What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Delmar Gardens West | Missouri | Photos & Videos

Overview of Delmar Gardens West

Delmar Gardens West is a skilled nursing and rehabilitation center located in Town and Country, Missouri. It offers a range of services including independent living, assisted living, memory care, and short-term rehabilitation. The facility is known for its compassionate care and commitment to the well-being of its residents.

(314) 878-1330 info@delmargardens.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.35/day

Overall rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

3/5

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 321

This home usually has availability

Lower occupancy suggests more openings may be available.

58.9%

186

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for

Long-term daily care Ongoing support needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

17% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

28% of new residents, often for short stays.

Typical stay 2 months

Medicaid

54% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Finances and operations

Home revenue

$26.2M

Operating loss

-$1.2M

Proprietary home Other

Home revenue

$26,202,617.00

Operating loss

$-1,150,368.00

Payroll costs

$10.5M

39.9% of revenue

Other operating costs

$16.9M

Total costs $27.4M

321-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265105

Certification type: Medicare/Medicaid

County: SAINT LOUIS COUNTY

Ownership & operating entity

Delmar Gardens West is administrated by RICHARD TAYLOR.

Owner name: DELMAR GARDENS WEST OPERATING, LLC

Safety & Compliance

Grab Bars

Care Services

Accepts Medicare

Doctor on Staff

Nursing Services

Rehabilitation Services

Respite Care

Memory Care

Independent Living

Skilled Nursing

Licensed Nurses/CNAs

24-Hour Staffing

Short-Term Rehab

All Levels of Care

Independent Living

Assisted Living

Memory Care

Skilled Nursing

Short-Term Rehabilitation

Amenities & Lifestyle

24 hour professional nursing services

full rehabilitative program including daily physical

occupational and speech therapy

private and semi-private rooms

daily social and recreational programs

unlimited visiting hours

emergency call system

religious services

grab bars in bathing and toilet areas

obstruction-free floor plan

luxurious furnishings

elegant dining room

large activity room

flat-screen television with complimentary cable

beauty salon/barber shop

Programs & Activities

Specific Programs

Skilled Nursing, Rehabilitation, Independent Living, Assisted Living, Memory Care, Short-Term Rehabilitation, Respite Care

Religious Services

Yes

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Delmar Gardens West

SNF

MO 63017-5812

321

TAYLOR, RICHARD

58.9%

$25,912,127.00

$10,467,080.00

40.4%

185.90

3/5

4.3494

3/5

4/5

3/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Delmar Gardens West

Type of care: SNF AL

Community: MO 63017-5812

Bed Count: 321

Pets Allowed: No

Operator: TAYLOR, RICHARD

CCN: 265105

Occupancy: 58.9%

Home Revenue: $25,912,127.00

Payroll Costs: $10,467,080.00

Payroll %: 40.4%

Avg Residents/Day: 185.90

Overall Rating: 3/5

Adj Nurse Hours: 4.3494

Health Insp Rating: 3/5

Staffing Rating: 4/5

QM Rating: 3/5

Number of Fines: 2

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

TOWN AND COUNTRY, MO 63017-5812

Calculate Travel Distance to Delmar Gardens West

Add your location

523

Total Staff

182

Employees

341

Contractors

73,619

Total Hours (Quarter)

Avg Staff/Day

8.2

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	59	9.2	Yes
Licensed Practical Nurse	114	8.7	Yes
Certified Nursing Assistant	273	8.2	Yes

Staff by Category

Administration

3 staff

7.5hs shift avg

Nursing Staff

481 staff

8.4hs shift avg

Physicians & Practitioners

7 staff

7.3hs shift avg

Therapy Services

20 staff

6.3hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

4 staff

7.2hs shift avg

Dietary Services

6 staff

7.9hs shift avg

Other Services

2 staff

8.6hs shift avg

Contractor Analysis

17.1%

of total hours from contractors

12,606 contractor hours this quarter

Certified Nursing Assistant: 181 Medication Aide/Technician: 5 Speech Language Pathologist: 3 Physical Therapy Assistant: 3 Licensed Practical Nurse: 83 Physical Therapy Aide: 4 Qualified Social Worker: 4 Registered Nurse: 48 Respiratory Therapy Technician: 6 Occupational Therapy Assistant: 3 Medical Director: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	92	181	273	34,953	91	100%	8.2
Licensed Practical Nurse	31	83	114	12,559	91	100%	8.7
Medication Aide/Technician	27	5	32	9,197	91	100%	8.6
Registered Nurse	11	48	59	4,920	90	99%	9.2
Other Dietary Services Staff	5	0	5	2,111	90	99%	7.9
RN Director of Nursing	3	0	3	1,568	81	89%	8.7
Physical Therapy Aide	0	4	4	1,403	66	73%	6.3
Clinical Nurse Specialist	6	0	6	1,105	75	82%	7.3
Administrator	2	0	2	994	77	85%	8
Qualified Social Worker	0	4	4	963	67	74%	7.2
Dental Services Staff	2	0	2	840	69	76%	8.6
Speech Language Pathologist	0	3	3	619	61	67%	7
Respiratory Therapy Technician	0	6	6	606	84	92%	5.3
Dietitian	1	0	1	477	59	65%	8.1
Physical Therapy Assistant	0	3	3	437	64	70%	6.8
Nurse Practitioner	1	0	1	424	57	63%	7.4
Occupational Therapy Aide	1	0	1	210	29	32%	7.2
Occupational Therapy Assistant	0	3	3	194	31	34%	5.9
Medical Director	0	1	1	39	13	14%	3

View All Staffing Data

Total Health inspections 8

21% above Missouri average

Missouri average: 6.6

Last Health inspection on Apr 2025

Total Health citations 30

18% below Missouri average

Missouri average: 36.5

3.75 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 21 citations

Complaint investigations 12 citations

Breakdown of citations

Critical Health citations 1

43% above Missouri average

Missouri average: 0.7

Serious Health citations 1

Near Missouri average

Missouri average: 1.0

Moderate Health citations 28

Minor Health citations 0

Citations history (last 3 years)

Infection Control moderate citation Apr 11, 2025

Corrected

Nutrition moderate citation Apr 11, 2025

Corrected

Pharmacy moderate citation Apr 11, 2025

Corrected

Pharmacy moderate citation Apr 11, 2025

Corrected

Ownership: For-Profit Corporation

Part of: DELMAR GARDENS ENTERPRISES

Resident Census by Payment Source

180 Total Residents

Medicare 17 (9.4%)

Medicaid 138 (76.7%)

Private Pay/Other 25 (13.9%)

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 9.0

18% better than Missouri average

Missouri average: 10.9

Functional decline score 12.8

34% better than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 14.4%

27% below Missouri average.

Walking Ability Worsened 17.3%

16% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 6.7%

63% below Missouri average.

Falls with Major Injury 3.2%

20% below Missouri average.

High Risk Residents with Pressure Ulcers 4.9%

2% below Missouri average.

Urinary Tract Infection 3.1%

13% above Missouri average.

Depressive Symptoms 0.7%

94% below Missouri average.

Antipsychotic Use 23.3%

6% above Missouri average.

Pneumococcal Vaccine 88.7%

4% above Missouri average.

Influenza Vaccine 93.5%

3% above Missouri average.

Lost Too Much Weight 5.0%

10% below Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 83.0%

25% better than Missouri average

Antipsychotic medication increase 2.2%

Near Missouri average

Influenza Vaccine 74.9%

18% better than Missouri average

Total fines amount $23K

This home paid 69% less in fines than the state average.

Missouri average: $73K

Number of Fines 2

This home received 18% fewer fines than the state average.

Missouri average: 2.4

Payment Denials 0

This home had 100% fewer payment denials than the state average.

Missouri average: 0.7

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Apr 2, 2024

$14K

Civil Money Penalty Jul 21, 2023

$8K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for Delmar Gardens West based on CMS SNF Cost Reports.

Occupancy Rate 58.9% ↑ 0.9pp vs 2023

Net Income -$1,150,368 ↑ ~$957K vs 2023

Total Payroll $12,127,969 ↑ ~$1.8M vs 2023

Profit Margin -4.4% ↑ 4.3pp vs 2023

Loading trend charts...

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	83.8%	83.0%	82.4%	82.0%	81.7%	82.4%	80.8%	78.4%	75.8%	65.0%	55.0%	58.0%	58.9%
Beds	321	321	321	321	321	321	321	321	321	321	321	321	321
Net Income	$370,682	$278,207	$206,378	$87,539	-$27,677	$159,496	-$989,769	-$581,712	-$75,322	$840,741	-$664,953	-$2,106,945	-$1,150,368
Gross Revenue	$26,768,895	$27,049,041	$27,696,458	$27,550,236	$28,771,367	$29,288,043	$30,202,064	$29,941,429	$29,080,464	$26,528,594	$23,257,239	$24,064,095	$25,912,127
Operating Expenses	$19,404,794	$19,903,358	$19,951,307	$19,921,018	$20,286,148	$20,550,766	$21,545,057	$20,691,763	$19,503,368	$18,077,549	$16,434,038	$18,599,019	$21,707,912
Net Patient Revenue	$19,571,498	$20,000,877	$19,993,470	$19,842,023	$20,106,465	$20,430,597	$20,143,499	$19,679,648	$18,952,468	$17,100,677	$15,075,540	$15,992,518	$20,267,054
Total Payroll	$10,132,928	$10,438,961	$10,486,120	$10,707,974	$10,890,439	$10,901,914	$11,934,261	$11,267,559	$10,850,682	$9,741,352	$8,726,466	$10,325,789	$12,127,969
Profit Margin %	1.4%	1.0%	0.8%	0.3%	-0.1%	0.5%	-3.3%	-1.9%	-0.3%	3.2%	-2.9%	-8.8%	-4.4%
Medicare %	7.9%	7.9%	6.9%	6.0%	5.3%	5.2%	5.3%	4.9%	3.9%	5.2%	4.0%	4.6%	2.4%
Medicaid %	69.0%	69.0%	71.7%	75.9%	77.8%	77.1%	75.0%	80.0%	84.3%	81.1%	78.3%	79.9%	83.5%
Private %	23.1%	23.2%	21.5%	18.0%	16.9%	17.7%	19.7%	15.0%	11.8%	13.8%	17.7%	15.6%	14.1%
Revenue/Day	$199	$206	$207	$206	$209	$212	$213	$214	$213	$224	$234	$235	$293
Cost/Day	$197	$205	$207	$207	$211	$213	$228	$225	$219	$237	$255	$274	$314
Avg Length of Stay	20.8 days	17.8 days	27.7 days	32.3 days	33.0 days	34.0 days	43.7 days	36.9 days	32.7 days	226.7 days	170.5 days	139.9 days	26.3 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

Delmar Gardens West

Delmar Gardens West is a Nursing Home in Missouri

Delmar Gardens West is a Nursing Home in Missouri

Delmar Gardens West

Delmar Gardens West is a Nursing Home in Missouri

Delmar Gardens West is a Nursing Home in Missouri

Quality ratings

Capacity and availability

High-capacity home

This home usually has availability

Who this home usually serves

Mostly long-term care residents

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Safety & Compliance

Care Services

All Levels of Care

Amenities & Lifestyle

Programs & Activities

Access & Eligibility

Payment & Funding Options

Compare Nursing Homes around Missouri

Places of interest near Delmar Gardens West

Calculate Travel Distance to Delmar Gardens West

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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