D

DELMAR GARDENS WEST

13550 SOUTH OUTER 40 ROAD, TOWN AND COUNTRY, MO 63017
Score: 49 / 100

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

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 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

30
Total Deficiencies
Apr 10, 2025
Most Recent Inspection
🟠 29 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure 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 E
    Ensure medication error rates are not 5 percent or greater.
    Apr 10, 2025 · Pharmacy Service Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Apr 10, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Apr 10, 2025 · Infection Control Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Apr 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

Ownership
For profit - Corporation
Certified Beds
321
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 10, 2025
Deficiencies (Cycle 1)
8