Delmar Gardens of Chesterfield
14855 North Outer 40 Road, Chesterfield, MO 63017
Delmar Gardens of Chesterfield, a 227-bed for profit - limited liability company nursing facility in Chesterfield, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #204 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 6365320150
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 3 / 5
- Average · CMS overall · nat'l 3.0
- #204 of 479
- In-state rank among rated MO homes
- 3.77
- About average · nurse hrs/day · nat'l 3.86
- 39
- Inspection findings
The verdict
Delmar Gardens of Chesterfield, a 227-bed for profit - limited liability company nursing facility in Chesterfield, MO, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #204 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 3 / 5
- CMS overall · national 3.0
- #204 of 479
- In-state rank among rated MO homes
- 3.77
- Nurse hrs/resident-day · national 3.86
- 39
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 487 MO nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 265170
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 227
- Residents
- 173
- In Hospital
- No
- County
- St. Louis
- Last Inspection
- Aug 6, 2025
Staffing Data
How the 3.77 total nursing hours per resident-day are staffed:
- RN Hours
- 0.24 (nat'l avg: 0.69)
- LPN Hours
- 0.72
- CNA Hours
- 2.81
- Total Nursing Hours
- 3.77 (nat'l avg: 3.86)
- PT Hours
- 0.12
- Nursing Turnover
- 48.8%
- RN Turnover
- 64.3%
What the CMS Record Reveals About Delmar Gardens of Chesterfield
According to CMS Nursing Home Compare, Delmar Gardens of Chesterfield ranks #204 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Delmar Gardens of Chesterfield operates 227 certified beds in Chesterfield, MO with approximately 173 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 2★ · quality 2★).
The inspection file contains 39 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 3.77 total nursing hours per resident day (national average 3.86), with RN coverage at 0.24 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Delmar Gardens of Chesterfield falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.8% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (39 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 18, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Sep 18, 2025
Ensure 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.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 18, 2025
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: Sep 18, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 29, 2025
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 drugs.
Category: Pharmacy Service Deficiencies
Corrected: Sep 18, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Sep 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: May 16, 2025
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 16, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Mar 26, 2024
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: Mar 26, 2024
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: Mar 26, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Mar 26, 2024
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 26, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 26, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 26, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 26, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Mar 26, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 26, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 26, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category: Resident Rights Deficiencies
Corrected: Mar 26, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 26, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Category: Administration Deficiencies
Corrected: Mar 26, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 5, 2022
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jan 5, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 5, 2022
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2022
Provide timely, quality laboratory services/tests to meet the needs of residents.
Category: Administration Deficiencies
Corrected: Jan 5, 2022
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: Jan 5, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 5, 2022
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: Jan 5, 2022
Assure that each resident’s assessment is updated at least once every 3 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 5, 2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 5, 2022
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: Jan 5, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.8% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.3% | 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 | 61.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 88.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 16.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 43.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 59.2% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Delmar Gardens of Chesterfield, both outside MO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MO (227 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MO (4.10 here).
Nearby Nursing Homes in MO
486 other nursing homes are on record in MO; 6 are shown here.
Abbey Senior Health
O Fallon, MO
Aberdeen Heights
Kirkwood, MO
Abode Health and Wellness Center
Independence, MO
Abundant Acres Care and Rehab
Savannah, MO
Adair Village
Clinton, MO
Advanced Care of St Joseph
Saint Joseph, MO
Understanding Nursing Home Data
What the CMS records show for Delmar Gardens of Chesterfield
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
- Peer homes near 227 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Delmar Gardens of Chesterfield?
Where does Delmar Gardens of Chesterfield rank among nursing homes in MO?
What are the staffing levels at Delmar Gardens of Chesterfield?
How many beds does Delmar Gardens of Chesterfield have?
Does Delmar Gardens of Chesterfield have any deficiencies on record?
Has Delmar Gardens of Chesterfield received any fines or penalties?
Who owns Delmar Gardens of Chesterfield?
When was Delmar Gardens of Chesterfield last inspected?
What quality measures are tracked for Delmar Gardens of Chesterfield?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
