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C
Below Standard

RANCHO REHAB AND HEALTHCARE CENTER

615 RANCHO LANE · FLORISSANT, MO 63031

3148392150 · For profit - Limited Liability company

120 beds85.9 residents230 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

RANCHO REHAB AND HEALTHCARE CENTER receives an overall staffing grade of C (Below Standard). With 3.1766 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5051 HPRD, below the recommended 0.75. It is 0.72 HPRD below the national average.

Weekend staffing drops significantly — dropping 30.99% compared to weekdays. The facility has low agency staff usage (4.6% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1766 HPRD — needs 0.30 more hours per resident per day.
⚠️RN staffing (0.5051 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 30.99% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.6%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1766hrs/resident/day▼ 0.72
CMS benchmark: 3.48
RN HPRD
0.5051hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
30.99%
3.4815 weekday → 2.4027 weekend
⚠ Significant weekend reduction
Agency Staff
4.6%
0.94% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5299hrs/resident/day
Direct care aides
LPN HPRD
0.5083hrs/resident/day
Licensed practical nurses
Consistency
0.5795std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Louis County Average-0.64 HPRD
3.82
03.18 HPRD
vs. Missouri State Average-0.30 HPRD
3.48
03.18 HPRD
vs. National Average-0.72 HPRD
3.90
03.18 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
RANCHO REHAB AND HEALTHCARE CENTER ★
FLORISSANT · This facility
—
C
3.17660.5051★☆☆☆☆
ST SOPHIA HEALTH & REHABILITATION CENTER
FLORISSANT
1.9 mi
D
2.95950.3143★☆☆☆☆
PILLARS OF NORTH COUNTY HEALTH & REHAB CENTER, THE
FLORISSANT
2.5 mi
F
2.38160.2383★★☆☆☆
DELMAR GARDENS NORTH
BLACK JACK
3 mi
F
3.7530.1779★☆☆☆☆
FLORISSANT VALLEY HEALTH & REHABILITATION CENTER
FLORISSANT
3 mi
D
3.68030.3431★☆☆☆☆
STONEBRIDGE FLORISSANT
FLORISSANT
4.5 mi
D
3.45320.2857★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
56
Total Deficiencies
$28,060
Fines Assessed
Sep 11, 2025Health
1 deficiency cited· Includes actual harm
▼
Mar 11, 2025Health
16 deficiencies cited
▼
Nov 13, 2024Health
2 deficiencies cited
▼
Oct 1, 2024Health
5 deficiencies cited· Includes actual harm
▼
May 24, 2024Health
2 deficiencies cited
▼
Mar 11, 2024Health
1 deficiency cited
▼
Feb 23, 2024Health
1 deficiency cited· Includes actual harm
▼
Nov 14, 2023Health
1 deficiency cited
▼
Sep 29, 2023Health
17 deficiencies cited
▼
Jun 6, 2023Health
3 deficiencies cited
▼
Apr 14, 2023Health
1 deficiency cited
▼
Jan 21, 2020Health
6 deficiencies cited
▼

Penalty History

Oct 1, 2024Fine
$14,433
Feb 23, 2024Fine
$13,627
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.