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Data / Nursing homes / Missouri / Rancho Rehab and Healthcare Center

Rancho Rehab and Healthcare Center, Florissant, MO: 1 star rating, fined $28,060 across 2 fines

Rancho Rehab and Healthcare Center in Florissant, MO is owned by Mo Operation Holdings De Spe LLC, is rated 1 of 5 stars by Medicare, and was fined $28,060 across 2 fines in the three years to October 1, 2026. CMS lists 30 health citations from inspections in that time, the latest survey on June 5, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
615 Rancho Lane, Florissant, MO 63031
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
120
Residents per day
84 on average
Ownership type
For profit, limited liability company
Legal business name
Rancho Operator LLC
Chain
Ama Holdings, 13 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$28,060 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
30, of which 3 with actual harm or immediate jeopardy
Latest survey
June 5, 2026
CMS Certification Number
265402
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 1, 2024Fine$14,433Not listeddata.cms.gov
February 23, 2024Fine$13,627Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 5, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2026data.cms.gov
September 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedSeptember 12, 2025data.cms.gov
March 11, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F770Provide timely, quality laboratory services/tests to meet the needs of residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2025data.cms.gov
March 11, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F727Have 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: pattern, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
March 11, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
November 13, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
November 13, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
October 1, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceSeptember 21, 2024data.cms.gov
October 1, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
October 1, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2024data.cms.gov
October 1, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
October 1, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2024data.cms.gov
May 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
May 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
March 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 23, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyCorrectedFebruary 23, 2024data.cms.gov
November 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (2 owners, 1 managers, 2 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Mo Operation Holdings De Spe LLCDirect owner99%January 25, 2024data.cms.gov
Ama Holdings LLCIndirect ownerNot listedOctober 19, 2021data.cms.gov
Def Holdings LLCIndirect ownerNot listedOctober 19, 2021data.cms.gov
Mo Operation Holdings De Spe LLCOperational or managerial controlNot listedJanuary 25, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.