Delmar Gardens North
4401 Parker Road · Black Jack, MO · 63033 · 3143551516
240 certified beds For profit - Corporation Chain: Delmar Gardens Part of a CCRC
Why this verdict
- Federal penalties on record: $39,299 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.17 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $39,299 |
Inspection citations (34 in the current record)
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Potential for harm · E November 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 1, 2026 · Resident Rights
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Potential for harm · D November 17, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 1, 2026 · Resident Rights
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Potential for harm · D November 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 1, 2026 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 1, 2026 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected January 1, 2026 · Quality of Life and Care
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Potential for harm · E November 17, 2025
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 January 7, 2026 · Pharmacy Service
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Immediate jeopardy · J February 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · D December 26, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 23, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
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Actual harm · G November 2, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 5, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 2, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 5, 2023 · Quality of Life and Care
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Potential for harm · D October 6, 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 November 15, 2023 · Resident Rights
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Potential for harm · D October 6, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 6, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 6, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 15, 2023 · Quality of Life and Care
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Potential for harm · F October 6, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2023 · Nutrition and Dietary
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Potential for harm · D October 6, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected November 15, 2023 · Administration
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Potential for harm · E October 6, 2023
Provide and implement an infection prevention and control program.
Corrected November 15, 2023 · Infection Control
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Potential for harm · D October 6, 2023 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 15, 2023 · Quality of Life and Care
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Potential for harm · E January 8, 2020
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 21, 2020 · Resident Rights
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Potential for harm · E January 8, 2020
Keep residents' personal and medical records private and confidential.
Corrected February 21, 2020 · Resident Rights
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Potential for harm · D January 8, 2020
Ensure each resident receives an accurate assessment.
Corrected February 21, 2020 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2020
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 21, 2020 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 10, 2025 | Fine | $39,299 |
| October 6, 2023 | Payment Denial | 9 days |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265325 · certified since May 17, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.