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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 184th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 30m per day | ▲ 7% 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 10m per day | ▼ 6% 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 47m per day | ▼ 9% 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.
| 1m per day | ▼ 50% 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.
| 10m per day | ▼ 50% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%Rancho Rehab and Healthcare Center is legally operated by Rancho Operator Llc, and administrated by Christopher Shaul.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 69 | 35 | This facility has 97% more total deficiencies than a typical Missouri nursing home (69 vs. MO avg 35).↑ 97% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 11.5 | 5.8 | This facility has 98% more deficiencies per year than a typical Missouri nursing home (11.5 vs. MO avg 5.8).↑ 98% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.3 | 5 | This facility has 6% more deficiencies per inspection than a typical Missouri nursing home (5.3 vs. MO avg 5).↑ 6% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 7 | This facility has 86% more total inspections than a typical Missouri nursing home (13 vs. MO avg 7).↑ 86% worse |
Missouri average 6.6
Last Health inspection on Sep 2025
Missouri average 36.5
Missouri average 5.67
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).
186% worse than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% better than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
25 total: 13 full-time employees and 12 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
71 total: 59 full-time employees and 12 contractors.
71
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,129 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
62% lower than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
26% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.2
12% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
32% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
14.2%
31% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
32% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
39% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
7.6%
51% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.0%
64% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.8%
49% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
88.2%
586% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
10.6%
52% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
In line with Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
8% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.02
In line with Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.39
In line with Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
39.1%
41% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
118% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.4%
35% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.8%
42% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.5%
53% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
225% worse than Missouri averageMissouri average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
52% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Rancho Rehab and Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #95 / 286Payroll — State benchmarkedThis home is ranked 95th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
Rancho Rehab and Healthcare Center is located in FLORISSANT, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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| Breeze Park – Lutheran Senior Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 81 | - | - | 5.01 | -16% | +34% | $41.3k | 16 | 4.0 | 2 | 46 | A+ | 2 | Holly Stevens | $20.9M | $12.2M | 58.6% | 265767 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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| Rancho Rehab and Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Florissant (Old Town Florissant) | 120 | 74.2% | +11% | 3.42 | -35% | -9% | $28.1k | 56 | 4.7 | 3 | 80 | - | 63 | Danielle Young | $8.5M | $4.5M | 53.1% | 265402 |
Rancho Rehab and Healthcare Center is in the Old Town Florissant neighborhood of FLORISSANT.
The legal owner and operator of Rancho Rehab and Healthcare Center is Rancho Operator Llc.
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.
According to MO state health department records, Rancho Rehab and Healthcare Center's license number is 052808.
According to MO state health department records, Rancho Rehab and Healthcare Center's license expires on June 29, 2027.
Rancho Rehab and Healthcare Center's occupancy is 74%.
Christopher Shaul is the administrator of Rancho Rehab and Healthcare Center.
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