Rancho Rehab and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 104 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (17 vs median 10)
- High staff turnover (76%)
- High RN turnover (80%)
Bottom 25% in MO · Below recommended RN staffing · Very high staff turnover · Worst in AMA HOLDINGS chain · $28,060 in fines
What this means for your family
While recent reviews suggest a positive shift under new leadership, the facility has a history of serious neglect and hygiene issues. If you choose this facility, maintain frequent, unannounced visits and establish a direct line of communication with the new administration to ensure your loved one's care needs are being met.
Google Reviews
Google Reviews
104 reviews on Google“Rancho Rehab and Healthcare Center presents a polarized experience, with many recent reviews praising a significant turnaround under new leadership, while others describe severe, ongoing failures in basic care. Families report improvements in facility cleanliness and staff responsiveness, yet critical concerns regarding hygiene, medication management, and communication during end-of-life care persist. Prospective families should weigh the recent positive administrative changes against historical and recurring reports of neglect.”
Quality Themes
Tap a score for detailsStrengths
- Professional and helpful admissions staff
- Recent improvements in facility cleanliness
- Active and approachable new leadership
- Engaging and patient-focused therapy team
Concerns
- Poor hygiene and sanitation (urine odors, lack of showers) (mentioned by 8 reviewers)
- Slow or non-existent response to call buttons (mentioned by 4 reviewers)
- Inadequate communication with families regarding medical status or death (mentioned by 4 reviewers)
- Staff neglect and lack of basic assistance with daily living (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 81 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed the facility has undergone recent leadership changes; how has this new management team specifically prioritized improving daily hygiene and sanitation standards for residents?
- 2Given that response times to call buttons are critical for our peace of mind, what is the current protocol and average wait time for staff to assist a resident who needs help?
- 3We understand that communication is vital; what is your standard process for keeping family members updated on a resident's medical status or any sudden changes in their health?
- 4With your therapy team being a noted strength, how do you integrate their patient-focused approach into the daily activities and movement routines for residents who aren't in active rehab?
- 5I see that you have been active in responding to feedback online; how do you use that family input to address concerns regarding medication management and daily living assistance?
- 6Considering the recent focus on facility cleanliness, what are the specific daily schedules for room sanitization and personal grooming assistance for residents?
Personalized based on this facility's data
Key Review Excerpts
“The absolute worst facility I have ever encountered... My grandmother died there this past June and the process and care leading up to her death was horrendous. She sat in pain for days and weeks with no help or medication.”
“I am so impressed with the positive changes at this facility under the new administration. The leadership team is incredibly professional, approachable, and proactive.”
“The staff is constantly on their cell phones playing games or music. They never have any clean towels for showers. When you push your call button the waiting is like 45 minutes or so.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
6
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed numerous complaints triggering inspections at this facility, with 26 out of 75 deficiencies stemming from family reports. The most recurring problems involve medication management errors, accident prevention failures, and poor care quality. Recent serious concerns include neglect/abuse violations, inadequate nursing staff, and infection control lapses, though the facility has provided correction dates for all identified issues.
Sep 11, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 11, 2025Routine19
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Mar 11, 2025Complaint7
Nursing and Physician Services Deficiencies
Have 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.
Pharmacy Service Deficiencies
Ensure 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nov 13, 2024Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 1, 2024Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Implement 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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 24, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Oct 1, 2024
$14,433
Fine
Feb 23, 2024
$13,627
Ownership & Operations
Who Operates This Facility
Rancho Rehab and Healthcare Center
for profit
Chain Affiliation
Ama Holdings
14 facilities nationwide
Chain avg rating: 1.7/5 · Rank 10 of 14 (Worst)
Ownership & Management
Owners
Mo Operation Holdings De Spe LLC
Owner · Organization
Ama Holdings LLC
Owner (parent company) · Organization
Def Holdings LLC
Owner (parent company) · Organization
Marx, Asher
Owner (parent company)
Wolf, Jacques
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
104 reviews from families & visitors
Official Website
Visit ranchohc.com
Medicare data downloads
Original nursing home datasets
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