Delmar Gardens West faces challenges in its CMS ratings, earning a D grade with a score of 49/100. The facility ranks in the 58th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing at Delmar Gardens West is near the national average, with 3.86 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 30 deficiencies at Delmar Gardens West, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.86 | 3.8 | Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.64 | 2.4 | Above Average |
| Weekend Total Nursing | 3.71 | 3.8 | Average |
| Weekend RN Hours | 0.36 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 10, 2025 · Nutrition and Dietary Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Apr 10, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 10, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Apr 10, 2025 · Infection Control Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dApr 10, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.4% | 4.5% | Worse |
| Falls with major injury | 4.4% | 3.0% | Worse |
| On antipsychotic medication | 24.2% | 14.5% | Worse |
| Urinary tract infections | 3.1% | 2.5% | Worse |
| ADL decline (daily activities) | 15.4% | 14.0% | Worse |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 9.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $22,623
How This Grade Was Calculated
This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Missouri
- FATHENE NURSING AND REHABILITATIONTOWN AND COUNTRY
- AKABUL NURSING HOMES INCCABOOL
- AMASON POINTE CARE CENTERCHESTERFIELD
- FCAMDENTON WINDSOR ESTATESCAMDENTON
- BJOHN KNOX VILLAGE CARE CENTERLEES SUMMIT