Nursing homes › Missouri › Rancho Rehab and Healthcare Center
615 Rancho Lane, Florissant, MO 63031 · 3148392150 · 120 certified beds
Per CMS filings, this facility is affiliated with Ama Holdings, a group operating 13 facilities in 1 states. Group record: average rating 1.6/5, 3 abuse citation icons, 1 facilities on the Special Focus list, $566,794 in federal fines. This facility rates below its group average (1.6/5).
Total nurse staffing: 3.30 (Missouri median: 3.36). RN hours: 0.35. Weekend total: 2.81. Nursing staff turnover: 78%.
All-time on record: 52 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-09-12 |
| 2025-03-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-09 |
| 2025-03-11 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Health | corrected 2025-04-09 |
| 2025-03-11 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2025-04-09 |
| 2025-03-11 | 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. | E | complaint | corrected 2025-04-09 |
| 2025-03-11 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2025-04-09 |
| 2025-03-11 | 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. | E | complaint | corrected 2025-04-24 |
| 2025-03-11 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Health | corrected 2025-04-09 |
| 2025-03-11 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-04-09 |
| 2025-03-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-09 |
| 2025-03-11 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-04-09 |
| 2025-03-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-04-09 |
| 2025-03-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-09 |
| 2025-03-11 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-04-09 |
| 2025-03-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-04-09 |
| 2025-03-11 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-04-09 |
| 2025-03-11 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-04-09 |
| 2024-11-13 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-12-10 |
| 2024-11-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-12-10 |
| 2024-10-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-09-21 |
| 2024-10-01 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-10-16 |
| 2024-10-01 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-12-10 |
| 2024-10-01 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | complaint | corrected 2024-10-16 |
| 2024-10-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-12-10 |
| 2024-05-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-06-26 |
| 2024-05-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-06-26 |
| 2024-03-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-03-15 |
| 2024-02-23 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | complaint | corrected 2024-02-23 |
| 2023-11-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-11-17 |
| 2023-09-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2023-11-09 |
| 2023-09-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-14 |
| 2023-09-29 | Dispose of garbage and refuse properly. | F | Health | corrected 2023-11-09 |
| 2023-09-29 | Keep all essential equipment working safely. | F | Health | corrected 2023-11-09 |
| 2023-09-29 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Health | corrected 2023-11-09 |
| 2023-09-29 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2023-11-09 |
| 2023-09-29 | Assure the security of all personal funds of residents deposited with the facility. | E | Health | corrected 2023-11-09 |
| 2023-09-29 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Health | corrected 2023-11-09 |
| 2023-09-29 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-11-09 |
| 2023-09-29 | Assess the resident when there is a significant change in condition | D | Health | corrected 2023-11-09 |
| 2023-09-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-09 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-01 | Fine | $14,433 |
| 2024-02-23 | Fine | $13,627 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MO OPERATION HOLDINGS DE SPE LLC | 5% Or Greater Direct Ownership Interest | Organization | 99% | since 01/25/2024 |
| AMA HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| DEF HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| MARX, ASHER | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| WOLF, JACQUES | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 10/19/2021 |
| MARX, ASHER | Corporate Director | Individual | NOT APPLICABLE | since 10/19/2021 |
| WOLF, JACQUES | Corporate Director | Individual | NOT APPLICABLE | since 10/19/2021 |
| MO OPERATION HOLDINGS DE SPE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/25/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265402. Corrections: data@carerecords.org.