Rancho Rehab and Healthcare Center

CMS overall rating

615 Rancho Ln, Florissant, MO 63031-1717 View map

Calculator: See prices in your area

Rancho Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Rancho Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay.

Overview of Rancho Rehab and Healthcare Center

Rancho Rehab and Healthcare Center is a 120-bed skilled nursing facility operated by Rancho Operator LLC at 615 Rancho Lane in Florissant, St. Louis County, Missouri. The facility has some availability at 74 percent occupancy, modestly above Missouri’s 66.6 percent average. Medicare, Medicaid, and private pay are welcome, with most current residents on long-term Medicaid stays and an average stay length of 114 days.

CMS grades the facility 1 star, 62 percent below Missouri average, with all four sub-ratings below state average. Across 13 inspections since 2020, the facility recorded 69 deficiencies, 11.5 per year, nearly double the 5.8 Missouri average, including 2 critical citations and 17 findings sourced from complaint investigations. Two federal fines totaling $28,000 were assessed in 2024, with no payment denials. Nurse hours run 3h 25m per resident per day, 10 percent below Missouri average.

Amenities include a fine dining program and recreation and entertainment services.

Rancho Rehab and Healthcare Center serves long-term Medicaid residents and short-stay post-acute patients in the Florissant area of St. Louis County.

Facility Direct Line (314) 839-2150 admissions@ranchohc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 25m per day

vs avg

5 of 6 metrics below state avg

Standout metric Nurse Aide is +8% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	24m per day	▼ 13% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	30m per day	▼ 27% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 30m per day	▲ 8% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 44m per day	▼ 11% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 5% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	9m per day	▼ 56% State avg: 20m per day · National avg: 28m per day

Capacity and availability

114 days

120-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 63 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

74%

Higher than the Missouri average: 66.6%

Occupied beds

89 / 120

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJune 30, 2025

ExpirationJune 29, 2027

CountySaint Louis County

License Number052808

CMS Certification Number265402

Certification TypeMedicare / Medicaid

Rancho Rehab and Healthcare Center is legally operated by Rancho Operator LLC, and administered by Christopher Shaul.

Corporate EntityRANCHO OPERATOR LLC

Owner NameRancho Operator LLC

Skilled Nursing Facility

120 units

Total beds

120 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Everyday Care

Laundry Services

Housekeeping

Fine Dining

Recreation And Entertainment

Since 2018 · 8 years of data 186 deficiencies 22 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection September 11, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	186	35	This facility has 431% more total deficiencies than a typical Missouri assisted living residence (186 vs. MO avg 35).↑ 431% worse
Deficiencies per year Average deficiencies per year since 2018.	23.3	4.4	This facility has 430% more deficiencies per year than a typical Missouri assisted living residence (23.3 vs. MO avg 4.4).↑ 430% worse
Deficiencies per inspection Average deficiencies per inspection.	8.5	2.9	This facility has 193% more deficiencies per inspection than a typical Missouri assisted living residence (8.5 vs. MO avg 2.9).↑ 193% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	22	12	This facility has had 83% more total inspections than the Missouri average (22 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 83% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 11, 2025 inspection found a failure to control water temperatures, causing a resident to suffer a second-degree burn from hot coffee, with incomplete incident documentation and follow-up.
March 11, 2025 routine survey identified 25 deficiencies across two reports, including medication errors, inadequate RN coverage, poor infection control, missed personal care, and faulty wheelchair maintenance.
October 1, 2024 complaint investigation substantiated abuse by an LPN who forcibly restrained a resident, with failures to notify authorities and properly document the incident.

Show Inspection Reports

Inspections since 2023

Total health inspections 12

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

4.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

30 of 56 citations resulted from standard inspections; 17 of 56 resulted from complaint investigations; and 9 of 56 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

1 serious citation State average: N/A

52 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Quality of Care serious citation Sep 11, 2025

Corrected

Abuse/Neglect moderate citation Mar 11, 2025

Corrected

Administration moderate citation Mar 11, 2025

Corrected

Infection Control moderate citation Mar 11, 2025

Corrected

Total staff 181

Employees 137

Contractors 44

Staff to resident ratio 2.29 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 49

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 35,138

Nursing staff breakdown

7.2 hours

8 hours

7.8 hours

Contractor staffing

2,129 contractor hours this quarter

Licensed Practical Nurse: 12 Certified Nursing Assistant: 12 Medication Aide/Technician: 5 Physical Therapy Aide: 5 Physical Therapy Assistant: 4 Qualified Social Worker: 3 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1 Registered Nurse: 1

Staff by category


Certified Nursing Assistant	59	12	71	13,581	92	100%	7.8
Physical Therapist	19	0	19	5,024	92	100%	7.1
Medication Aide/Technician	13	5	18	3,848	92	100%	8.9
Licensed Practical Nurse	13	12	25	3,780	92	100%	8
Clinical Nurse Specialist	7	0	7	1,692	76	83%	7.9
Other Dietary Services Staff	3	0	3	1,491	91	99%	8.1
Nurse Aide in Training	10	0	10	1,474	85	92%	9.5
Registered Nurse	8	1	9	1,022	82	89%	7.2
Physical Therapy Aide	0	5	5	828	79	86%	7.1
Mental Health Service Worker	1	0	1	504	63	68%	8
Administrator	1	0	1	464	58	63%	8
Speech Language Pathologist	0	1	1	414	62	67%	6.7
Nurse Practitioner	3	0	3	357	48	52%	7.2
Qualified Social Worker	0	3	3	241	57	62%	3.3
Respiratory Therapy Technician	0	1	1	239	41	45%	5.8
Physical Therapy Assistant	0	4	4	180	37	40%	4.7

71 Certified Nursing Assistant

% of Days 100%

19 Physical Therapist

% of Days 100%

18 Medication Aide/Technician

% of Days 100%

25 Licensed Practical Nurse

% of Days 100%

7 Clinical Nurse Specialist

% of Days 83%

3 Other Dietary Services Staff

% of Days 99%

10 Nurse Aide in Training

% of Days 92%

9 Registered Nurse

% of Days 89%

5 Physical Therapy Aide

% of Days 86%

1 Mental Health Service Worker

% of Days 68%

1 Administrator

% of Days 63%

1 Speech Language Pathologist

% of Days 67%

3 Nurse Practitioner

% of Days 52%

3 Qualified Social Worker

% of Days 62%

1 Respiratory Therapy Technician

% of Days 45%

4 Physical Therapy Assistant

% of Days 40%

View All Staffing Data

Total fines amount $28K

62% lower than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $28K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Oct 1, 2024

$14K

Civil Money Penalty Feb 23, 2024

$14K

Last updated: Jan 2026

High-risk clinical events score 8.1

26% better than State average

State average: 10.9

Functional decline score 17.2

12% better than State average

State average: 19.5

Long-stay resident measures

Above average State avg: 2.7

Need for Help with Daily Activities Increased 13.5%

32% better than State average

State average: 19.8%

Walking Ability Worsened 14.2%

31% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 23.9%

32% worse than State average

State average: 18.1%

Falls with Major Injury 2.5%

39% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 7.6%

51% worse than State average

State average: 5.0%

Urinary Tract Infection 1.0%

64% better than State average

State average: 2.7%

Lost Too Much Weight 2.8%

49% better than State average

State average: 5.6%

Depressive Symptoms 88.2%

586% worse than State average

State average: 12.8%

Antipsychotic Use 10.6%

52% better than State average

State average: 22.0%

Pneumococcal Vaccine 83.9%

In line with State average

State average: 85.2%

Influenza Vaccine 97.8%

8% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.02

In line with State average

State average: 2.08

ED visits per 1,000 days 2.39

In line with State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 39.1%

41% worse than State average

State average: 66.6%

Antipsychotic medication increase 4.8%

118% worse than State average

State average: 2.2%

Influenza Vaccine 41.4%

35% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 35.8%

42% worse than State average

State average: 25.3%

Emergency department visits 20.5%

53% worse than State average

State average: 13.4%

Falls with major injury 2.5%

225% worse than State average

State average: 0.8%

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

23% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

52% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Total residents 79

Medicare

10.1% of residents

Medicaid

83.5% of residents

Private pay or other

6.3% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Rancho Rehab and Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 75.2% ↑ 0.4pp vs 2022

Net Patient Income $1.7M ↑ ~$1.2M vs 2022

Payroll Costs $3.6M ↑ ~$526.3K vs 2022

Operating Margin 18.2% ↑ 11.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	66.3%	65.0%	58.1%	57.8%	55.9%	59.8%	56.5%	55.6%	62.8%	51.3%	59.6%	74.8%	75.2%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$374,498	$521,598	$412,747	$383,607	$149,214	$216,328	-$175,170	-$451,006	-$226,388	-$372,563	$607,956	$551,750	$1,710,800
Gross Revenue	$5,353,185	$5,825,750	$5,311,480	$5,274,073	$4,736,101	$5,047,876	$4,923,446	$4,770,568	$5,413,378	$4,613,823	$4,123,110	$8,348,350	$8,500,680
Operating Expenses	$4,979,569	$5,304,152	$4,898,744	$4,891,806	$4,589,780	$4,832,904	$5,100,105	$5,221,574	$5,640,377	$5,865,044	$4,253,648	$7,469,184	$7,685,117
Net Patient Income	$373,616	$521,598	$412,736	$382,267	$146,321	$214,972	-$176,659	-$451,006	-$226,999	-$1,251,221	-$130,538	$542,829	$1,708,836
Net Patient Revenue	$5,353,185	$5,825,750	$5,311,480	$5,274,073	$4,736,101	$5,047,876	$4,923,446	$4,770,568	$5,413,378	$4,613,823	$4,123,110	$8,012,013	$9,393,953
Payroll Costs	$2,811,069	$2,726,235	$2,534,046	$2,576,821	$2,595,633	$2,774,940	$2,902,528	$3,064,059	$3,398,760	$3,567,290	$2,477,370	$3,098,639	$3,624,970
Operating Margin %	7.0%	9.0%	7.8%	7.3%	3.1%	4.3%	-3.6%	-9.5%	-4.2%	-27.1%	-3.2%	6.8%	18.2%
Medicare %	6.7%	6.4%	8.1%	5.7%	3.1%	2.1%	1.7%	1.5%	0.9%	1.7%	0.3%	12.0%	13.5%
Medicaid %	71.8%	80.5%	84.5%	85.0%	86.2%	86.0%	90.2%	87.2%	89.4%	94.3%	93.2%	82.2%	79.4%
Private %	21.5%	13.1%	7.4%	9.3%	10.7%	11.9%	8.1%	11.2%	9.7%	3.9%	6.5%	5.8%	7.0%
Net Patient Revenue/Day	$184	$204	$209	$208	$194	$192	$199	$196	$197	$205	$198	$245	$285
Cost/Day	$171	$186	$193	$193	$188	$184	$206	$215	$205	$260	$204	$228	$233
Avg Length of Stay	123.6 days	148.6 days	208.6 days	222.2 days	205.6 days	105.5 days	175.5 days	130.8 days	103.7 days	168.2 days	104.1 days	133.6 days	113.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.4M

Net patient income

$1.7M

For-profit Operated by a single business entity.

Net patient revenue

$9.4M

Net patient income

$1.7M

Other income

$2.0K

Payroll costs

$3.6M 38.6% of net patient revenue

Other operating costs

$4.1M

Total costs

$7.7M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (52% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 25%

Private pay 23%

Medicaid 52%

Coverage residents most often leave under.

Medicare 19%

Private pay 21%

Medicaid 59%

0.0 miles from city center Estimated distance in miles from Florissant's city center to Rancho Rehab and Healthcare Center's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Rancho Rehab and Healthcare Center

Add your location

Compare Nursing Homes around the area

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Republic Nursing and Rehab	NH	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Rancho Rehab and Healthcare Center	NH	Florissant (Old Town Florissant)	-	120	-	63	-

Nursing Home Explorer

What neighborhood is Rancho Rehab and Healthcare Center in?

Rancho Rehab and Healthcare Center is in the Old Town Florissant neighborhood of FLORISSANT.

Who is the owner of Rancho Rehab and Healthcare Center?

Rancho Rehab and Healthcare Center is legally operated by Rancho Operator LLC, and administered by Christopher Shaul.

Is Rancho Rehab and Healthcare Center in a walkable area?

Rancho Rehab and Healthcare Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Rancho Rehab and Healthcare Center?

According to MO state health department records, Rancho Rehab and Healthcare Center's license number is 052808.

When does Rancho Rehab and Healthcare Center's license expire?

According to MO state health department records, Rancho Rehab and Healthcare Center's license expires on June 29, 2027.

What is the occupancy rate at Rancho Rehab and Healthcare Center?

Rancho Rehab and Healthcare Center's occupancy is 74%.

Does Rancho Rehab and Healthcare Center operate as a for-profit or non-profit?

Rancho Rehab and Healthcare Center is registered as a for-profit in MO.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Rancho Rehab and Healthcare Center

Overview of Rancho Rehab and Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Amenities & Lifestyle

Contact Rancho Rehab and Healthcare Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

71 Certified Nursing Assistant

19 Physical Therapist

18 Medication Aide/Technician

25 Licensed Practical Nurse

7 Clinical Nurse Specialist

3 Other Dietary Services Staff

10 Nurse Aide in Training

9 Registered Nurse

5 Physical Therapy Aide

1 Mental Health Service Worker

1 Administrator

1 Speech Language Pathologist

3 Nurse Practitioner

3 Qualified Social Worker

1 Respiratory Therapy Technician

4 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Rancho Rehab and Healthcare Center

Calculate Travel Distance to Rancho Rehab and Healthcare Center

Compare Nursing Homes around the area

Guides for Better Senior Living