3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Delmar Gardens of Chesterfield is a nursing home in Chesterfield, MO, offering memory care, rehabilitation, and skilled nursing. Fostering comfort and healing, the community has thoughtfully furnished amenities in a supportive and home-like environment. Residents can also experience maintenance-free living with 24-hour care, dietitian-planned meals, and therapies. Through personalized care plans, residents receive the utmost attention and care tailored to their unique needs and habits.
Social events, sensory-stimulating activities, and dance classes help enhance residents’ cognition and maintain their holistic well-being. A dining room, a spacious activity room, and a beauty salon are among the state-of-the-art amenities dedicated to residents’ relaxation and wellness. Situated along Blues Highway, near bus stops in the quiet neighborhood of Chesterfield, the community guarantees accessibility. This nursing home is a great choice for senior living in Missouri, especially with its comprehensive care options.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 77th out of 267 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 9mStandout metric: Physical therapist is +157% above Missouri average
2 of 6 metrics below Missouri average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 14 total: 13 of the facility's own employees and 1 agency contractor.
14 staff · 7.5-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 120 total: 22 of the facility's own employees and 98 agency contractors.
120 staff · 8.7-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 266 total: 90 of the facility's own employees and 176 agency contractors.
266 staff · 8-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
490
201 employees · 289 contractors · 96 on an average day
490 total staff / 184 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.66 : 1
↑ 60% · MO 1.66This facility: 2.66 staff per resident, 60% above the Missouri average of 1.66 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
490 staff ÷ 184 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.2 h
↑ 1% · MO 8.1 hThis facility: 8.2 h, 1% above the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
72,233 staff hours this quarter
See full Missouri ranking →89.7% of staff hours were worked by the facility's own employees
Missouri average: 92.5% · Contractors this quarter: Certified Nursing Assistant (176), Licensed Practical Nurse (98), Medication Aide/Technician (7), Qualified Social Worker (5), Registered Nurse (1), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
237
Rank #5 / 288Bed count — State benchmarked This nursing home is ranked 5th out of 288 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #214 / 296Walk Score — State benchmarked This nursing home is ranked 214th out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #97 / 272Occupancy rate — State benchmarked This nursing home is ranked 97th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Higher than the Missouri average: 67.8%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Delmar Gardens of Chesterfield is legally operated by Delmar Gardens Of Chesterfield Operating, LLC.
100% corrected
39 of 39 citations corrected Latest inspection: Aug 06, 2025 · 7 citations, all corrected
Most cited category: Resident Rights, 8 of 39 citations · 10 categories in total
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 39 citations resulted from standard inspections; 2 of 39 resulted from complaint investigations; and 14 of 39 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
10.4
Score · lower is better
↑ 6% · MO 9.8This facility: 10.4, 6% above the MO average of 9.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.3
Score · lower is better
↓ 3% · MO 17.8This facility: 17.3, 3% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 5 better, 5 worse, 1 near MO average
3 short-stay measures: 1 better, 2 worse
People who live at the home · 11 measures
Percent of long-stay residents whose need for help with daily activities has increased
15.8%
↓ 13% · MO 18.1This facility: 15.8, 13% below the MO average of 18.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
19.3%
↑ 11% · MO 17.4This facility: 19.3, 11% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.9%
↓ 5% · MO 17.8This facility: 16.9, 5% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 21% · MO 2.3This facility: 2.8, 21% above the MO average of 2.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
↑ 45% · MO 4.1This facility: 5.9, 45% above the MO average of 4.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.1%
↓ 10% · MO 4.5This facility: 4.1, 10% below the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.7%
↑ 27% · MO 5.3This facility: 6.7, 27% above the MO average of 5.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.3%
↓ 93% · MO 18.5This facility: 1.3, 93% below the MO average of 18.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
20.2%
↓ 14% · MO 23.5This facility: 20.2, 14% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.2%
↓ 27% · MO 84.1This facility: 61.2, 27% below the MO average of 84.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.5%
↓ 3% · MO 90.9This facility: 88.5, 3% below the MO average of 90.9 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 3 measures
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 59% · MO 2.2This facility: 0.9, 59% below the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
43.1%
↓ 34% · MO 65.7This facility: 43.1, 34% below the MO average of 65.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.2%
↓ 7% · MO 63.5This facility: 59.2, 7% below the MO average of 63.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
18% of new residents, usually for short-term rehab.
62% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
184Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Delmar Gardens of Chesterfield’s finances from its CMS cost report for the fiscal year ending March 2025, compared with 267 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−4.9% operating margin
−5.2 pts vs prior year
An operating loss in 7 of the last 8 reported years. Other income ($0.3M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Missouri homes
60.5% payroll share of revenue
MO average 54.9%Rank #72 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 72nd out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.5M while revenue fell $1.7M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Big revenue, persistent losses
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $19.1M | −$1.7M | Trend 20182025 | MO median $6.2M | Rank in MO Rank #7 / 267Net patient revenue — State benchmarked This nursing home is ranked 7th out of 267 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 98% of homes | Top 2% in MO Higher net patient revenue than 98% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $20.0M | −$0.7M | Trend 20182025 | MO median — | Rank in MO Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.9M | −$1.0M | Trend 20182025 | MO median — | Rank in MO Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −4.9% | −5.2 pts | Trend 20182025 | MO median — | Rank in MO Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.3M | — | Trend — | MO median — | Rank in MO Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.6M | −$1.0M | Trend — | MO median — | Rank in MO Not ranked | Loss The bottom line is below zero even after other income. |
Spends more of revenue on staff than most Missouri homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $11.5M | +$0.5M | Trend 20182025 | MO median $3.5M | Rank in MO Rank #6 / 267Payroll costs — State benchmarked This nursing home is ranked 6th out of 267 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 98% of homes | Top 2% in MO by size Higher payroll than 98% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 60.5% | +7.4 pts | Trend 20182025 | MO median 52.9% | Rank in MO Rank #72 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 72nd out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 73% of homes | 5.6 pts over MO average The MO average is 54.9% of revenue. Within 3 points of it reads as near the average. |
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $16.3M | $15.7M | $15.6M | $14.3M | $14.3M | $16.5M | $20.8M | $19.1M |
| Operating expenses | $16.9M | $16.2M | $16.2M | $15.6M | $15.0M | $18.4M | $20.7M | $20.0M |
| Net patient income | −$0.6M | −$0.4M | −$0.6M | −$1.3M | −$0.7M | −$1.9M | $0.1M | −$0.9M |
| Operating margin | −3.8% | −2.8% | −4.2% | −9.1% | −4.9% | −11.2% | 0.3% | −4.9% |
| Net income | −$0.5M | −$0.2M | −$0.4M | $0.1M | −$0.0M | −$1.4M | $0.4M | −$0.6M |
| Payroll costs | $10.3M | $9.8M | $9.4M | $9.4M | $7.7M | $9.3M | $11.0M | $11.5M |
| Payroll share of revenue | 63.1% | 62.4% | 60.4% | 65.7% | 54.2% | 56.5% | 53.1% | 60.5% |
| Beds | 237 | 237 | 237 | 237 | 237 | 237 | 237 | 237 |
| Gross revenue | $22.7M | $22.6M | $22.5M | $20.6M | $20.5M | $22.5M | $25.7M | $22.7M |
| Salaries | $8.8M | $8.4M | $8.1M | $8.1M | $6.6M | $8.1M | $9.6M | $10.1M |
| Wage-related costs | $1.4M | $1.4M | $1.3M | $1.3M | $1.1M | $1.2M | $1.4M | $1.4M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $6.6M | $6.4M | $6.8M | $6.2M | $7.3M | $9.0M | $9.7M | $8.5M |
| Net patient revenue per day | $229 | $223 | $230 | $239 | $252 | $262 | $314 | $310 |
| Cost per day | $238 | $229 | $239 | $260 | $264 | $292 | $313 | $326 |
| Average length of stay | 28.1 days | 23.0 days | 19.8 days | 86.0 days | 93.8 days | 89.1 days | 30.7 days | 35.7 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (62% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
14855 N Outer 40 Rd, Chesterfield, MO 63017
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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Garden View Care Center of Chesterfield | NH AL HOS MC RC SNF | Chesterfield (Lucas Pond) | 52
Facility
52
MO AVG
110
Rank
#272 / 288 |
85.2%
Facility
85.2%
MO AVG
67.8%
Rank
#29 / 272 | +26% | 6.46
Facility
6.46
MO AVG
3.63
Rank
#5 / 267 | +21% | +78% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 21
Facility
21
MO AVG
36.1
Rank
#74 / 274 | 3.5
Facility
3.5
MO AVG
5.6
Rank
#36 / 274 | - | 44 | - |
19
Facility
19
MO AVG
50
Rank
#264 / 296 | Jodi Luaders | $9.5MFiscal year ending 05/2025
Facility
$9.5MFiscal year ending 05/2025
MO AVG
$8.0M
Rank
#70 / 267 | $4.8MFiscal year ending 05/2025
Facility
$4.8MFiscal year ending 05/2025
MO AVG
$4.2M
Rank
#74 / 267 | 51.2%Fiscal year ending 05/2025
Facility
51.2%Fiscal year ending 05/2025
MO AVG
54.9%
Rank
#151 / 267 | 265627 | ||||
| Surrey Place St Luke’s Hospital Skilled Nursing | NH SNF | Chesterfield | 130
Facility
130
MO AVG
110
Rank
#63 / 288 |
61.5%
Facility
61.5%
MO AVG
67.8%
Rank
#176 / 272 | -9% | 4.82
Facility
4.82
MO AVG
3.63
Rank
#31 / 267 | +127% | +33% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 13
Facility
13
MO AVG
36.1
Rank
#37 / 274 | 3.3
Facility
3.3
MO AVG
5.6
Rank
#29 / 274 | - | 80 | - |
39
Facility
39
MO AVG
50
Rank
#199 / 296 | St Luke's Episcopal-Presbyterian Hospital | - | - | - | 265414 | ||||
| Breeze Park – Lutheran Senior Services | NH AL CCRC IL MC SNF | Weldon Spring | 50
Facility
50
MO AVG
110
Rank
#276 / 288 |
93.2%
Facility
93.2%
MO AVG
67.8%
Rank
#16 / 272 | +37% | 4.86
Facility
4.86
MO AVG
3.63
Rank
#47 / 267 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$86.2k
Rank
#218 / 275 | 15
Facility
15
MO AVG
36.1
Rank
#47 / 274 | 3.8
Facility
3.8
MO AVG
5.6
Rank
#55 / 274 | 1 | 47 | A+ |
2
Facility
2
MO AVG
50
Rank
#296 / 296 | Holly Stevens | $7.3MFiscal year ending 12/2024
Facility
$7.3MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#110 / 267 | $10.9MFiscal year ending 12/2024
Facility
$10.9MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#7 / 267 | 150.1%Fiscal year ending 12/2024
Facility
150.1%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#2 / 267 | 265767 | ||||
| Delmar Gardens of Chesterfield | NH AL IL MC RC SNF | Chesterfield (Walnut Hill Plaza) | 237
Facility
237
MO AVG
110
Rank
#5 / 288 |
80.4%
Facility
80.4%
MO AVG
67.8%
Rank
#97 / 272 | +19% | 4.15
Facility
4.15
MO AVG
3.63
Rank
#77 / 267 | -62% | +14% | $0
Facility
$0
MO AVG
$86.2k
Rank
#1 / 275 | 39
Facility
39
MO AVG
36.1
Rank
#181 / 274 | 9.8
Facility
9.8
MO AVG
5.6
Rank
#260 / 274 | - | 183 | - |
36
Facility
36
MO AVG
50
Rank
#214 / 296 | Delmar Gardens Of Chesterfield Operating, LLC | $19.1MFiscal year ending 03/2025
Facility
$19.1MFiscal year ending 03/2025
MO AVG
$8.0M
Rank
#7 / 267 | $11.5MFiscal year ending 03/2025
Facility
$11.5MFiscal year ending 03/2025
MO AVG
$4.2M
Rank
#6 / 267 | 60.5%Fiscal year ending 03/2025
Facility
60.5%Fiscal year ending 03/2025
MO AVG
54.9%
Rank
#72 / 267 | 265170 | ||||
| The Westchester House | NH SNF | Chesterfield (Leesburg Pike) | 157
Facility
157
MO AVG
110
Rank
#38 / 288 |
52.4%
Facility
52.4%
MO AVG
67.8%
Rank
#202 / 272 | -23% | 3.86
Facility
3.86
MO AVG
3.63
Rank
#152 / 267 | +46% | +6% | $83.8k
Facility
$83.8k
MO AVG
$86.2k
Rank
#243 / 275 | 43
Facility
43
MO AVG
36.1
Rank
#198 / 274 | 6.1
Facility
6.1
MO AVG
5.6
Rank
#196 / 274 | 2 | 82 | - |
12
Facility
12
MO AVG
50
Rank
#277 / 296 | Robert Bachiel | $8.8MFiscal year ending 12/2024
Facility
$8.8MFiscal year ending 12/2024
MO AVG
$8.0M
Rank
#83 / 267 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#67 / 267 | 56.9%Fiscal year ending 12/2024
Facility
56.9%Fiscal year ending 12/2024
MO AVG
54.9%
Rank
#104 / 267 | 265338 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Delmar Gardens of Chesterfield is located in Chesterfield, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Delmar Gardens of Chesterfield is in the Walnut Hill Plaza neighborhood of Chesterfield.
Delmar Gardens of Chesterfield is legally operated by Delmar Gardens Of Chesterfield Operating, LLC.
Delmar Gardens of Chesterfield has a walk score of 36. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Delmar Gardens of Chesterfield's occupancy is 80.4%.
No, Delmar Gardens of Chesterfield has a no-pet policy.
The team at Delmar Gardens of Chesterfield can be reached at info@delmargardens.com.
Delmar Gardens of Chesterfield is registered as a for-profit in MO.
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