River Crossing Rehab and Healthcare Center
11278 Schuetz Road · Saint Louis, MO · 63146 · 3149914066
120 certified beds For profit - Limited Liability company Chain: Ama Holdings
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D January 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 17, 2025 · Resident Rights
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Potential for harm · E January 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · E January 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 17, 2025 · Nutrition and Dietary
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Potential for harm · F January 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 17, 2025 · Nutrition and Dietary
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Potential for harm · D January 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2025
Provide and implement an infection prevention and control program.
Corrected February 17, 2025 · Infection Control
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Potential for harm · F January 24, 2025 · found via complaint
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.
Corrected February 17, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2023
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.
Corrected October 3, 2023 · Resident Rights
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Potential for harm · E August 29, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 3, 2023 · Resident Rights
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Potential for harm · E August 29, 2023
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.
Corrected October 3, 2023 · Resident Rights
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Potential for harm · D August 29, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2023 · Quality of Life and Care
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Potential for harm · F August 29, 2023
Observe each nurse aide's job performance and give regular training.
Corrected October 3, 2023 · Nursing and Physician Services
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Potential for harm · D August 29, 2023
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.
Corrected October 3, 2023 · Quality of Life and Care
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Potential for harm · E August 29, 2023
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.
Corrected October 17, 2023 · Pharmacy Service
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Potential for harm · E August 29, 2023
Provide and implement an infection prevention and control program.
Corrected October 3, 2023 · Infection Control
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Potential for harm · E August 29, 2023
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.
Corrected October 3, 2023 · Environmental
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Potential for harm · E August 29, 2023 · found via complaint
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.
Corrected October 17, 2023 · Resident Rights
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Potential for harm · E August 29, 2023 · found via complaint
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.
Corrected October 3, 2023 · Nutrition and Dietary
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Potential for harm · F August 29, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 3, 2023 · Nutrition and Dietary
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No harm found · C August 29, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected October 3, 2023 · Resident Rights
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Potential for harm · D June 5, 2023 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected June 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2020
Assure the security of all personal funds of residents deposited with the facility.
Corrected April 10, 2020 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265457 · certified since May 31, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.