Senior CareScorecard

Nursing home · Chesterfield, MO

Delmar Gardens on the Green

15197 Clayton Road, Chesterfield, MO 63017 · 120 certified beds · for profit ownership · part of Delmar Gardens

Medicare & MedicaidFined $46,589 in 3 years
Medicare overall rating2 / 5Below averageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
2/5Staffing Below average
1/5Quality measures Much below average
2/5Short-stay (rehab) quality Below average
1/5Long-stay quality Much below average

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 26, 2025, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Oct 4, 2024) it had 12 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 4.38 hours per resident per day here, 28% more than the Missouri average (3.43) and 13% more than the U.S. average (3.86). Registered nurses account for 0.34 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 58% over the past year, 2 points higher than Missouri (56%) and 12 points higher than the U.S. (46%).

How Delmar Gardens on the Green 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 homeSt. Louis areaMissouriU.S.
Total nurse hours per resident per day4.383.663.433.86
Registered nurse hours per resident per day0.340.430.460.68
Weekend nurse hours per resident per day4.193.223.013.42
Nursing staff turnover (past year)58%58%56%46%
Registered nurse turnover (past year)70%56%48%43%
Citations at the most recent standard inspection1214.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Nov 26, 20251complaint
Jul 7, 20251complaint
Apr 7, 20251complaint
Oct 4, 202411standard + complaint · 1 harm-level citation
Oct 11, 20233complaint · 1 harm-level citation
Apr 5, 20236standard
Jun 25, 20197standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 30 of 30 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Nov 26, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
DPast Non-Compliance
Jul 7, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Apr 7, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Oct 4, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Oct 4, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
G actual harmDeficient, Provider has date of correction
Oct 4, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DPast Non-Compliance
Oct 4, 2024Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights
DPast Non-Compliance
Oct 4, 2024Provide and implement an infection prevention and control program.
Infection control · complaint
EDeficient, Provider has date of correction
Oct 4, 2024Ensure 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
EDeficient, Provider has date of correction
Oct 4, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy service
EDeficient, Provider has date of correction
Oct 4, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service
EDeficient, Provider has date of correction
Oct 4, 2024Notify 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.
Resident rights
EDeficient, Provider has date of correction
Oct 4, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
EDeficient, Provider has date of correction
Oct 4, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
EDeficient, Provider has date of correction
Oct 11, 2023Provide care or services that was trauma informed and/or culturally competent.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Oct 11, 2023Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Oct 11, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
G actual harmDeficient, Provider has date of correction
Apr 5, 2023Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident rights
CDeficient, Provider has date of correction
Apr 5, 2023Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Apr 5, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Apr 5, 2023Honor 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
DDeficient, Provider has date of correction
Apr 5, 2023Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights
DDeficient, Provider has date of correction
Apr 5, 2023Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Jun 25, 2019Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jun 25, 2019Provide 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.
Quality of life and care
EDeficient, Provider has date of correction
Jun 25, 2019Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Jun 25, 2019Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Jun 25, 2019Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Jun 25, 2019Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Jun 25, 2019Implement 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
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Oct 4, 2024Fine$46,589
Oct 4, 2024Payment Denial8 days

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Questions about Delmar Gardens on the Green

Answers computed from CMS data for this facility.

What is Delmar Gardens on the Green's Medicare rating?

Medicare rates Delmar Gardens on the Green 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 on the Green do on its last inspection?

Inspectors' most recent visit in the CMS data was on Nov 26, 2025, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Oct 4, 2024) it had 12 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Has Delmar Gardens on the Green been fined?

Yes. CMS reports 1 fine totaling $46,589 in the past three years.

Does Delmar Gardens on the Green accept Medicaid?

Delmar Gardens on the Green is certified for both Medicare and Medicaid. Call (636) 394-7515 to ask whether a Medicaid bed is open.

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.