Nursing home · O'Fallon, MO
Delmar Gardens of O'Fallon
7068 South Outer 364, O'Fallon, MO 63368 · 198 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 Jul 30, 2026, when they cited 1 problem from a complaint investigation. The most common area was infection control (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (May 14, 2024) it had 19 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 4.20 hours per resident per day here, 23% more than the Missouri average (3.43) and 9% more than the U.S. average (3.86). Registered nurses account for 0.37 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 of O'Fallon 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 | 4.20 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.37 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 4.11 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 43% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 14% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 19 | 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 40 of 40 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 30, 2026 | Provide and implement an infection prevention and control program. Infection control · complaint | F | Deficient, Provider has plan of correction |
| Feb 5, 2026 | Ensure medication error rates are not 5 percent or greater. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Mar 19, 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 | G actual harm | Deficient, Provider has date of correction |
| Aug 23, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint | E | Deficient, Provider has date of correction |
| May 14, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | E | Deficient, Provider has date of correction |
| May 14, 2024 | 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 | B | Deficient, Provider has date of correction |
| May 14, 2024 | Keep all essential equipment working safely. Environmental | D | Deficient, Provider has date of correction |
| May 14, 2024 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| May 14, 2024 | 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 |
| May 14, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| May 14, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| May 14, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| May 14, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| 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. Nutrition and dietary | E | Deficient, Provider has date of correction |
| 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. Pharmacy service | E | Deficient, Provider has date of correction |
| May 14, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | E | Deficient, Provider has date of correction |
| 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. Quality of life and care | E | Deficient, Provider has date of correction |
| May 14, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| May 14, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| May 14, 2024 | Reasonably accommodate the needs and preferences of each resident. Resident rights | E | Deficient, Provider has date of correction |
| May 14, 2024 | 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 |
| Mar 14, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 27, 2022 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 27, 2022 | 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 | D | Deficient, Provider has date of correction |
| Oct 27, 2022 | 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 27, 2022 | Provide activities to meet all resident's needs. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 27, 2022 | 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 |
| Oct 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. Resident rights | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | 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 16, 2019 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident rights | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | 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 |
| Oct 16, 2019 | 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 | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | 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 | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | 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. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | Ensure meals and snacks are served at times in accordance with residentâs needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Oct 16, 2019 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 16, 2019 | 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 | D | Deficient, Provider has date of correction |
| Oct 16, 2019 | 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 O'Fallon
Answers computed from CMS data for this facility.
What is Delmar Gardens of O'Fallon's Medicare rating?
Medicare rates Delmar Gardens of O'Fallon 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 O'Fallon do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 30, 2026, when they cited 1 problem from a complaint investigation. The most common area was infection control (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (May 14, 2024) it had 19 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 O'Fallon been fined?
CMS reports no federal fines for this facility in the past three years.
Does Delmar Gardens of O'Fallon accept Medicaid?
Delmar Gardens of O'Fallon is certified for both Medicare and Medicaid. Call (636) 240-6100 to ask whether a Medicaid bed is open.
Other nursing homes near O'Fallon
- 3/5Abbey Senior HealthO'Fallon · 55 beds
- 1/5Garden View Care CenterO'Fallon · 80 beds
- 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
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.