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
Data as of July 1, 2026
1 of 5 overall
1 out of 5 stars overall. This home has 1-star health inspection and staffing ratings, 2-star quality measures, reported nurse staffing below the federal benchmark (3.30 vs 4.1 hours/resident/day), $14,433 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2964 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 3.2964.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 0.49
- Nurse aides
- 2.46
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%23.9%Worsening
Residents with a fall causing major injury
1.3%1.3%No change
Residents with pressure ulcers (bedsores)
5%4%Improving
Residents with a urinary tract infection
1.3%0%Improving
Residents who lost too much weight
7%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.9%14.1%Improving
Residents whose ability to walk got worse
7.2%5.2%Improving
Long-stay residents on antianxiety or sleep medication
12.7%14.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1%1.2%No change
Residents with new or worsening incontinence
23.6%17.7%Improving
Residents with depressive symptoms
80%100%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
92.3%68.4%Worsening
Short-stay residents given the seasonal flu vaccine
—41.4%—
Short-stay residents given the pneumonia vaccine
16.1%0%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
Recent ownership change · Oct 19, 2021
Now operated by Rancho Rehab and Healthcare Center, previously Rancho Manor Healthcare and Rehab Center, LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AMA HOLDINGS · 13 homes · 1.6 stars avg
- Occupancy
- 81 residents on an average day (68% 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.