River Crossing Rehab and Healthcare Center
11278 Schuetz Road, Saint Louis, MO 63146 · St. Louis County · 120 certified beds · avg 88 residents/day · certified since May 31, 1991
Part of chain: AMA HOLDINGS (13 facilities, chain avg rating 1.6★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.18
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (30)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 29, 2023 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Aug 29, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 29, 2023 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Aug 29, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Aug 29, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 29, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 29, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Aug 29, 2023 | C · Minimal risk, facility-wide | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Feb 26, 2020 | E · Potential for harm, repeated | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 7 | 0 | E |
| 2023 | 14 | 0 | F |
| 2024 | 2 | 0 | D |
| 2025 | 7 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.18 | 3.66 | 3.95 | bottom 31% in Missouri; bottom 21% in the U.S. |
| Registered Nurse hours | 0.51 | 0.49 | 0.69 | top 35% in Missouri; bottom 39% in the U.S. |
| Weekend total nurse staffing | 2.83 | 3.22 | 3.50 | bottom 35% in Missouri; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.33 | 0.48 | top 14% in Missouri; top 39% in the U.S. |
| Total nursing staff turnover (%) | 65.6 | 56.0 | 45.8 | bottom 26% in Missouri; bottom 9% in the U.S. |
| RN turnover (%) | 66.7 | 47.8 | 42.9 | bottom 26% in Missouri; bottom 15% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.52, RN 0.56, weekend 3.13. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ama Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2023 |
| Def Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2023 |
| Marx, Asher | Individual | 5% or Greater Indirect Ownership Interest | — | 12/01/2023 |
| Mo Operation Equities LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2023 |
| River Crossing Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2023 |
| River Crossing Partners LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2023 |
| Wolf, Jacques | Individual | 5% or Greater Indirect Ownership Interest | — | 12/01/2023 |
| Marx, Asher | Individual | Corporate Director | NOT APPLICABLE | 12/01/2023 |
| Marx, Asher | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Wolf, Jacques | Individual | Corporate Director | NOT APPLICABLE | 08/01/2023 |
| Wolf, Jacques | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2023 |
| Wyatt, Kimberly | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Maryland Heights | 0.9 mi | Maryland Heights, MO | ★★★★☆ | 4/5 | |
| Stonebridge Maryland Heights | 1.0 mi | Maryland Heights, MO | ★★☆☆☆ | 2/5 | |
| Parkwood Skilled Nursing and Rehabilitation Center | 1.5 mi | Maryland Heights, MO | ★☆☆☆☆ | 1/5 | |
| Avenir at Mark Twain | 2.1 mi | Bridgeton, MO | ★☆☆☆☆ | 1/5 | |
| Bentleys Extended Care | 2.3 mi | Overland, MO | ★☆☆☆☆ | 1/5 | abuse |
| SSM Health Depaul Hospital - Anna House | 2.4 mi | Bridgeton, MO | ★★★☆☆ | 3/5 | |
| Creve Coeur Manor | 3.1 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Country Villa Wellness & Rehabilitation | 3.3 mi | Creve Coeur, MO | ★★★☆☆ | 4/5 | |
| Life Care Center of Bridgeton | 3.3 mi | Bridgeton, MO | ★★☆☆☆ | 3/5 | |
| St Johns Place | 4.4 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Lewis & Clark Gardens | 5.5 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 | |
| Laurel Meadows Wellness & Rehabilitation | 5.6 mi | Saint Charles, MO | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265457.