PlainNursing
CMS Nursing Home Compare · March 2026

River Crossing Rehab and Healthcare Center

11278 Schuetz Road, Saint Louis, MO 63146 · All homes in Saint Louis

River Crossing Rehab and Healthcare Center, a 120-bed for profit - limited liability company nursing facility in Saint Louis, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3149914066

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3 / 5
Average · CMS overall · nat'l 3.0
3.59
Below average · nurse hrs/day · nat'l 3.89
33
Inspection findings · 1 serious
$0
Federal penalties (0)

Health Inspection

3/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
265457
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
89
In Hospital
No
County
St. Louis
Last Inspection
Jan 24, 2025

Staffing Data

How the 3.59 total nursing hours per resident-day are staffed:

RN Hours
0.47 (nat'l avg: 0.68)
LPN Hours
0.56
CNA Hours
2.56
Total Nursing Hours
3.59 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
61.8%
RN Turnover
55.6%

What the CMS Record Reveals About River Crossing Rehab and Healthcare Center

River Crossing Rehab and Healthcare Center operates 120 certified beds in Saint Louis, MO with approximately 89 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 33 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 3.59 total nursing hours per resident day (national average 3.89), with RN coverage at 0.47 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, River Crossing Rehab and Healthcare Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 61.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (33 most recent)

F - Widespread - Minimal harm Jan 24, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 17, 2025

D - Isolated - Minimal harm Jan 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2025

D - Isolated - Minimal harm Jan 24, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2025

F - Widespread - Minimal harm Jan 24, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 17, 2025

E - Pattern - Minimal harm Jan 24, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 17, 2025

E - Pattern - Minimal harm Jan 24, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2025

D - Isolated - Minimal harm Jan 24, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Feb 17, 2025

D - Isolated - Minimal harm May 1, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 28, 2024

D - Isolated - Minimal harm May 1, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 28, 2024

F - Widespread - Minimal harm Aug 29, 2023 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 3, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 3, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 17, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0909

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.

Category: Environmental Deficiencies

Corrected: Oct 3, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 3, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 17, 2023

D - Isolated - Minimal harm Aug 29, 2023 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2023

F - Widespread - Minimal harm Aug 29, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 3, 2023

D - Isolated - Minimal harm Aug 29, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 3, 2023

D - Isolated - Minimal harm Aug 29, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 3, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2023

E - Pattern - Minimal harm Aug 29, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2023

D - Isolated - Minimal harm Aug 29, 2023 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2023

C - Widespread - No harm Aug 29, 2023 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Oct 3, 2023

D - Isolated - Minimal harm Jun 5, 2023 Tag: 0635

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 20, 2023

G - Isolated - Actual harm Feb 3, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2023

D - Isolated - Minimal harm Feb 3, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 15, 2023

D - Isolated - Minimal harm Feb 26, 2020 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Apr 10, 2020

D - Isolated - Minimal harm Feb 26, 2020 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 10, 2020

D - Isolated - Minimal harm Feb 26, 2020 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2020

D - Isolated - Minimal harm Feb 26, 2020 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 10, 2020

D - Isolated - Minimal harm Feb 26, 2020 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2020

D - Isolated - Minimal harm Feb 26, 2020 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2020

E - Pattern - Minimal harm Feb 26, 2020 Tag: 0570

Assure the security of all personal funds of residents deposited with the facility.

Category: Resident Rights Deficiencies

Corrected: Apr 10, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 31.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 78.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 81.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 59.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 54.3% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for River Crossing Rehab and Healthcare Center?
River Crossing Rehab and Healthcare Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at River Crossing Rehab and Healthcare Center?
River Crossing Rehab and Healthcare Center reports 3.59 total nursing hours per resident day (national average: 3.89). RN hours are 0.47 per resident day (national average: 0.68). Nursing staff turnover is 61.8%.
How many beds does River Crossing Rehab and Healthcare Center have?
River Crossing Rehab and Healthcare Center has 120 certified beds with approximately 89 residents. The facility is located at 11278 Schuetz Road, Saint Louis, MO 63146.
Does River Crossing Rehab and Healthcare Center have any deficiencies on record?
Yes, River Crossing Rehab and Healthcare Center has 33 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has River Crossing Rehab and Healthcare Center received any fines or penalties?
No, River Crossing Rehab and Healthcare Center has no fines or penalties on record.
Who owns River Crossing Rehab and Healthcare Center?
River Crossing Rehab and Healthcare Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was River Crossing Rehab and Healthcare Center last inspected?
The most recent health inspection for River Crossing Rehab and Healthcare Center was on Jan 24, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for River Crossing Rehab and Healthcare Center?
River Crossing Rehab and Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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