DELMAR GARDENS WEST
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-04-02 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2023-07-21 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
2.79
state median 2.42
Weekend staffing gap
+2%
more nursing hours on weekends · state median −11%
RN hours / resident / day
0.35
registered nurses only
Contract (agency) staff
13%
share of all nursing hours
Nursing staff turnover
42%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $22,623 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-02 | Fine | $14,433 |
| 2023-07-21 | Fine | $8,190 |
Ownership
Ownership type: For profit - Corporation. Part of the DELMAR GARDENS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- DELMAR GARDENS OF SMYRNA (SMYRNA, GA) —
- DELMAR GARDENS OF GWINNETT (LAWRENCEVILLE, GA) —
- DELMAR GARDENS OF LENEXA (LENEXA, KS) —
- DELMAR GARDENS OF OVERLAND PARK (OVERLAND PARK, KS) —
- DELMAR GARDENS ON THE GREEN (CHESTERFIELD, MO) —
- DELMAR GARDENS OF CHESTERFIELD (CHESTERFIELD, MO) —
- DELMAR GARDENS SOUTH (SAINT LOUIS, MO) —
- DELMAR GARDENS NORTH (BLACK JACK, MO) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-04-11 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-11 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-11 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-11 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-04-11 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-04-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-04-11 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-10-09 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-21 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-21 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-21 | F0925 | Environmental Deficiencies | F | not recorded |
| 2024-04-29 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-29 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-02 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-11-17 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2023-11-17 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-11-17 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-17 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-17 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-11-17 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-11-17 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-07-21 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2020-01-15 | F0577 | Resident Rights Deficiencies | E | not recorded |
| 2020-01-15 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2020-01-15 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2020-01-15 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2020-01-15 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2020-01-15 | F0880 | Infection Control Deficiencies | E | not recorded |