dialysis, Florissant, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Davita North St Louis County Dialysis, Florissant, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Florissant, Florissant, 2.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 30 Medicare hospices tell CMS they serve ZIP code 63031.
Phoenix Home Care And Hospice, office in Saint Louis, 11.1 miles away, straight line
Caris Healthcare, office in Saint Louis, 11.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Dover Hospice Mo Stl Metro, LLC, office in St Louis, 11.8 miles away, straight line - Nearest geriatric medicine practice
- Mercy Clinic East Communities, Hazelwood. 3.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave very high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Rancho Rehab and Healthcare Center a good nursing home?
CMS gives Rancho Rehab and Healthcare Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rancho Rehab and Healthcare Center staffed?
Rancho Rehab and Healthcare Center reports 3.17 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Rancho Rehab and Healthcare Center had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does Rancho Rehab and Healthcare Center have?
Rancho Rehab and Healthcare Center is certified for 120 beds.