Delmar Gardens North 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 North is near the national average, with 3.75 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 34 deficiencies at Delmar Gardens North, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.75 | 3.8 | Average |
| Registered Nurses (RN) | 0.18 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.71 | 2.4 | Above Average |
| Weekend Total Nursing | 3.39 | 3.8 | Below Average |
| Weekend RN Hours | 0.13 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 16, 2025 · Resident Rights 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 biologiNov 16, 2025 · Pharmacy Service Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Nov 16, 2025 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventNov 16, 2025 · Quality of Life and Care 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 | 4.1% | 3.0% | Worse |
| On antipsychotic medication | 13.1% | 14.5% | Average |
| Urinary tract infections | 2.1% | 2.5% | Better |
| ADL decline (daily activities) | 12.9% | 14.0% | Average |
| Excessive weight loss | 7.3% | 7.5% | Average |
| New/worsened incontinence | 8.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $39,299
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: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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