Federal inspection record · CMS data as of October 1, 2026
Delmar Gardens On The Green
15197 Clayton Road, Chesterfield, MO · (636) 394-7515
- Certified beds
- 120
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Delmar Gardens
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 22, 1982
1
How this home got 2 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
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Delmar Gardens On The Green carries 88 inspection points. That is fewer than 46% 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
30 health citations on record since 2019. 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 (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care8E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 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.
Resident Rights8E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control3E
- E
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2024-10-04
12 health deficiencies · 18 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-04-05
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2019-06-25
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 23 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
5 h 23 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 67% 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
$46,589 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-04 | Fine | $46,589 |
| 2024-10-04 | Payment Denial · 8 day denial | $0 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.4 pts worse | 3.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts worse | 79.8% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.9 pts worse | 82.9% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse | 7.1% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts better | 0.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 8.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts better | 22.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.6 pts better | 12.9% | 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 worsened16.1 pts worse | 31.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts worse | 23.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 2.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts better | 14.4% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.9 pts worse | 9.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts worse | 53.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts worse | 20.1% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.3 pts worse | 43.1% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 20.9% | 25.7% | 23.4% |
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Who owns and runs it
15 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 |
| Non-Gst Family Trust Est U/W Of Israel Goldberg Fbo Janice Bitanski | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 12 facilities |
| Non-Gst Family Trust Established U/W Of Israel Goldberg Fbo Harry Zvi | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 12 facilities |
| Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 12 facilities |
| Church, Vicky | W-2 Managing Employee · Individual | 0% | 1 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 |
| Oppenheimer, Howard | Corporate Officer · Individual | 0% | 12 facilities |
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Fire safety
34 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Have an enclosure around a vertical opening shaft.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous5F
- F
Provide a written emergency evacuation plan.
- E
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Install proper backup exit lighting.
- 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
Install proper backup exit lighting.
Construction3F
- E
Use approved construction type or materials.
- E
Use approved construction type or materials.
- F
Use approved construction type or materials.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Install properly constructed and protected linen or trash chutes.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
·
Other homes nearby
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 22 min
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-
Garden View Care Center Of Chesterfield
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- Nursing / resident / day
- 5 h 46 min
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- $0
-
Lutheran Senior Services At Meramec Bluffs
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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