The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
DELMAR GARDENS OF O'FALLON
O FALLON, MO · Medicare-certified · 198 beds
In good standing
For-profitChain member
3 of 5 overall
DELMAR GARDENS OF O'FALLON has an overall rating of 3 out of 5 stars, with a weak health inspection rating of 2 stars but strong staffing (4 stars) and quality measures (5 stars). Reported nurse staffing is 3.89 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8948 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8948.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.76
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 20%
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
17.3%26%Worsening
Residents with a fall causing major injury
2.5%5.6%Worsening
Residents with pressure ulcers (bedsores)
4.5%3.9%Improving
Residents with a urinary tract infection
8.4%7.2%Improving
Residents who lost too much weight
16%12.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.8%3.8%Improving
Residents whose ability to walk got worse
8.1%3.5%Improving
Long-stay residents on antianxiety or sleep medication
23.4%27.1%Worsening
Short-stay residents newly given an antipsychotic
1%0%Improving
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
9.8%7.5%Improving
Residents with depressive symptoms
5.5%8%Worsening
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
—97.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.9%—
Short-stay residents given the pneumonia vaccine
97.2%97.1%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 925 — 42 CFR §483.90 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of DELMAR GARDENS · 13 homes · 3 stars avg
- Occupancy
- 170.5 residents on an average day (86% of 198 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 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.