Federal inspection record · CMS data as of October 1, 2026
Delmar Gardens North
4401 Parker Road, Black Jack, MO · (314) 355-1516
- Certified beds
- 240
- Residents per day
- 174
- Ownership
- For-Profit
- Chain
- Delmar Gardens
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 17, 1988
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Delmar Gardens North carries 91.25 inspection points. That is fewer than 44% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Respond appropriately to all alleged violations.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care12D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
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.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning4E
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service3E
- E
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-11-17
6 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-10-06
10 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2020-01-08
18 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 47 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 20% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$39,299 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-10 | Fine | $39,299 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1 pts better | 85.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts worse | 86.5% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 2.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms19 pts better | 1.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 5.1% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts better | 18.3% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts better | 12.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better | 14.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts better | 11.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts better | 14.0% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 4.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 66.5% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts worse | 17.8% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 1.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.1 pts worse | 61.3% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts worse | 30.1% | 25.7% | 23.4% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 12 facilities |
| Goldberg-Nom LLC | 5% Or Greater Indirect Ownership Interest · Organization | 25% | 12 facilities |
| Grossberg, Gabe | 5% Or Greater Indirect Ownership Interest · Individual | 16% | 12 facilities |
| Grossberg, George | 5% Or Greater Indirect Ownership Interest · Individual | 11% | 12 facilities |
| Gabe Grossberg And George Grossberg, Trustees Of The Henry And Barbara | 5% Or Greater Indirect Ownership Interest · Organization | 8% | 12 facilities |
| George Grossberg And Gabe Grossberg, Trustees Of The Henry And Barbara | 5% Or Greater Indirect Ownership Interest · Organization | 8% | 12 facilities |
| Delmar Gardens Management Services Inc | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Grossberg, Gabe | Corporate Officer · Individual | 0% | 12 facilities |
| Marx, Kenneth | W-2 Managing Employee · Individual | 0% | 12 facilities |
| Marx, Kenneth | Corporate Officer · Individual | 0% | 12 facilities |
| Non-Gst Family Trust Est U/W Of Israel Goldberg Fbo Janice Bitanski | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Non-Gst Family Trust Established U/W Of Israel Goldberg Fbo Harry Zvi | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Oppenheimer, Howard | Corporate Officer · Individual | 0% | 12 facilities |
| Rodgers, Lynn | W-2 Managing Employee · Individual | 0% | 4 facilities |
| Ulrich, Amber | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress6E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install proper backup exit lighting.
- E
Have exits that are accessible at all times.
Emergency Preparedness3F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Services3F
- F
Meet other general requirements that are deficient.
- E
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous3F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
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Pillars Of North County Health & Rehab Center, The
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-
Crestwood Health Care Center
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