Delmar Gardens on the Green
Nursing home in Chesterfield, MO
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 15197 Clayton Road, Chesterfield, MO 63017
- Phone
- (636) 394-7515
- Listed under
- For-profit
- Medicare CCN
- 265156
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 120
- Average residents per day
- 83
- Ownership
- For-profit, corporation
- Legal business name
- Delmar Gardens on the Green Operating, LLC
- Chain
- Delmar Gardens (12 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Feb 22, 1982
- 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
Inspection record
Most recent standard health inspection: Oct 4, 2024. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 25, 2019 to Nov 26, 2025): 8 from complaint inspections, 2 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Nov 26, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Jul 7, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Apr 7, 2025 | Respond appropriately to all alleged violations. | D |
| Oct 4, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D |
| Oct 4, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Oct 4, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| Oct 4, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E |
| Oct 4, 2024 | Notify 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. | E |
| Oct 4, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| Oct 4, 2024 | Ensure medication error rates are not 5 percent or greater. | E |
| Oct 4, 2024 | 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… | E |
| Oct 4, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
Fines and payment denials
CMS records 1 fine totalling $46,589 and 1 denial of Medicare payment for new admissions in the last three years.
| Oct 4, 2024 | Fine: $46,589 |
| Oct 4, 2024 | Payment denial for 8 days from Nov 12, 2024 |
Staffing
- Total nurse staffing per resident per day
- 4.38 hours
- Registered nurse (RN) time per resident per day
- 0.34 hours
- Nurse aide time per resident per day
- 3.40 hours
- Total nurse staffing on weekends
- 4.19 hours
- Nursing staff turnover (yearly)
- 58%
- RN turnover (yearly)
- 70%
- Administrators who left in the past year
- 0
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.
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