Delmar Gardens of Chesterfield
14855 North Outer 40 Road · Chesterfield, MO · 63017 · 6365320150
227 certified beds For profit - Limited Liability company Chain: Delmar Gardens
- Inspection results have improved across recent cycles.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.71 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $17,160 |
Inspection citations (42 in the current record)
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Potential for harm · D August 6, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 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 September 18, 2025 · Quality of Life and Care
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Potential for harm · D August 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 18, 2025 · Pharmacy Service
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Potential for harm · E August 6, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 18, 2025 · Pharmacy Service
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Potential for harm · E August 6, 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 September 18, 2025 · Pharmacy Service
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Potential for harm · D August 6, 2025
Provide and implement an infection prevention and control program.
Corrected September 18, 2025 · Infection Control
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Potential for harm · D April 10, 2025 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E February 15, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 26, 2024 · Resident Rights
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Potential for harm · D February 15, 2024 · found via complaint
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 March 26, 2024 · Resident Rights
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Potential for harm · D February 15, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 26, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 26, 2024 · Quality of Life and Care
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Potential for harm · E February 15, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 26, 2024 · Nursing and Physician Services
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Potential for harm · D February 15, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 26, 2024 · Pharmacy Service
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Potential for harm · D February 15, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 26, 2024 · Pharmacy Service
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Potential for harm · E February 15, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 26, 2024 · Nutrition and Dietary
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Potential for harm · D February 15, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2024 · Nutrition and Dietary
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Potential for harm · F February 15, 2024 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 26, 2024 · Administration
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Potential for harm · F February 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 26, 2024 · Infection Control
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Potential for harm · D February 15, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 26, 2024 · Environmental
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Actual harm · G June 30, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 25, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 30, 2023 | Fine | $17,160 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265170 · certified since May 26, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.