O Fallon, MO · St. Charles County
★★★☆☆CMS 3/5198 bedsFor-profitMedicaid
- Nurse hours
- 4.20 /day
- Staff turnover
- 43%
- Serious cites
- 0
Delmar Gardens of O'Fallon runs on more nurse hours than most homes, 4.20 per resident day against a national average of 3.86, and staffing barely dips on weekends. Turnover sits at 42.7%, a bit better than the 45.8% national figure, which matters for whether your parent sees the same faces. The trouble is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from CMS. The 5/5 quality measure score reflects clinical metrics like falls and infections, not the survey findings. A for-profit LLC operates the building. Five stars on quality measures with a two-star inspection history is a split record worth asking about directly.
Smyrna, GA · Cobb County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 41%
- Serious cites
- 0
Delmar Gardens Of Smyrna runs 120 certified beds under corporate ownership, and the staffing numbers sit below where you'd want them. Total nurse coverage comes in at 3.67 hours per resident day against a 3.86 national average, and weekends drop roughly 12% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 41.1% is a notch better than the 45.8% national figure, which is real but modest.
The bigger issue is the inspection record: 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $23,537 fine and a recent February 2026 inspection. Quality measures score well, but that sits alongside a two-star staffing and health inspection picture. Ask directly how the abuse-related citations were resolved.
Lenexa, KS · Johnson County
★★★★☆CMS 4/5222 bedsFor-profitMedicaid
- Nurse hours
- 3.90 /day
- Staff turnover
- n/a
- Serious cites
- 0
Delmar Gardens Of Lenexa runs 222 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.90 hours per resident day, just about 1% above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 6% below the home's own weekday level. The inspection record shows 23 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related, and the most recent inspection date is March 18, 2026. CMS rates health inspections 4 out of 5, quality measures 3, and staffing 3. For a family weighing this one, the staffing edge over average is real but slight, and the weekend dip is worth asking about directly.
Overland Park, KS · Johnson County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 38%
- Serious cites
- 0
Delmar Gardens of Overland Park runs 120 certified beds under for-profit LLC ownership, and its 3.43 nurse staffing hours per resident day sit about 11% under the national average of 3.86, a gap that widens on weekends, when coverage drops roughly 10% below its own weekday level. The inspection record shows 49 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related, and four fines totaling $23,261. Staff turnover at 38% is actually better than the 45.8% national figure, and the most recent inspection came in January 2026, so the picture is fairly current.
Omaha, NE · Douglas County
★☆☆☆☆CMS 1/5184 bedsFor-profitMedicaid
- Nurse hours
- 3.86 /day
- Staff turnover
- 36%
- Serious cites
- 0
St. Joseph Villa runs 184 beds under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.86 nurse hours per resident day, with weekends about 5% thinner than weekdays. Turnover is the bright spot: 35.8% against a national 45.8%, meaning fewer caregivers cycling out the door than is typical.
The inspection record is where it gets harder to defend. Thirty-three deficiencies on the current record, two of them at harm or jeopardy level and three tied to abuse. The most recent inspection was January 8, 2026, so the findings are recent, not stale. One fine totaling $12,048 has been levied. Stable staff matters, but a harm-level citation and abuse-related deficiencies are the kind of thing families should ask about directly before moving anyone in.
Saint Louis, MO · St. Louis County
★★★★☆CMS 4/5184 bedsFor-profitMedicaid
- Nurse hours
- 5.42 /day
- Staff turnover
- 56%
- Serious cites
- 0
Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.
Chesterfield, MO · St. Louis County
★★★☆☆CMS 3/5227 bedsFor-profitMedicaid
- Nurse hours
- 3.77 /day
- Staff turnover
- 49%
- Serious cites
- 0
Delmar Gardens of Chesterfield runs 227 certified beds under a for-profit limited liability company, and its staffing sits a bit thin, 3.77 nurse hours per resident day, roughly 2% under the national average, with weekends about 9% lighter than its own weekdays. Annual turnover is 48.8%, above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 39 deficiencies, including one tied to abuse; none reached harm or jeopardy level, and the most recent inspection was August 2025. Federal ratings land at 3 of 5 for health inspections and 2 of 5 for both quality measures and staffing.
Town And Country, MO · St. Louis County
★★☆☆☆CMS 2/5321 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 42%
- Serious cites
- 0
Delmar Gardens West is a 321-bed for-profit home in Town and Country, and the numbers pull in different directions. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 3% thinner than weekdays, so the floor is leanest exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, which matters for consistency of care.
What weighs things down is the inspection record: 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus $22,623 in fines, with the most recent inspection in April 2025. The staffing rating is strong; the quality measure rating is not. Ask about weekend coverage and how those harm-level deficiencies were corrected.
Fenton, MO · St. Louis County
★★★★★CMS 5/5190 bedsFor-profitMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 48%
- Serious cites
- 0
Delmar Gardens of Meramec Valley runs 190 beds under corporate ownership, and its inspection record comes back clean where it counts most: zero deficiencies at the harm or jeopardy level, which is not nothing given 22 total findings on the books. Three of those are abuse-related, worth asking about directly. Where the numbers get shakier is staffing, 3.36 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly another 10% below its own weekday levels. Turnover runs 47.8%, slightly above the national 45.8%. A recent December 2025 inspection means the picture is current.
Lawrenceville, GA · Gwinnett County
★★★☆☆CMS 3/567 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- 45%
- Serious cites
- 0
Delmar Gardens Of Gwinnett runs 67 certified beds under corporate ownership, and its staffing score sits at the bottom of CMS's five-star scale, one star, which is the number worth asking about when you tour. The 16 deficiencies on file include one abuse-related citation, though none reached harm or jeopardy level, and state inspectors were last in the building in August 2025. Staff turnover lands at 44.9%, essentially matching the national rate of 45.8%, so retention here isn't the problem staffing hours appear to be. Quality measures come in at two stars, inspection history at three.
Black Jack, MO · St. Louis County
★★☆☆☆CMS 2/5240 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 43%
- Serious cites
- 0
Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.
Chesterfield, MO · St. Louis County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.38 /day
- Staff turnover
- 58%
- Serious cites
- 0
Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.