Nursing home · Black Jack, MO
Delmar Gardens North
4401 Parker Road, Black Jack, MO 63033 · 240 certified beds · for profit ownership · part of Delmar Gardens
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 6 problems. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 6 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.56 hours per resident per day here, 4% more than the Missouri average (3.43) and 8% less than the U.S. average (3.86). Registered nurses account for 0.18 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 43% over the past year, 13 points lower than Missouri (56%) and 3 points lower than the U.S. (46%).
How Delmar Gardens North compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.56 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.18 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.27 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 43% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 6 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 34 of 34 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 17, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Feb 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Dec 26, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Past Non-Compliance |
| Jul 26, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jul 26, 2024 | Provide and implement an infection prevention and control program. Infection control · complaint | D | Deficient, Provider has date of correction |
| Jul 26, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Nov 2, 2023 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
| Nov 2, 2023 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Oct 6, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Oct 6, 2023 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 6, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 6, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration | D | Deficient, Provider has date of correction |
| Oct 6, 2023 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident rights | D | Deficient, Provider has date of correction |
| Oct 6, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Oct 6, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 6, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 8, 2020 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jan 8, 2020 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 8, 2020 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 8, 2020 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 8, 2020 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 8, 2020 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 8, 2020 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Jan 8, 2020 | 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Jan 8, 2020 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | E | Deficient, Provider has date of correction |
| Jan 8, 2020 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jan 8, 2020 | Keep residents' personal and medical records private and confidential. Resident rights | E | Deficient, Provider has date of correction |
| Jan 8, 2020 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 8, 2020 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Feb 10, 2025 | Fine | $39,299 |
| Oct 6, 2023 | Payment Denial | 9 days |
Location
Map data © OpenStreetMap contributors.
We don't have licensed photos yet. See photos on Google Maps.
Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
Read Google reviews (opens Google Maps).
Questions about Delmar Gardens North
Answers computed from CMS data for this facility.
What is Delmar Gardens North's Medicare rating?
Medicare rates Delmar Gardens North 2 out of 5 stars overall (below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Delmar Gardens North do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 6 problems. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 6 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 6 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Delmar Gardens North been fined?
Yes. CMS reports 1 fine totaling $39,299 in the past three years.
Does Delmar Gardens North accept Medicaid?
Delmar Gardens North is certified for both Medicare and Medicaid. Call (314) 355-1516 to ask whether a Medicaid bed is open.
Other nursing homes near Black Jack
- 5/5Aberdeen HeightsKirkwood · 38 beds
- 5/5Bethesda SouthgateSt. Louis · 130 beds
- 5/5Christian Extended Care & RehabilitationSt. Louis · 60 beds
- 5/5Delmar Gardens of Meramec ValleyFenton · 190 beds
- 5/5Friendship Village ChesterfieldChesterfield · 98 beds
- 5/5Lutheran Convalescent HomeWebster Groves · 251 beds
Compare all 97 St. Louis-area nursing homes · Homes that take Medicaid · Rehab and skilled nursing · St. Louis guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.