PlainNursing
CMS Nursing Home Compare · March 2026

Delhaven Manor

5460 Delmar Blvd, Saint Louis, MO 63112 · All homes in Saint Louis

Delhaven Manor, a 156-bed for profit - corporation nursing facility in Saint Louis, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3143612902

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3 / 5
Average · CMS overall · nat'l 3.0
N/A
nurse hrs/day · nat'l 3.89
48
Inspection findings · 1 serious
$73K
Federal penalties (1)

Health Inspection

3/5

Staffing

N/A

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
265392
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
156
Residents
N/A
In Hospital
No
County
St. Louis City
Last Inspection
Nov 13, 2024

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A

What the CMS Record Reveals About Delhaven Manor

Delhaven Manor operates 156 certified beds in Saint Louis, MO, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (N/A★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 48 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $73K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Delhaven Manor falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (48 most recent)

E - Pattern - Minimal harm Nov 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 8, 2025

F - Widespread - Minimal harm Nov 13, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 25, 2024

D - Isolated - Minimal harm Nov 13, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 25, 2024

D - Isolated - Minimal harm Nov 13, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 25, 2024

D - Isolated - Minimal harm Nov 13, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 25, 2024

C - Widespread - No harm Nov 13, 2024 Tag: 0574

The resident has the right to receive notices in a format and a language he or she understands.

Category: Resident Rights Deficiencies

Corrected: Dec 25, 2024

E - Pattern - Minimal harm Nov 13, 2024 Tag: 0570

Assure the security of all personal funds of residents deposited with the facility.

Category: Resident Rights Deficiencies

Corrected: Dec 25, 2024

D - Isolated - Minimal harm Nov 13, 2024 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Dec 25, 2024

E - Pattern - Minimal harm Aug 14, 2024 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: Aug 21, 2024

E - Pattern - Minimal harm Aug 14, 2024 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Aug 21, 2024

J - Isolated - Jeopardy Jul 10, 2024 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 2, 2024

E - Pattern - Minimal harm Jun 17, 2024 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: Aug 21, 2024

E - Pattern - Minimal harm Jun 17, 2024 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Aug 21, 2024

D - Isolated - Minimal harm Jun 17, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 28, 2024

D - Isolated - Minimal harm Apr 19, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 24, 2024

D - Isolated - Minimal harm Apr 19, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 24, 2024

D - Isolated - Minimal harm Apr 19, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 24, 2024

D - Isolated - Minimal harm Feb 23, 2024 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2024

D - Isolated - Minimal harm Feb 23, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2024

D - Isolated - Minimal harm Feb 23, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 25, 2024

D - Isolated - Minimal harm Feb 23, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 25, 2024

E - Pattern - Minimal harm Aug 25, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 26, 2023

E - Pattern - Minimal harm Jun 30, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Aug 5, 2023

E - Pattern - Minimal harm Jun 30, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 26, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Jun 30, 2023 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Aug 5, 2023

D - Isolated - Minimal harm Apr 27, 2023 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 16, 2023

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 25, 2019

D - Isolated - Minimal harm Oct 11, 2019 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2019

D - Isolated - Minimal harm Oct 11, 2019 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2019

B - Pattern - No harm Oct 11, 2019 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2019

B - Pattern - No harm Oct 11, 2019 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0570

Assure the security of all personal funds of residents deposited with the facility.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2019

E - Pattern - Minimal harm Oct 11, 2019 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 6.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 36.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 80.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 13.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 3.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 2.4% No

Penalty History 1 penalties totaling $73K

Date Type Amount
Jun 17, 2024 Fine $73K
Jun 17, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Delhaven Manor?
Delhaven Manor has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (null★), and quality measures (4★).
What are the staffing levels at Delhaven Manor?
Delhaven Manor reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68).
How many beds does Delhaven Manor have?
Delhaven Manor has 156 certified beds. The facility is located at 5460 Delmar Blvd, Saint Louis, MO 63112.
Does Delhaven Manor have any deficiencies on record?
Yes, Delhaven Manor has 48 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Delhaven Manor received any fines or penalties?
Yes, Delhaven Manor has received 1 penalties totaling $73K.
Who owns Delhaven Manor?
Delhaven Manor is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Delhaven Manor last inspected?
The most recent health inspection for Delhaven Manor was on Nov 13, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Delhaven Manor?
Delhaven Manor is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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