RANCHO REHAB AND HEALTHCARE CENTER

CMS abuse icon · CCN 265402 · RANCHO OPERATOR LLC · For profit - Limited Liability company · AMA HOLDINGS chain · 120 certified beds · St. Louis · MO


RANCHO REHAB AND HEALTHCARE CENTER is a 120-bed nursing home in FLORISSANT, Missouri. CMS has certified it for Medicare and Medicaid since 1989-09-15. It averages 81.0 residents a day.

What harm was found in the violations cited at RANCHO REHAB AND HEALTHCARE CENTER?

CMS lists 53 health-inspection deficiencies for RANCHO REHAB AND HEALTHCARE CENTER since 2020-01-21, 47 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-05.

Survey dateTagDeficiencySeverity
2026-06-05F0602Protect each resident from the wrongful use of the resident's belongings or money.E
2025-09-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-03-11F0812, F0947Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2025-03-11F0607, F0727, F0756, F0761, F0770, F0880Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide and implement an infection prevention and control program.E
2025-03-11F0641, F0658, F0677, F0689, F0698, F0755, F0759, F0760Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2024-11-13F0697, F0842Provide safe, appropriate pain management for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-01F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2024-10-01F0609, F0697, F0758, F0842Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-05-24F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-03-11F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-02-23F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2023-11-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-29F0804, F0812, F0814, F0908, F0925Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Keep all essential equipment working safely. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2023-09-29F0558, F0570, F0584Reasonably accommodate the needs and preferences of each resident. / Assure the security of all personal funds of residents deposited with the facility. / 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
2023-09-29F0550, F0637, F0657, F0658, F0684, F0689, F0690, F0761, F0808Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D
2020-01-21F0692, F0712, F0803, F0812, F0880Provide enough food/fluids to maintain a resident's health. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2020-01-21F0576Ensure residents have reasonable access to and privacy in their use of communication methods.C

Why was RANCHO REHAB AND HEALTHCARE CENTER fined 2 times?

DateTypeAmount
2024-10-01Fine$14,433
2024-02-23Fine$13,627

How is RANCHO REHAB AND HEALTHCARE CENTER staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.296353.43324
Total nursing staff turnover (%)78.356.0
Average number of residents per day81.073.0

Who owns RANCHO REHAB AND HEALTHCARE CENTER, and what chain is it in?

RANCHO REHAB AND HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name RANCHO OPERATOR LLC and belongs to the AMA HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMO OPERATION HOLDINGS DE SPE LLCsince 01/25/2024
5% OR GREATER INDIRECT OWNERSHIP INTERESTAMA HOLDINGS LLC, DEF HOLDINGS LLC, MARX, ASHER, WOLF, JACQUESsince 10/19/2021
W-2 MANAGING EMPLOYEEYOUNG, DANIELLEsince 10/19/2021
CORPORATE DIRECTORMARX, ASHER, WOLF, JACQUESsince 10/19/2021
OPERATIONAL/MANAGERIAL CONTROLMO OPERATION HOLDINGS DE SPE LLCsince 01/25/2024

Were you or a family member harmed at RANCHO REHAB AND HEALTHCARE CENTER?