facebook tracking Delmar Gardens on the Green, Chesterfield MO: CMS Ratings
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Delmar Gardens on the Green

All states › Missouri › Chesterfield › Delmar Gardens on the Green

15197 Clayton Road Chesterfield, MO 63017 · St. Louis County

(636) 394-7515

All 8 nursing homes in Chesterfield, MO (8 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 265156 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Delmar Gardens on the Green a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Delmar Gardens on the Green as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6. Inspectors issued 30 citations in the last three years. CMS imposed 2 penalties, including $46,589 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 1 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 5.39 hours per resident per day at Delmar Gardens on the Green, above the Missouri median of 3.37 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 4.96 hours, 8% below its all-week average. 57.8% of nursing staff left within a year (Missouri median 56.8%).

Nursing care per resident per day 5.39 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.96 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 57.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 88 About 74% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1982
Part of a chainDelmar Gardens
Legal business nameDELMAR GARDENS ON THE GREEN OPERATING, LLC

Paying for care at Delmar Gardens on the Green: Medicare and Medicaid

Delmar Gardens on the Green is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on October 4, 2024 and found 9 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 30 citations at Delmar Gardens on the Green across 7 inspection dates, 8 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on October 4, 2024. The most common areas cited were quality of life and care (9) and resident rights (8). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, October 4, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.

November 26, 2025 · 1 citation · includes complaint inspection

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Past Non-Compliance

July 7, 2025 · 1 citation · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Aug 21, 2025)

April 7, 2025 · 1 citation · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (May 6, 2025)

October 4, 2024 · 11 citations, includes actual harm · includes complaint inspection

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Nov 11, 2024)

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 11, 2024)

EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Nov 11, 2024)

ENotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Nov 11, 2024)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Nov 11, 2024)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Nov 11, 2024)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 11, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 20, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Nov 11, 2024)

DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Past Non-Compliance (Apr 17, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Mar 18, 2024)

October 11, 2023 · 3 citations, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

April 5, 2023 · 6 citations

EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (May 12, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 12, 2023)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (May 12, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (May 12, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 12, 2023)

CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0577 · Deficient, Provider has date of correction (May 12, 2023)

June 25, 2019 · 7 citations

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Aug 8, 2019)

EProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Aug 8, 2019)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 8, 2019)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 12, 2019)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Aug 12, 2019)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 8, 2019)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Aug 8, 2019)

Questions to ask on a tour of Delmar Gardens on the Green

  1. Inspectors cited the home at the actual-harm level on October 4, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 7, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $46,589 in fines.

DateTypeAmount or length
Oct 4, 2024 Fine $46,589
Oct 4, 2024 Payment Denial 8 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 3/5 1/5
August 2026 2/5 3/5 2/5 1/5
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Location

Hospitals near Delmar Gardens on the Green

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 4.0 mi
    St Lukes Hospital Chesterfield
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 32m for patients treated and sent home
  • 6.2 mi
    Missouri Baptist Medical Center Town and Country
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 4h 22m for patients treated and sent home
  • 6.5 mi
    St Johns Mercy Medical Center St Louis
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 40m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Manchester Rehab and Healthcare Center Ballwin · 2.1 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 137 beds · Medicaid
Garden View Care Center of Chesterfield Chesterfield · 2.6 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 52 beds · Medicaid
Lutheran Senior Services at Meramec Bluffs Ballwin · 2.8 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 32 beds · Medicaid
Athene Nursing and Rehabilitation Town and Country · 2.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 282 beds · Medicaid
Ellisville Rehabilitation and Nursing Ellisville · 2.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 210 beds · Medicaid

More nursing homes near Delmar Gardens on the Green ›   All nursing homes in Chesterfield ›

Compare Delmar Gardens on the Green with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Delmar Gardens nursing homes in Missouri

Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Delmar Gardens nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/missouri/chesterfield/delmar-gardens-on-the-green/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.