Delmar Gardens West

13550 South Outer 40 Road · Town and Country, MO · 63017 · 3148781330

321 certified beds For profit - Corporation Chain: Delmar Gardens

  • Inspection results have improved across recent cycles.

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.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 78
Staffing 20% 66
Federal penalties 15% 59
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.593.48 min · 4.1 strong
RN hours / resident-day0.420.55–0.75
Weekend hours / resident-day3.43≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)2 · $22,623

Inspection citations (30 in the current record)

  • Potential for harm · D April 11, 2025

    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 13, 2025 · Resident Rights

  • Potential for harm · D April 11, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 13, 2025 · Pharmacy Service

  • Potential for harm · E April 11, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 13, 2025 · Pharmacy Service

  • Potential for harm · E April 11, 2025

    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 May 13, 2025 · Pharmacy Service

  • Potential for harm · F April 11, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 13, 2025 · Nutrition and Dietary

  • Potential for harm · E April 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 13, 2025 · Infection Control

  • Potential for harm · D April 11, 2025 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected May 13, 2025 · Quality of Life and Care

  • Potential for harm · D October 9, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 9, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 30, 2024 · Quality of Life and Care

  • Potential for harm · D August 21, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 30, 2024 · Quality of Life and Care

  • Potential for harm · F August 21, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected October 4, 2024 · Environmental

  • Potential for harm · D April 29, 2024 · found via complaint

    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 June 3, 2024 · Resident Rights

  • Potential for harm · D April 29, 2024 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected June 3, 2024 · Quality of Life and Care

  • Immediate jeopardy · J April 2, 2024 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected March 24, 2024 · Quality of Life and Care

  • Potential for harm · E November 17, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 26, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    Ensure that residents are free from significant medication errors.

    Corrected December 26, 2023 · Pharmacy Service

  • Potential for harm · D November 17, 2023

    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 December 26, 2023 · Pharmacy Service

  • Potential for harm · E November 17, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 26, 2023 · Nutrition and Dietary

  • Potential for harm · E November 17, 2023 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 26, 2023 · Resident Rights

  • Potential for harm · D November 17, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 26, 2023 · Quality of Life and Care

  • Actual harm · G July 21, 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 July 10, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 15, 2020

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected February 21, 2020 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 2, 2024Fine$14,433
July 21, 2023Fine$8,190

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265105 · certified since February 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.