Nursing home · Chesterfield, MO
Delmar Gardens of Chesterfield
14855 North Outer 40 Road, Chesterfield, MO 63017 · 227 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 Aug 6, 2025, when they cited 7 problems. The most common area was pharmacy service (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 1 of 7 are marked corrected in the CMS data. At its most recent standard inspection (Aug 6, 2025) it had 7 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 3.77 hours per resident per day here, 10% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.24 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 49% over the past year, 7 points lower than Missouri (56%) and 3 points higher than the U.S. (46%).
How Delmar Gardens of Chesterfield 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 | 3.77 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.24 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.42 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 49% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 64% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 7 | 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 39 of 39 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Aug 6, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Aug 6, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation | D | Past Non-Compliance |
| Aug 6, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 6, 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 |
| Aug 6, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | D | Deficient, Provider has date of correction |
| Aug 6, 2025 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Aug 6, 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 |
| Apr 10, 2025 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 10, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Provide activities to meet all resident's needs. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 15, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Feb 15, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services · complaint | E | Deficient, Provider has date of correction |
| Feb 15, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | E | Deficient, Provider has date of correction |
| Feb 15, 2024 | Provide and implement an infection prevention and control program. Infection control · complaint | F | Deficient, Provider has date of correction |
| Feb 15, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration · complaint | F | Deficient, Provider has date of correction |
| Feb 15, 2024 | 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 · complaint | D | Deficient, Provider has date of correction |
| Nov 22, 2021 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 22, 2021 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 22, 2021 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | D | Deficient, Provider has date of correction |
| Nov 22, 2021 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Nov 22, 2021 | 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 |
| Nov 22, 2021 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Nov 22, 2021 | 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 22, 2021 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Delmar Gardens of Chesterfield
Answers computed from CMS data for this facility.
What is Delmar Gardens of Chesterfield's Medicare rating?
Medicare rates Delmar Gardens of Chesterfield 3 out of 5 stars overall (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 of Chesterfield do on its last inspection?
Inspectors' most recent visit in the CMS data was on Aug 6, 2025, when they cited 7 problems. The most common area was pharmacy service (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 1 of 7 are marked corrected in the CMS data. At its most recent standard inspection (Aug 6, 2025) it had 7 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Delmar Gardens of Chesterfield been fined?
CMS reports no federal fines for this facility in the past three years.
Does Delmar Gardens of Chesterfield accept Medicaid?
Delmar Gardens of Chesterfield is certified for both Medicare and Medicaid. Call (636) 532-0150 to ask whether a Medicaid bed is open.
Other nursing homes near Chesterfield
- 5/5Friendship Village ChesterfieldChesterfield · 98 beds
- 5/5Mason Pointe Care CenterChesterfield · 63 beds
- 4/5Garden View Care Center of ChesterfieldChesterfield · 52 beds
- 4/5Surrey Place St Lukes Hospital Skilled NursingChesterfield · 130 beds
- 3/5Brooking ParkChesterfield · 49 beds
- 2/5Delmar Gardens on the GreenChesterfield · 120 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.