RANCHO MANOR HEALTHCARE AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Rancho Manor Healthcare and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

RANCHO MANOR HEALTHCARE AND REHABILITATION CENTER
615 RANCHO LANE
FLORISSANT, MO 63031
(314) 839-2150

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 84
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Saint Louis | Ferguson | Bridgeton

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Rancho Manor Healthcare and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-164.0%
ADL Index Range: 6-1046.0%
ADL Index Range: 0-517.6%
Total Percent:67.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.4%
ADL Index Range: 0-516.1%
Total Percent:22.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-55.4%
Total Percent:5.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-52.7%
Total Percent:2.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.7%
Total Percent:1.7%
 

Rating Details For Rancho Manor Healthcare and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours27 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 32 Minutes2 Hours and 9 Minutes
Total Licensed Nurse Hours55 Minutes1 Hour and 38 Minutes
Total Nurse Hours3 Hours and 27 Minutes3 Hours and 47 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination32%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season54%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%9%
Percent of Long-Stay Residents Who Lose Too Much Weight14%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain9%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%38%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination39%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season41%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain31%20%
Percent of Short-Stay Residents Who Have Pressure Sores8%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/15/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Post Nurse Staffing Information.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/06/2008
  • Correction Date: 11/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/15/2011
  • Correction Date: 06/13/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/06/2008
  • Correction Date: 11/07/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Resident Rights

Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 10/06/2008
  • Correction Date: 11/07/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Have a Private Telephone Available for Use.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Rancho Manor Healthcare and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 01/19/2010
  • Correction Date: 03/02/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/30/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 01/19/2010
  • Correction Date: 03/02/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Complaint Filed: 01/19/2010
  • Correction Date: 03/02/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/19/2010
  • Correction Date: 03/10/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 10/06/2008
  • Correction Date: 11/07/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Rancho Manor Healthcare and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/15/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 10/06/2008
  • Correction Date: 11/07/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/06/2008
  • Correction Date: 11/07/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/09/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/06/2008
  • Correction Date: 11/07/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/15/2011
  • Correction Date: 05/30/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/19/2010
  • Correction Date: 03/02/2010
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011