The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
DELMAR GARDENS ON THE GREEN
CHESTERFIELD, MO · Medicare-certified · 138 beds
Needs attention
For-profitChain member
2 of 5 overall
DELMAR GARDENS ON THE GREEN in Chesterfield, MO has an overall rating of 2 out of 5 stars, with low quality measures (1 star) and moderate health inspection and staffing ratings (3 stars each). It reported 4.74 nurse hours per resident per day, above the federal benchmark of 4.1, and had $46,589 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.7435 hrs/resident/day
Quality measures
Last inspection: July 7, 2025Penalties, last 24 months: $46,589recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7435.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.83
- Nurse aides
- 3.54
- Weekend nursing
- 4.45
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 63%
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%17.9%Worsening
Residents with a fall causing major injury
6.8%7.8%Worsening
Residents with pressure ulcers (bedsores)
8.7%12%Worsening
Residents with a urinary tract infection
2.8%2.7%No change
Residents who lost too much weight
10.3%3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.3%26.2%Worsening
Residents whose ability to walk got worse
—37.7%—
Long-stay residents on antianxiety or sleep medication
20.3%19.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
19%23.4%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
—80%—
Long-stay residents given the pneumonia vaccine
64.4%80.5%Improving
Short-stay residents given the seasonal flu vaccine
—59.3%—
Short-stay residents given the pneumonia vaccine
56.1%52%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $46,589 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $48,337 in total fines · 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Oct 4, 2024
- $46,589
Federal fine
Oct 4, 2024
- $1,748
Federal fine
Jun 5, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of DELMAR GARDENS · 13 homes · 3 stars avg
- Occupancy
- 85.4 residents on an average day (62% of 138 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.