Rancho Rehab and Healthcare Center, Florissant, Missouri
- 53
- Citations from health inspectionsMissouri average: 36 a home
- 3
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $28,060
- Fines from the federal governmentMissouri average: $37,425 a home
- 1 out of 5
- Overall rating in starsMissouri average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
11 inspection visits produced 53 citations. Residents were in immediate danger in two findings. Residents were found hurt in one case. Federal fines came to $28,060 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.30 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.35 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 78.3%against the Missouri average of 56%
- Beds that are certified
- 120
- Ownership
- Limited Liability company (for profit)
- Chain
- Ama Holdings, with 13 homes
- Street address
- 615 Rancho Lane, Florissant, Missouri 63031
- County
- St. Louis
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated June 5, 2026
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Sept. 11, 2025
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
16 citations dated March 11, 2025
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
Two citations dated Nov. 13, 2024
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Oct. 1, 2024
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated May 24, 2024
One citation dated March 11, 2024
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 23, 2024
- F678 CPR and Basic Life Support: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Nov. 14, 2023
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
17 citations dated Sept. 29, 2023
- F925 Pest Control Program: risk of harm, no one found hurt, widespread.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, widespread.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Six citations dated Jan. 21, 2020
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F712 Face to Face Doctor Visits: risk of harm, no one found hurt, a pattern, several residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
- F576 Private Access to Communication Methods: minimal risk to residents, widespread.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Oct. 1, 2024 | Fine | $14,433 |
| Feb. 23, 2024 | Fine | $13,627 |
Ownership and Management of the Home
- The home is run by Mo Operation Holdings de Spe LLC (operational or managerial control).
- The direct 99% owner is Mo Operation Holdings de Spe LLC.
- Owns a share through another company: Ama Holdings LLC.
- Owns a share through another company: Def Holdings LLC.
Two people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265402. Other homes in Missouri.