ElderGrade
C

58.9/100

Average

Delmar Gardens West

13550 South Outer 40 Road, Town And Country, MO 63017

CMS 2/5 stars #30 of 69 in St. Louis County (314) 878-1330
Certified beds
321
Occupancy
60%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $22,623 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

17.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -2.1 for 23 total citations against a national median of 17

Staffing

19/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.23 total nurse hours per resident per day (national median 3.77)
  • 0.45 RN hours per resident per day
  • Weekend staffing holds steady

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 42% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $22,623 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.62 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.45 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.52 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 42.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 30 citations

Last standard health inspection: April 11, 2025 (1 year ago).

F Apr 11, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Apr 11, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

E Apr 11, 2025 F0761

Pharmacy Service Deficiencies

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 locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

E Apr 11, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Apr 11, 2025 F0584

Resident Rights Deficiencies

Honor 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.

No actual harm, potential for more than minimal harm

D Apr 11, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Apr 11, 2025 F0694 From a complaint

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

No actual harm, potential for more than minimal harm

D Apr 11, 2025 F0756

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of DELMAR GARDENS, which operates 12 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MARX, KENNETH Individual W-2 MANAGING EMPLOYEE
TAYLOR, RICHARD Individual W-2 MANAGING EMPLOYEE
GROSSBERG, GABE Individual CORPORATE OFFICER
MARX, KENNETH Individual CORPORATE OFFICER
OPPENHEIMER, HOWARD Individual CORPORATE OFFICER
DELMAR GARDENS MANAGEMENT SERVICES INC Organization OPERATIONAL/MANAGERIAL CONTROL
GABE GROSSBERG AND GEORGE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARA Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
GEORGE GROSSBERG AND GABE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARA Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NON-GST FAMILY TRUST EST U/W OF ISRAEL GOLDBERG FBO JANICE BITANSKI Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NON-GST FAMILY TRUST ESTABLISHED U/W OF ISRAEL GOLDBERG FBO HARRY ZVI Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NON-GSTFAMILY TRUST EST U/W ISRAEL GOLDBERG FBO DIANE FREDMAN Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
GOLDBERG-NOM LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Delmar Gardens West

What is the ElderGrade for Delmar Gardens West? +

Delmar Gardens West holds an ElderGrade of C (58.9 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Delmar Gardens West? +

Residents receive an average of 3.62 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Delmar Gardens West been cited for harming residents? +

Yes. 2 of the 30 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Delmar Gardens West accept Medicaid? +

Yes, Delmar Gardens West is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.