Delmar Gardens on the Green
15197 Clayton Road · Chesterfield, MO · 63017 · 6363947515
138 certified beds For profit - Corporation Chain: Delmar Gardens
Why this verdict
- Federal penalties on record: $46,589 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 4.45 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $46,589 |
Inspection citations (29 in the current record)
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Potential for harm · D July 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · D April 7, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 4, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · E October 4, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 11, 2024 · Resident Rights
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Potential for harm · D October 4, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected April 17, 2024 · Resident Rights
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Potential for harm · E October 4, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 11, 2024 · Resident Rights
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Potential for harm · E October 4, 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 November 11, 2024 · Resident Rights
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Potential for harm · E October 4, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 11, 2024 · Pharmacy Service
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Potential for harm · E October 4, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 11, 2024 · Pharmacy Service
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Potential for harm · E October 4, 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 November 11, 2024 · Pharmacy Service
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Potential for harm · E October 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 20, 2024 · Nutrition and Dietary
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Potential for harm · D October 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · E October 4, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 11, 2024 · Infection Control
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Actual harm · G October 11, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 11, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 11, 2023 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected November 10, 2023 · Quality of Life and Care
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Potential for harm · D April 5, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 12, 2023 · Resident Rights
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Potential for harm · E April 5, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected May 12, 2023 · Resident Rights
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Potential for harm · D April 5, 2023
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 May 12, 2023 · Resident Rights
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Potential for harm · D April 5, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 12, 2023 · Quality of Life and Care
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Potential for harm · E April 5, 2023
Provide and implement an infection prevention and control program.
Corrected May 12, 2023 · Infection Control
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No harm found · C April 5, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected May 12, 2023 · Resident Rights
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Potential for harm · E June 25, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 8, 2019 · Resident Assessment and Care Planning
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Potential for harm · D June 25, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 12, 2019 · Quality of Life and Care
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Potential for harm · E June 25, 2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 8, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 4, 2024 | Fine | $46,589 |
| October 4, 2024 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265156 · certified since February 22, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.