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Nursing home report

DELMAR GARDENS NORTH

BLACK JACK, MO · Medicare-certified · 240 beds

Needs attention
For-profitChain member
2 of 5 overall

DELMAR GARDENS NORTH in Black Jack, MO has an overall rating of 2 out of 5 stars, with low staffing and quality scores (2 and 1 stars) and nurse staffing below the federal benchmark (3.37 vs. 4.1 hours per resident per day). It also has $39,299 in fines in the last 24 months and a recent federal penalty; recent citations included accident hazards/supervision, treatment and care, and response to alleged violations.

Facility ratings

Health inspections

Staffing

3.3706 hrs/resident/day

Quality measures

Last inspection: November 17, 2025Penalties, last 24 months: $39,299recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3706.

Staffing detail

Registered nurses
0.17
Licensed practical nurses
0.82
Nurse aides
2.37
Weekend nursing
3.15

Hours per resident per day.

Total staff turnover: 54%
Registered nurse turnover: 50%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

11.8%14%Worsening

Residents with a fall causing major injury

5.3%2.5%Improving

Residents with pressure ulcers (bedsores)

6.3%3%Improving

Residents with a urinary tract infection

1.3%0.6%Improving

Residents who lost too much weight

8.9%3.6%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

11.8%15.3%Worsening

Residents whose ability to walk got worse

15.7%19.2%Worsening

Long-stay residents on antianxiety or sleep medication

19.7%19.4%No change

Short-stay residents newly given an antipsychotic

1.8%1.1%Improving

Residents with a long-term catheter

2.6%1.7%Improving

Residents with new or worsening incontinence

7.7%16.3%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

91.9%

Long-stay residents given the pneumonia vaccine

82.9%82.2%Worsening

Short-stay residents given the seasonal flu vaccine

63.5%

Short-stay residents given the pneumonia vaccine

50%66.7%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited November 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $39,299 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $39,299 in total fines · 1 payment denial.

  • Federal fine

    Feb 10, 2025

    $39,299
  • Medicare/Medicaid payment denial

    Oct 6, 2023

    9 days

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of DELMAR GARDENS · 13 homes · 3 stars avg
Occupancy
173.9 residents on an average day (72% of 240 beds)
Medicare history
Certified for 38 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.