Delmar Gardens of O'Fallon
7068 South Outer 364 · O Fallon, MO · 63368 · 6362406100
198 certified beds For profit - Limited Liability company Chain: Delmar Gardens
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 2, 2026 · Pharmacy Service
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Actual harm · G March 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · E August 23, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 9, 2024 · Environmental
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Potential for harm · D May 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 24, 2024 · Resident Rights
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Potential for harm · E May 14, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 24, 2024 · Resident Rights
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Potential for harm · E May 14, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 14, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 24, 2024 · Quality of Life and Care
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Potential for harm · D May 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 24, 2024 · Quality of Life and Care
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Potential for harm · E May 14, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 24, 2024 · Quality of Life and Care
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Potential for harm · D May 14, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 24, 2024 · Quality of Life and Care
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Potential for harm · E May 14, 2024
Ensure that residents are free from significant medication errors.
Corrected June 24, 2024 · Pharmacy Service
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Potential for harm · E May 14, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 24, 2024 · Pharmacy Service
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Potential for harm · E May 14, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · E May 14, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · E May 14, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · F May 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · E May 14, 2024
Provide and implement an infection prevention and control program.
Corrected June 24, 2024 · Infection Control
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Potential for harm · E May 14, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 24, 2024 · Infection Control
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Potential for harm · D May 14, 2024
Keep all essential equipment working safely.
Corrected June 24, 2024 · Environmental
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No harm found · B May 14, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected June 24, 2024 · Resident Rights
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Potential for harm · D March 14, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 19, 2024 · Quality of Life and Care
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Potential for harm · E October 27, 2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 23, 2022 · Resident Rights
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Potential for harm · E October 27, 2022
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected November 23, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 27, 2022
Provide activities to meet all resident's needs.
Corrected November 23, 2022 · Quality of Life and Care
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Potential for harm · D October 27, 2022
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected November 23, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265792 · certified since December 15, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.