River Crossing Rehab and Healthcare Center in Saint Louis has a 2-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.57 vs. 4.1 hours per resident per day). It has 0 fines in the last 24 months; recent inspection citations included food safety/quality issues and not having a registered nurse on duty 8 hours a day or a full-time director of nurses.
Last inspection: January 24, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5737.
Staffing detail
Registered nurses
0.46
Licensed practical nurses
0.60
Nurse aides
2.52
Weekend nursing
3.14
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 64%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.1%Improving
Residents with a fall causing major injury
2.8%Steady
Residents with pressure ulcers (bedsores)
6.6%Steady
Residents with a urinary tract infection
1%Steady
Residents who lost too much weight
3.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.4%Improving
Residents whose ability to walk got worse
20.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
18.5%Worsening
Short-stay residents newly given an antipsychotic
3.2%Improving
Residents with a long-term catheter
0.7%Steady
Residents with new or worsening incontinence
19.5%Worsening
Residents with depressive symptoms
28.6%Improving
Long-stay residents given the seasonal flu vaccine
81.2%Steady
Long-stay residents given the pneumonia vaccine
76.3%Worsening
Short-stay residents given the seasonal flu vaccine
54.3%Steady
Short-stay residents given the pneumonia vaccine
65.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 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 have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2025 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to properly watch nurse aides' work and provide regular training. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 14 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AMA HOLDINGS · 14 homes · 1.5 stars avg
Occupancy
87.8 residents on an average day (73% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.