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

Inspection record 30% of score 53
Serious harm & abuse 20% 94
Staffing 20% 62
Federal penalties 15% 73
Trend 10% 86
Context 5% 100

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-day3.983.48 min · 4.1 strong
RN hours / resident-day0.250.55–0.75
Weekend hours / resident-day3.71≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $17,160

Inspection citations (42 in the current record)

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E August 6, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 18, 2025 · Pharmacy Service

  • 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

  • Potential for harm · D August 6, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 18, 2025 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
June 30, 2023Fine$17,160

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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.