Nursing HomeInspections

Delmar Gardens West

Nursing home in Town and Country, MO

Medicare & Medicaid certified2★ overall (CMS)

Call (314) 878-1330Send a messageMap ↗

Public-record details

Address
13550 South Outer 40 Road, Town and Country, MO 63017
Phone
(314) 878-1330
Listed under
For-profit
Medicare CCN
265105
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
321
Average residents per day
191
Ownership
For-profit, corporation
Legal business name
Delmar Gardens West Operating, LLC
Chain
Delmar Gardens (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 1972
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265105. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 11, 2025. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 15, 2020 to Apr 11, 2025): 11 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 11, 2025Honor 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
Potential for more than minimal harm, isolated
Apr 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 11, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2025Ensure 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
Potential for more than minimal harm, isolated
Apr 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 11, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 11, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Apr 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Oct 9, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 9, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,433 in the last three years.

Apr 2, 2024Fine: $14,433

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.62 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
2.46 hours
Total nurse staffing on weekends
3.52 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Town and Country

Athene Nursing and Rehabilitation13995 Clayton Road · Town and Country, MO 63017 · (636) 227-5070 · For-profit108 health citations in 3 inspection cycles · last standard inspection Jan 13, 2026 · $122,846 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 2 in Town and Country →