Senior Home Review
Home›Browse›Missouri›Saint Louis›River Crossing Rehab and Healthcare Center
Nursing homeFAID #7136

River Crossing Rehab and Healthcare Center

11278 SCHUETZ ROAD, SAINT LOUIS, MO, 63146
(314) 991-4066
120 licensed beds

CMS rates River Crossing Rehab and Healthcare Center 3 out of 5 overall. Federal inspectors issued 44 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
Photo of RIVER CROSSING REHAB AND HEALTHCARE CENTER
Photo via Google · Floxy Thompson
What we can show you for free.
Bed capacity
120
State license
052730
CMS facility ID
265457
Care type
Nursing home
Facility name
River Crossing Rehab and Healthcare Center
Street address
11278 SCHUETZ ROAD
City / state / ZIP
Saint Louis, MO 63146
Phone
(314) 991-4066
State license #
052730

River Crossing Rehab and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Saint Louis, Missouri. It is licensed for 120 beds — above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 168 senior care facilities in Saint Louis and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Ama Holdings, a group of 13 facilities on this site.

Federal inspectors have cited River Crossing Rehab and Healthcare Center 44 times across 9 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
River Crossing Operator Llc
Parent company
Ama Holdings
Ownership type
For profit - Limited Liability company
Administrator
Yakov Appelbaum

Registered owners & officers

River Crossing Holdco Llc
Direct owner — 100% stake — since 2023
Ama Holdings Llc
Indirect owner — since 2023
Def Holdings Llc
Indirect owner — since 2023
Marx, Asher
Indirect owner · Director · Operational control — since 2023
Mo Operation Equities Llc
Indirect owner — since 2023
River Crossing Partners Llc
Indirect owner — since 2023
Wolf, Jacques
Indirect owner · Director · Operational control — since 2023
Wyatt, Kimberly
Managing employee — since 2023

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-05-31
License expires
2027-05-30
CMS overall rating
3 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-01-24
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$293 per day (≈ $8,910/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
88% Medicaid · 4% Medicare · 8% private/other
Occupancy
81% (fiscal year 2023)
Vs. state median
14% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
120
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-20Health inspectionComplaint-triggered1 citation
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-08-21
2025-01-24Health inspectionComplaint-triggered7 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-17
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-17
F-0727
F · No harm foundFrom a 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 2025-02-17
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-17
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-17
6 earlier / fire-safety inspections (36 citations)
2024-05-01Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-28
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-28
2023-08-29Health inspection14 citations
F-0568
C · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-10-03
F-0578
D · No harm found
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 2023-10-03
F-0584
E · No harm found
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 2023-10-17
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-03
F-0625
E · No harm found
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 2023-10-03
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-03
F-0730
F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-10-03
F-0742
D · No harm found
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 2023-10-03
F-0761
E · No harm found
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 2023-10-17
F-0803
E · No harm foundFood safety
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 2023-10-03
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-10-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-10-03
F-0909
E · No harm found
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 2023-10-03
2020-02-26Health inspection7 citations
F-0570
E · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2020-04-10
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-10
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-04-10
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-04-10
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-04-10
F-0761
D · No harm found
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 2020-04-10
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2020-04-10
2025-01-24Fire-safety inspection4 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-02-17
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-17
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-02-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-01-16
2023-08-29Fire-safety inspection7 citations
E-0001
F · No harm found
Establish an Emergency Preparedness Program (EP).
Corrected 2023-10-03
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2023-10-03
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-03
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-03
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-03
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-10-03
2020-02-26Fire-safety inspection2 citations
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2020-04-10
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2020-04-10
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265457.
How it compares in Missouri.
Inspection citations, 3 years
44
More than 41% of nursing homes in the state
State median: 50
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
3.8
Higher than 75% of nursing homes in the state
State median: 3.4
Nursing staff turnover, annual
69%
Higher than 79% of nursing homes in the state
State median: 57%

Resident outcomes

On 21 federal quality measures, this facility does better than the Missouri average on 13 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased12.6%17.4%13.5%Better than state
Lose too much weight3.1%5.1%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.9%0.7%Better than state
With a urinary tract infection0.6%2.2%1.5%Better than state
Have depressive symptoms38.9%20.0%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury4.0%4.0%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine69.0%84.0%93.7%Worse than state
Ability to walk independently worsened13.1%15.8%12.7%Better than state
Received an antianxiety or hypnotic medication20.3%25.6%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%90.8%95.3%Better than state
With pressure ulcers5.8%4.4%4.5%Worse than state
With new or worsened bowel or bladder incontinence25.9%17.1%18.3%Worse than state
Received an antipsychotic medication12.9%23.5%15.4%Better than state
Hospitalizations per 1000 long-stay resident days3.561.981.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.822.161.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine61.6%65.7%82.3%Near state average
Newly received an antipsychotic medication1.3%2.1%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine69.7%61.4%80.1%Better than state
Were rehospitalized after a nursing home admission29.1%25.7%23.4%Worse than state
Had an outpatient emergency department visit5.4%13.4%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0804 3 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • K-0712 2 inspections. Have simulated fire drills held at unexpected times.
  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0761 2 inspections. 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.

What its owners also hold

  • Def Holdings Llc has an ownership stake on file at 13 nursing homes, averaging 1.9 of 5 on CMS's overall rating.
  • Ama Holdings Llc has an ownership stake on file at 13 nursing homes, averaging 1.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Missouri

  • Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
  • File a complaint: 800-392-0210 · Online
  • Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
  • Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Ssm Health Depaul Hospital St Louis, about 2.7 miles. CMS rating 4 of 5.
  • Barnes-jewish West County Hospital, about 3.2 miles. CMS rating 5 of 5.
  • Ssm St Joseph Health Center, about 5.3 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.8144 ratings on Google
★Paula Brookshier · 2026-07-07 · via Google

“My mother entered River Crossing in May 2025 and stayed until Jan 2026 when we were able to move her to a better facility. She had a horrible experience at River Crossing. The facility itself was dirty and her room was constantly filthy - I had to go to the director at least 4 times to demand that my mother's room get cleaned - dirty linens and trash all over the floor, bad smell, etc. Items of…”

★★★★★Reese B · 2026-04-17 · via Google

“I am the Community Services Chair for Mocha Moms st.Louis a nonprofit organization. I helped coordinate a Golden Valentine’s event at River Crossing Nursing Home, and it turned out amazing. Director of Nursing, Mr. JD Johnson, was great to work with—super helpful, organized, and really made the whole process smooth. The staff was just as supportive and attentive, and you can tell they genuinely c…”

★★★★★Julia Walker · 2025-12-11 · via Google

“River Crossing is a great facility. The staff is very friendly and goes above and beyond for what they do. Rena- the admissions is such a lovely person. Very friendly and definitely makes everyone feel welcomed!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered