Rancho Rehab and Healthcare Center: Staffing, Turnover, and Inspection Record
Rancho Rehab and Healthcare Center is a 120-bed for-profit nursing home in Florissant, Missouri, part of Ama Holdings. In the CMS August 2026 release it reported 2.46 nurse aide hours per resident per day, 7% above the Missouri average of 2.29, and 78.3% nursing staff turnover (Missouri average 56.0%).
Rancho Rehab and Healthcare Center
615 Rancho LaneFlorissant, MO 63031
St. Louis County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Rancho Rehab and Healthcare Center, nurse aides logged 2.46 hours per resident per day, 7% above the Missouri average. With about 81 residents a day, that works out to roughly 199 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.46 | 2.29 | 2.32 |
| Licensed practical nurses | 0.49 | 0.68 | 0.86 |
| Registered nurses | 0.35 | 0.46 | 0.69 |
| All nursing staff | 3.30 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.81 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
78.3% of nursing staff at Rancho Rehab and Healthcare Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 75.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $28,060 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 1, 2024 | Fine | $14,433 |
| Feb 23, 2024 | Fine | $13,627 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Rancho Rehab and Healthcare Center holds 1 of 5 overall; the Missouri average is 2.5.
About Rancho Rehab and Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: Ama Holdings, 13 homes
- Legal name: Rancho Operator LLC
- Medicare and Medicaid certified since: Sep 15, 1989
- Councils: resident council
- Area: urban
Nursing homes near Rancho Rehab and Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| St Sophia Health & Rehabilitation Center Florissant | 1.9 | 240 | 1.88 | 2.86 | 68.4% | 1 | $69,203 |
| Bentwood Nursing & Rehab Florissant | 2.0 | 116 | 2.37 | 3.28 | 77.3% | 1 | $107,465 |
| Willowcreek Wellness & Rehabilitation Florissant | 2.4 | 158 | 2.42 | 3.48 | 54.3% | 1 | $90,333 |
| The Pillars of North County Health & Rehab Center Florissant | 2.5 | 120 | 1.59 | 2.39 | 48.1% | 2 | None |
| Lakeview Post Acute Florissant | 2.9 | 120 | 2.46 | 3.97 | 83.3% | 1 | $242,461 |
| Delmar Gardens North Black Jack | 3.0 | 240 | 2.55 | 3.56 | 42.9% | 2 | $39,299 |
| Florissant Valley Health & Rehabilitation Center Florissant | 3.0 | 98 | 2.65 | 3.94 | 68.8% | 1 | None |
| Crestwood Health Care Center Florissant · abuse citation | 4.0 | 150 | 2.19 | 2.62 | 64.6% | 1 | $146,887 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.