All states › Missouri › Chesterfield › Delmar Gardens on the Green
15197 Clayton Road Chesterfield, MO 63017 · St. Louis County
All 8 nursing homes in Chesterfield, MO (8 take Medicaid)
CMS certification number 265156 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
July 7, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 7, 2025 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
October 4, 2024 · 11 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DRespond appropriately to all alleged violations.
DProvide care or services that was trauma informed and/or culturally competent.
April 5, 2023 · 6 citations
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
June 25, 2019 · 7 citations
EEnsure services provided by the nursing facility meet professional standards of quality.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Questions to ask on a tour of Delmar Gardens on the Green
- 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?
- CMS cited the home under its abuse and neglect rules on April 7, 2025. How are staff trained, and how are concerns reported?
- 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?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount or length |
|---|---|---|
| Oct 4, 2024 | Fine | $46,589 |
| Oct 4, 2024 | Payment Denial | 8 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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4.0 mi
St Lukes Hospital ChesterfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 32m for patients treated and sent home
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6.2 mi
Missouri Baptist Medical Center Town and CountryEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 22m for patients treated and sent home
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6.5 mi
St Johns Mercy Medical Center St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median 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
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
- Lutheran Senior Services at Meramec Bluffs · Ballwin · 5 stars · 2.8 mi
- Mason Pointe Care Center · Chesterfield · 5 stars · 2.9 mi
- Friendship Village Chesterfield · Chesterfield · 5 stars · 3.8 mi
- Aberdeen Heights · Kirkwood · 5 stars · 7.6 mi
Other Delmar Gardens nursing homes in Missouri
- Delmar Gardens of Meramec Valley · Fenton · 5 stars
- Delmar Gardens South · Saint Louis · 4 stars
- Delmar Gardens of O'Fallon · O Fallon · 3 stars
- Delmar Gardens of Chesterfield · Chesterfield · 3 stars
- Delmar Gardens North · Black Jack · 3 stars
- Delmar Gardens West · Town and Country · 3 stars
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.