The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
RANCHO REHAB AND HEALTHCARE CENTER
FLORISSANT, MO · Medicare-certified · 120 beds
Needs attention
For-profitChain member
1 of 5 overall
1 of 5 stars overall. RANCHO REHAB AND HEALTHCARE CENTER has 1-star health inspection and staffing ratings, 2-star quality measures, reported nurse staffing below the federal benchmark (3.40 vs 4.1 hours per resident day), $14,433 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3985 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $14,433recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3985.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.49
- Weekend nursing
- 2.73
Hours per resident per day.
Total staff turnover: 81%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.3%Worsening
Residents with a fall causing major injury
1.6%Improving
Residents with pressure ulcers (bedsores)
4.8%Improving
Residents with a urinary tract infection
0.7%Improving
Residents who lost too much weight
6.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.5%Worsening
Residents whose ability to walk got worse
13.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.5%Worsening
Residents with new or worsening incontinence
20.4%Worsening
Residents with depressive symptoms
77.3%Worsening
Long-stay residents given the seasonal flu vaccine
97.8%Steady
Long-stay residents given the pneumonia vaccine
80.9%Worsening
Short-stay residents given the seasonal flu vaccine
41.4%Steady
Short-stay residents given the pneumonia vaccine
15.4%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,433 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $28,060 in total fines.
- $14,433
Federal fine
Oct 1, 2024
- $13,627
Federal fine
Feb 23, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AMA HOLDINGS · 14 homes · 1.5 stars avg
- Occupancy
- 82.4 residents on an average day (69% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.