River Crossing Rehab and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 140 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 staffing rating (2/5 stars)
- High staff turnover (62%)
- High RN turnover (56%)
Above average in MO · Below recommended RN staffing · Above average staffing · Chain outperformer · No penalties on record
What this means for your family
While the admissions and therapy teams are frequently praised for their professionalism, the facility has a recurring pattern of reports regarding severe neglect and understaffing. If you choose this facility, we strongly advise frequent, unannounced visits to monitor your loved one's hygiene and medication administration, as these are the most cited areas of concern.
Google Reviews
Google Reviews
140 reviews on Google“River Crossing Rehab and Healthcare Center receives highly polarized feedback, with many reviewers praising the admissions team and specific staff members for their kindness and professionalism. However, a significant number of families report severe concerns regarding neglect, hygiene issues, and chronic understaffing that impacts basic patient care and medication administration.”
Quality Themes
Tap a score for detailsStrengths
- Helpful and professional admissions staff
- Clean and well-maintained facility environment
- Effective rehabilitation therapy team
- Polite and responsive nursing staff (in some departments)
Concerns
- Chronic understaffing leading to neglect (mentioned by 12 reviewers)
- Poor hygiene and failure to assist with toileting/bathing (mentioned by 9 reviewers)
- Medication management errors and delays (mentioned by 4 reviewers)
- Physical facility maintenance issues (peeling paint/repairs) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 145 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that staffing levels can fluctuate, how do you ensure that residents receive consistent, timely assistance with personal hygiene and toileting needs throughout the day and night?
- 2I noticed the facility has a focus on rehabilitation; could you walk me through how your nursing team coordinates with the therapy department to ensure medication management doesn't interfere with a resident's therapy schedule?
- 3What specific protocols are in place to monitor and prevent medication errors, and how are families notified if a dose is delayed or missed?
- 4With a capacity of 120 residents, how do you manage the daily dining experience to ensure that everyone receives the necessary assistance and attention during mealtimes?
- 5Can you share how the facility prioritizes ongoing physical maintenance and repairs to ensure the living environment remains comfortable and safe for all residents?
- 6What does a typical daily activity schedule look like, and how do you encourage residents to participate in social engagement outside of their medical care routines?
Personalized based on this facility's data
Key Review Excerpts
“The facility is filthy and the staff is dangerously incompetent. We were told my mom had to be in a skilled nursing for rehab because she couldn’t walk on her own. Staff refused to help her to the bathroom and lied to me about it.”
“My 52 year old sister in law was only there 2 and half months... Her care was horrible to say the least she was there 5 days before they got her out of bed. It was 2 weeks before they bathed her... Needless to say she is on life support because of the lack of care.”
“Rena truly is a shining light in the building. She does a great job showing potential residents around and providing great detail of what to expect”
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
5
measures
8
measures
4
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
River Crossing has significant ongoing concerns, with families filing 7 complaint-triggered reports leading to deficiencies. The facility shows persistent problems across nursing care, food service, and fire safety, with issues recurring over multiple surveys from 2020 through 2025. While the facility reports correcting deficiencies, the pattern of repeated violations in core care areas suggests systemic challenges that families should carefully consider before placement.
Jan 24, 2025Routine10
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 24, 2025Complaint1
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.
May 1, 2024Complaint2
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.
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.
Aug 29, 2023Routine18
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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.
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Aug 29, 2023Complaint3
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Jun 5, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Ownership & Operations
Who Operates This Facility
River Crossing Rehab and Healthcare Center
for profit
Chain Affiliation
Ama Holdings
14 facilities nationwide
Chain avg rating: 1.7/5 · Rank 3 of 14
Ownership & Management
Owners
River Crossing Holdco LLC
Owner · Organization
Ama Holdings LLC
Owner (parent company) · Organization
Def Holdings LLC
Owner (parent company) · Organization
Mo Operation Equities LLC
Owner (parent company) · Organization
River Crossing Partners 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
140 reviews from families & visitors
Official Website
Visit rivercrossingrehab.com
Medicare data downloads
Original nursing home datasets
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