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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $39,299 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
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.