Nursing home report
TOWN AND COUNTRY, MO · Medicare-certified · 321 beds
DELMAR GARDENS WEST in Town and Country, MO has a 3-star overall rating, with 3 stars for health inspections, 4 stars for staffing, and 2 stars for quality measures. It reported 3.59 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months and recent inspection citations related to CPR/basic life support, abuse protection, and food handling.
Health inspections
Staffing
3.5915 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5915.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, actual harm.
F-Tag 600 — 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 April 2025 — widespread issue, potential for harm.
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 — widespread issue, potential for harm.
F-Tag 925 — 42 CFR §483.90 — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited April 2025 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 3 health deficiencies.
On record with Medicare: 2 fines · $22,623 in total fines.
Federal fine
Apr 2, 2024
Federal fine
Jul 21, 2023
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.
