Missouri › St. Louis County › Chesterfield
Delmar Gardens On the Green
15197 Clayton Road, Chesterfield, MO 63017
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 On the Green is a For-profit, corporation nursing home in Chesterfield, Missouri, certified for 120 beds and caring for about 83 residents a day.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 2 and quality measures 1.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (12, 8, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, fewer than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $47K and 1 payment denial.
Reported nurse staffing is 4.4 hours per resident per day (0.3 RN), above the Missouri median of 3.4; nursing staff turnover is 57.7%.
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 | 30 | 46 | 31 | 28.7 |
| Citations per 100 beds | 25.0 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 57.7% | 60.7% | 56.1% | 45.8% |
| Fines listed | $46,589 | $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: 4 Oct 2024, 5 Apr 2023.
Severity mix: G ×2 D ×13 E ×14 C ×1
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 |
|---|---|---|---|---|---|
| 26 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | Past Non-Compliance |
| 7 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Aug 2025 |
| 7 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 May 2025 |
| 4 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 11 Nov 2024 |
| 4 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 11 Nov 2024 |
| 4 Oct 2024 | 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 | 11 Nov 2024 |
| 4 Oct 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. | E | Standard survey | 11 Nov 2024 |
| 4 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Nov 2024 |
| 4 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 11 Nov 2024 |
| 4 Oct 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 | 11 Nov 2024 |
| 4 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Nov 2024 |
| 4 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Nov 2024 |
| 4 Oct 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 17 Apr 2024 |
| 4 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Mar 2024 |
| 11 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Nov 2023 |
| 11 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Nov 2023 |
| 11 Oct 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 10 Nov 2023 |
| 5 Apr 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 12 May 2023 |
| 5 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 May 2023 |
| 5 Apr 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 12 May 2023 |
| 5 Apr 2023 | 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. | D | Standard survey | 12 May 2023 |
| 5 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 May 2023 |
| 5 Apr 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 12 May 2023 |
| 25 Jun 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 8 Aug 2019 |
| 25 Jun 2019 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 8 Aug 2019 |
| 25 Jun 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Aug 2019 |
| 25 Jun 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Aug 2019 |
| 25 Jun 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Aug 2019 |
| 25 Jun 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Aug 2019 |
| 25 Jun 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 | 8 Aug 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Oct 2024 | Payment denial | — | 8 days |
| 4 Oct 2024 | Fine | $46,589 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 57.7%, RNs 70.0%; 0 administrators 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 | 26.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 37.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.0% | 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 On The Green 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% | 03/07/2003 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 03/07/2003 |
| 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 On the Green been cited for?
30 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Delmar Gardens On the Green been fined?
Yes. CMS lists fines totalling $47K in the period covered, plus 1 payment denial.
How does staffing at Delmar Gardens On the Green compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Delmar Gardens On the Green?
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 On the Green last inspected?
The most recent survey or investigation in the CMS record is dated 26 Nov 2025; the most recent standard health survey was 4 Oct 2024.
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.