Nursing HomeInspections

Delmar Gardens North

Nursing home in Black Jack, MO

Medicare & Medicaid certified2★ overall (CMS)

Call (314) 355-1516Send a messageMap ↗

Public-record details

Address
4401 Parker Road, Black Jack, MO 63033
Phone
(314) 355-1516
Listed under
For-profit, Part of a retirement community
Medicare CCN
265325
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
240
Average residents per day
177
Ownership
For-profit, corporation
Legal business name
Delmar Gardens North Operating, LLC
Chain
Delmar Gardens (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 17, 1988
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 265325. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 17, 2025. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 8, 2020 to Nov 17, 2025): 8 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Nov 17, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 17, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 17, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 17, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Nov 17, 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
Feb 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Dec 26, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 26, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 26, 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
Jul 26, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 2, 2023Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 34. 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 $39,299 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 10, 2025Fine: $39,299
Oct 6, 2023Payment denial for 9 days from Dec 7, 2023

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
3.56 hours
Registered nurse (RN) time per resident per day
0.18 hours
Nurse aide time per resident per day
2.55 hours
Total nurse staffing on weekends
3.27 hours
Nursing staff turnover (yearly)
43%
Administrators who left in the past year
1

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.