All states › Missouri › Town and Country › Delmar Gardens West
13550 South Outer 40 Road Town and Country, MO 63017 · St. Louis County
All 2 nursing homes in Town and Country, MO (2 take Medicaid)
CMS certification number 265105 · See this home on Medicare Care Compare
Is Delmar Gardens West 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 West as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 3.70 hours per resident per day at Delmar Gardens West, above the Missouri median of 3.37 (US median: 3.72). About 0.47 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 40.3% of nursing staff left within a year (Missouri median 56.8%). That is lower than most homes in Missouri, a sign of a steadier team.
About this nursing home
Paying for care at Delmar Gardens West: Medicare and Medicaid
Delmar Gardens West 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 April 11, 2025 and found 7 deficiencies, plus 2 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 West across 8 inspection dates, 12 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 2, 2024 (complaint inspection). The most common areas cited were quality of life and care (9) and pharmacy service (6). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level J, April 2, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
April 11, 2025 · 8 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EProvide and implement an infection prevention and control program.
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
October 9, 2024 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 21, 2024 · 3 citations · includes complaint inspection
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 29, 2024 · 2 citations · includes complaint inspection
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.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
April 2, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
November 17, 2023 · 7 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
January 15, 2020 · 6 citations
EAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Questions to ask on a tour of Delmar Gardens West
- Inspectors cited the home at the immediate-jeopardy level on April 2, 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 August 20, 2026. 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
1 penalty in the last three years, including $14,433 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 2, 2024 | Fine | $14,433 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 4/5 | 2/5 |
| August 2026 | 2/5 | 3/5 | 4/5 | 1/5 |
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Location
Hospitals near Delmar Gardens West
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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1.3 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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3.8 mi
Barnes-Jewish West County Hospital St LouisEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 40m for patients treated and sent home
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4.4 mi
Missouri Baptist Medical Center Town and CountryEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 22m 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 West › All nursing homes in Town and Country ›
Compare Delmar Gardens West with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Mason Pointe Care Center · Chesterfield · 5 stars · 0.0 mi
- Friendship Village Chesterfield · Chesterfield · 5 stars · 1.6 mi
- Lutheran Senior Services at Meramec Bluffs · Ballwin · 5 stars · 4.8 mi
- Aberdeen Heights · Kirkwood · 5 stars · 7.4 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 on the Green · Chesterfield · 2 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.