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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 43rd out of 276 homes in Missouri. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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.
| 3h 49m per day |
Higher than the Missouri average: 66.6%Delmar Gardens of Chesterfield is legally operated by Delmar Gardens Of Chesterfield Operating, Llc, and administrated by Joseph.
Missouri average 6.6
Last Health inspection on Aug 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 42 citations resulted from standard inspections; 5 of 42 resulted from complaint investigations; and 14 of 42 came from combined inspections (standard and complaint).
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
57% better than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,430 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 90 | 176 | 266 | 30,685 | 92 | 100% | 8 |
| Licensed Practical Nurse | 22 | 98 | 120 | 12,531 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 25 | 7 | 32 | 9,861 | 92 | 100% | 9.5 |
| Nurse Aide in Training | 19 | 0 | 19 | 5,130 | 92 | 100% | 8 |
| Registered Nurse | 13 | 1 | 14 | 2,029 | 91 | 99% | 7.5 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,776 | 79 | 86% | 6.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,569 | 85 | 92% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,478 | 75 | 82% | 8.2 |
| Administrator | 2 | 0 | 2 | 1,063 | 76 | 83% | 8.8 |
| Qualified Social Worker | 0 | 5 | 5 | 918 | 65 | 71% | 8.2 |
| Physical Therapy Aide | 3 | 0 | 3 | 900 | 72 | 78% | 7.3 |
| Speech Language Pathologist | 3 | 0 | 3 | 898 | 65 | 71% | 7.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 831 | 78 | 85% | 7 |
| RN Director of Nursing | 1 | 0 | 1 | 566 | 60 | 65% | 9.4 |
| Dietitian | 1 | 0 | 1 | 522 | 61 | 66% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 492 | 64 | 70% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 62 | 67% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 291 | 44 | 48% | 6.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 170 | 23 | 25% | 7.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 33 | 7 | 8% | 4.8 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2023
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 Jan 2026)
77% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 30, 2023 · $17K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 30, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
13% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
32% better than Missouri averageMissouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
14.2%
28% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
16.3%
21% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
51% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
39% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
5.6%
11% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.6%
42% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.6%
In line with Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
2.1%
84% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
18.9%
14% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
67.7%
21% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.5%
In line with Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.4%
11% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
28% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.2%
7% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 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.
Historical financial and operational data for Delmar Gardens of Chesterfield based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 286Payroll — State benchmarkedThis home is ranked 8th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
Dining Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
2.8 miles from city center
Estimated distance in miles from Chesterfield's city center to Delmar Gardens of Chesterfield's address, calculated via Google Maps.
Add your location
Delmar Gardens of Chesterfield is located in Chesterfield, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Garden View Care Center of Chesterfield |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Chesterfield (Lucas Pond) | 130 | 58.7% | -12% | 5.23 | +21% | +40% | $0 | 20 | 4.0 | - | 51 | 19 | Jodi Luaders | $8.5M | $4.5M | 52.8% | 265627 | ||||
| Surrey Place St Luke’s Hospital Skilled Nursing |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Chesterfield | 130 | - | - | 5.27 | +127% | +41% | $0 | 16 | 4.0 | - | 58 | 39 | St Lukes Episcopal Presbyterian Hospital | - | - | - | 265414 | ||||
| Delmar Gardens of Chesterfield |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Chesterfield (Walnut Hill Plaza) | 237 | 76.4% | +15% | 4.58 | -62% | +23% | $17.2k | 42 | 8.4 | 1 | 164 | 36 | Kavitha Nallabelli | $26.1M | $11.0M | 42.4% | 265170 | ||||
| The Westchester House |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Chesterfield (Leesburg Pike) | 143 | 43.5% | -35% | 4.18 | +46% | +12% | $151.9k | 66 | 7.3 | 6 | 86 | 12 | Robert Bachiel | $9.7M | $5.8M | 59.3% | 265338 |
Delmar Gardens of Chesterfield is in the Walnut Hill Plaza neighborhood of Chesterfield.
The legal owner and operator of Delmar Gardens of Chesterfield is Delmar Gardens Of Chesterfield Operating, Llc.
Delmar Gardens of Chesterfield has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Delmar Gardens of Chesterfield's occupancy is 76%.
Joseph is the administrator of Delmar Gardens of Chesterfield.
Delmar Gardens of Chesterfield has 237 beds.
Delmar Gardens of Chesterfield is located at 14855 N Outer 40 Rd, Chesterfield, MO 63017.
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