Delmar Gardens of O'FallonCMS ratings, inspections and fines
- Address
- 7068 South Outer 364, O Fallon, MO 63368
- CCN
- 265792
- Ownership type
- For-profit, limited liability company
- Certified beds
- 198
- Chain
- Delmar Gardens
- Residents per day
- 161
- CMS flags
- No standard survey in more than 2 years
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 O'Fallon an overall rating of 3 of 5 stars. The last standard survey was on 14 May 2024. The latest survey cycle has 18 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. Charles County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 15 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) | 14 May 2024 | 18 | 9 |
| Cycle 2 | 27 Oct 2022 | 8 | 10 |
| Cycle 3 | No date | 13 | 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 | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 2 Mar 2026 |
| 14 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | 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. | B | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Jun 2024 |
| 14 May 2024 | 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. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | 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 | 24 Jun 2024 |
| 14 May 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 24 Jun 2024 |
| 14 May 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 24 Jun 2024 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Apr 2025 |
| 23 Aug 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 9 Oct 2024 |
| 27 Oct 2022 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 23 Nov 2022 |
| 27 Oct 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 23 Nov 2022 |
| 27 Oct 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 23 Nov 2022 |
| 27 Oct 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 23 Nov 2022 |
| 27 Oct 2022 | 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. | D | Standard survey | 23 Nov 2022 |
| 27 Oct 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Nov 2022 |
Survey cycle 3: 13 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 |
|---|---|---|---|---|---|
| 14 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 Apr 2024 |
| 16 Oct 2019 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | 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. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | 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 | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | 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 | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Nov 2019 |
| 16 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Nov 2019 |
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 | 4.20 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.37 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.82 | 0.68 | |
| Nurse aides | 3.01 | 2.29 | |
| All nurse staff, weekends | 4.11 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 42.7%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 14.3%
- Administrators who left in a year
- 0
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 | 7.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.4% | 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 | 24.5% | 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 O'Fallon, 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% | 24 Sep 2004 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 24 Sep 2004 |
| 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. Charles County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Sunterra Springs Dardenne Prairie | Dardenne Prairie | 2 of 5 | 7 | $49,722 | 15 Jan 2026 | |
| Garden View Care Center | O Fallon | 1 of 5 | 14 | $0 | 16 Jan 2025 | |
| Cottages of Lake St Louis | Lake Saint Louis | 4 of 5 | 5 | $17,696 | 24 Jul 2025 | |
| Abbey Senior Health | O Fallon | 3 of 5 | 11 | $0 | 25 Oct 2024 | |
| Lutheran Senior Services at Breeze Park | Saint Charles | 4 of 5 | 5 | $41,347 | 2 Apr 2026 | |
| Ignite Medical Resort St Peters | Saint Peters | Not rated | 23 | $0 | 17 Oct 2025 | |
| St Peters Post Acute | Saint Peters | 1 of 5 | 24 | $69,999 | 19 Dec 2024 | |
| St Peters Rehab and Healthcare CenterSpecial Focus candidate | Saint Peters | 1 of 5 | 41 | $168,026 | 12 Apr 2024 | |
| McClay Senior Care | Saint Peters | 3 of 5 | 3 | $0 | 4 Apr 2024 | |
| Aspen Point Health and Rehabilitation | Saint Charles | 1 of 5 | 3 | $340,683 | 11 Feb 2026 | |
| NHC Healthcare, St Charles | Saint Charles | 4 of 5 | 3 | $0 | 20 Jun 2024 | |
| Lewis & Clark Gardens | Saint Charles | 1 of 5 | 18 | $139,916 | 8 Aug 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 O'Fallon (CCN 265792). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/delmar-gardens-of-o-fallon-o-fallon-mo-265792/
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 O'Fallon last inspected?
- The latest inspection with a citation in the CMS record was on 5 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 27 Oct 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Delmar Gardens of O'Fallon?
- 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 O'Fallon 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.