Delmar Gardens of ChesterfieldCMS ratings, inspections and fines
- Address
- 14855 North Outer 40 Road, Chesterfield, MO 63017
- CCN
- 265170
- Ownership type
- For-profit, limited liability company
- Certified beds
- 227
- Chain
- Delmar Gardens
- Residents per day
- 173
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Delmar Gardens of Chesterfield an overall rating of 3 of 5 stars. The last standard survey was on 6 Aug 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Louis County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 69 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Aug 2025 | 7 | 9 |
| Cycle 2 | 15 Feb 2024 | 17 | 10 |
| Cycle 3 | No date | 15 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Aug 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 29 Jun 2025 |
| 6 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Sep 2025 |
| 6 Aug 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 | 18 Sep 2025 |
| 6 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 18 Sep 2025 |
| 6 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 18 Sep 2025 |
| 6 Aug 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 | 18 Sep 2025 |
| 6 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Sep 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Apr 2025 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 16 May 2025 |
| 10 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 16 May 2025 |
| 15 Feb 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 26 Mar 2024 |
| 15 Feb 2024 | 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 | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0758 | 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. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 26 Mar 2024 |
| 15 Feb 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 26 Mar 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Nov 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | 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 | 5 Jan 2022 |
| 22 Nov 2021 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0625 | 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. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 5 Jan 2022 |
| 22 Nov 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jan 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.77 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.24 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.72 | 0.68 | |
| Nurse aides | 2.81 | 2.29 | |
| All nurse staff, weekends | 3.42 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 48.8%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 64.3%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.8% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.2% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Delmar Gardens of Chesterfield Operating, LLC
- Chain
- Delmar Gardens (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | 5% or greater direct ownership interest | 100% | 18 Feb 2005 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 18 Feb 2005 |
| Delmar Gardens Management Services Inc | Operational/managerial control | 1 Apr 2005 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Louis County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Garden View Care Center of Chesterfield | Chesterfield | 4 of 5 | 8 | $0 | 9 Jan 2025 | |
| Friendship Village Chesterfield | Chesterfield | 5 of 5 | 8 | $0 | 12 Sep 2024 | |
| Westchester House, The | Chesterfield | 2 of 5 | 13 | $83,824 | 28 Aug 2024 | |
| Delmar Gardens West | Town and Country | 2 of 5 | 8 | $14,433 | 11 Apr 2025 | |
| Mason Pointe Care Center | Chesterfield | 5 of 5 | 1 | $0 | 22 Aug 2024 | |
| Surrey Place St Lukes Hospital Skilled Nursing | Chesterfield | 4 of 5 | 8 | $0 | 1 Aug 2024 | |
| Brooking Park | Chesterfield | 3 of 5 | 12 | $15,646 | 24 Jul 2024 | |
| Delmar Gardens on the Green | Chesterfield | 2 of 5 | 12 | $46,589 | 4 Oct 2024 | |
| Athene Nursing and Rehabilitation | Town and Country | 1 of 5 | 31 | $122,846 | 13 Jan 2026 | |
| Manchester Rehab and Healthcare Center | Ballwin | 1 of 5 | 11 | $197,132 | 23 May 2025 | |
| Creve Coeur Manor | Saint Louis | 1 of 5 | 22 | $0 | 20 Nov 2024 | |
| Ellisville Rehabilitation and NursingSpecial Focus candidate | Ellisville | 1 of 5 | 37 | $260,092 | 26 Nov 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Delmar Gardens of Chesterfield (CCN 265170). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/delmar-gardens-of-chesterfield-chesterfield-mo-265170/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Delmar Gardens of Chesterfield last inspected?
- The latest inspection with a citation in the CMS record was on 6 Aug 2025. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 15 Feb 2024.
- Who operates Delmar Gardens of Chesterfield?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Delmar Gardens. The CMS ownership file names Delmar Gardens Management Services Inc for operational or managerial control. This site does not show the names of persons.
- Is Delmar Gardens of Chesterfield a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.