Nursing home · Town and Country, MO
Delmar Gardens West
13550 South Outer 40 Road, Town and Country, MO 63017 · 321 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 Apr 11, 2025, when they cited 8 problems, 1 of them from complaint investigations. The most common area was pharmacy service (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 8 are marked corrected in the CMS data. At its most recent standard inspection (Apr 11, 2025) it had 8 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 3.62 hours per resident per day here, 6% more than the Missouri average (3.43) and 6% less than the U.S. average (3.86). Registered nurses account for 0.45 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 42% over the past year, 14 points lower than Missouri (56%) and 3 points lower than the U.S. (46%).
How Delmar Gardens West 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 | 3.62 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.45 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.52 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 42% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 40% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 8 | 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 29 of 29 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Apr 11, 2025 | 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 |
| Apr 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 11, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Apr 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. Resident rights | D | Deficient, Provider has date of correction |
| Apr 11, 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 |
| Apr 11, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Apr 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Apr 11, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Oct 9, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Oct 9, 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 |
| Aug 21, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint | F | Deficient, Provider has date of correction |
| Aug 21, 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 |
| Aug 21, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 29, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Apr 29, 2024 | 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 · complaint | D | Deficient, Provider has date of correction |
| Apr 2, 2024 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care · complaint | J immediate jeopardy | Past Non-Compliance |
| Nov 17, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | 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 |
| Nov 17, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Nov 17, 2023 | 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 17, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Jan 15, 2020 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | E | Deficient, Provider has date of correction |
| Jan 15, 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 15, 2020 | 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 |
| Jan 15, 2020 | 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 | E | Deficient, Provider has date of correction |
| Jan 15, 2020 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jan 15, 2020 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Apr 2, 2024 | Fine | $14,433 |
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 West
Answers computed from CMS data for this facility.
What is Delmar Gardens West's Medicare rating?
Medicare rates Delmar Gardens West 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 West do on its last inspection?
Inspectors' most recent visit in the CMS data was on Apr 11, 2025, when they cited 8 problems, 1 of them from complaint investigations. The most common area was pharmacy service (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 8 are marked corrected in the CMS data. At its most recent standard inspection (Apr 11, 2025) it had 8 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Delmar Gardens West been fined?
Yes. CMS reports 1 fine totaling $14,433 in the past three years.
Does Delmar Gardens West accept Medicaid?
Delmar Gardens West is certified for both Medicare and Medicaid. Call (314) 878-1330 to ask whether a Medicaid bed is open.
Other nursing homes near Town and Country
- 1/5Athene Nursing and RehabilitationTown and Country · 282 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
- 5/5Friendship Village ChesterfieldChesterfield · 98 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.