Missouri › St. Louis County › Black Jack
Delmar Gardens North
4401 Parker Road, Black Jack, MO 63033
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Delmar Gardens North, in Black Jack, Missouri, is certified for 240 beds under for-profit, corporation ownership and belongs to the Delmar Gardens chain.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 3 and quality measures 1.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (6, 10, 18 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 14.2 per 100 beds, fewer than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $39K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 42.9%.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 34 | 46 | 31 | 28.7 |
| Citations per 100 beds | 14.2 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 42.9% | 60.7% | 56.1% | 45.8% |
| Fines listed | $39,299 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Nov 2025, 6 Oct 2023.
Severity mix: J ×1 G ×2 D ×20 E ×9 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 1 Jan 2026 |
| 17 Nov 2025 | F0761 | 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. | E | Standard survey | 7 Jan 2026 |
| 17 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 1 Jan 2026 |
| 17 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jan 2026 |
| 17 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Jan 2026 |
| 17 Nov 2025 | F0693 | 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. | D | Standard survey | 1 Jan 2026 |
| 10 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Mar 2025 |
| 26 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Dec 2024 |
| 26 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 23 Aug 2024 |
| 26 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Aug 2024 |
| 26 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Aug 2024 |
| 2 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | G | Complaint investigation | 5 Dec 2023 |
| 2 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 5 Dec 2023 |
| 6 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Dec 2023 |
| 6 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Nov 2023 |
| 6 Oct 2023 | F0578 | 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. | D | Standard survey | 15 Nov 2023 |
| 6 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 15 Nov 2023 |
| 6 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Nov 2023 |
| 6 Oct 2023 | F0693 | 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. | D | Complaint investigation | 15 Nov 2023 |
| 6 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Nov 2023 |
| 6 Oct 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 15 Nov 2023 |
| 8 Jan 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0761 | 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. | E | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0693 | 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. | D | Standard survey | 21 Feb 2020 |
| 8 Jan 2020 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 21 Feb 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Feb 2025 | Fine | $39,299 | |
| 6 Oct 2023 | Payment denial | — | 9 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 42.9%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Delmar Gardens North Operating, Llc. Chain: Delmar Gardens (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | 5% or greater direct ownership interest | 100% | 04/16/2003 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 04/16/2003 |
| Delmar Gardens Management Services Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2005 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Delmar Gardens North been cited for?
34 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Delmar Gardens North been fined?
Yes. CMS lists fines totalling $39K in the period covered, plus 1 payment denial.
How does staffing at Delmar Gardens North compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Delmar Gardens North?
It is part of the Delmar Gardens chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Delmar Gardens Enterprises Inc, Goldberg-Nom LLC and Delmar Gardens Management Services Inc. Individual owners and managers are not listed on this site.
When was Delmar Gardens North last inspected?
The most recent survey or investigation in the CMS record is dated 17 Nov 2025; the most recent standard health survey was 17 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.