Total health inspections
6
Missouri average 6.6
Last Health inspection on Mar 2025
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Delmar Gardens of O’fallon
Nursing Home in Missouri
CMS overall rating
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.
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.
Delmar Gardens of O’fallon
Nursing Home in Missouri
CMS overall rating
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.
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.
Delmar Gardens of O’Fallon is a senior living community in O'Fallon, MO. It offers a range of services including skilled nursing care, rehabilitation, memory care, and independent living. The facility is known for its commitment to providing compassionate care and a vibrant community atmosphere.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 76th out of 251 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.
This home is ranked 76th out of 251 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.
4h 7m per day
vs Missouri avg
+9%
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
240
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
66.8%
Avg. Length of Stay
33 days
Occupancy rate
66.8%
Avg. Length of Stay
33 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
14% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
64% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Finances and operations
Privately-owned community
Home revenue
$24.6M
Profit
$470.6K
Privately-owned community
Home revenue
$24.6M
Profit
$470.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$24.1M
240-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
Facility TypeSnf
CountySaint Charles
CMS Certification Number265792
Certification TypeMedicare/Medicaid
Delmar Gardens of O’fallon is legally operated by Delmar Gardens Of O'fallon, Llc, and administrated by Ms TERESA REITER.
Owner NameDELMAR GARDENS OF O'FALLON, LLC
Grab Bars
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Short-Term Rehabilitation
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 And Activities
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
Television With Complimentary Cable
Beauty Salon/Barbershop
Billiards Room
Private Family Party And Meeting Areas
Infant/Toddler Education Center
Free Wifi
Specific ProgramsSkilled Nursing Care, Short-Term Rehabilitation, Respite Care and Transitional Stays, Pharmacy, Wound Care, Early Childhood Education Center, Home Care, Medical Supplies & Equipment, Hospice & Palliative Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Health Inspection History
Inspections
Total health citations
38
Missouri average 36.5
Citations per inspection
6.33
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 38 citations resulted from standard inspections; and 3 of 38 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
0 critical citations
1 serious citation
36 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 19, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 19, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Aug 23, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Aug 23, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 14, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 14, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 14, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 14, 2024
Corrected
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.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Aberdeen Heights |
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. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | 0 | 9 | 2.3 | 0 | 34 | - | - | Ashfield Active Living And Wellness Communities, Inc. | $27.3M | $7.2M | 26.3% | 265841 | ||||
| Bertrand Nursing And Rehab Center |
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. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Delmar Gardens of O’fallon |
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. | O'fallon | 240 | 66.8% | 0% | 4.12 | -51% | +10% | 0 | 38 | 6.3 | 1 | 174 | - | - | Reiter, Teresa | $23.6M | $9.2M | 39.2% | 265792 | ||||
| Good Shepherd Care Community | - |
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.
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.
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).
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. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
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. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
293
Employees
191
Contractors
102
Staff to resident ratio
1.97:1
15% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
89
Average shift
8.1 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
65,247
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
149
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.9%
5,778 contractor hours this quarter
Certified Nursing Assistant: 64
Qualified Social Worker: 9
Speech Language Pathologist: 8
Physical Therapy Assistant: 8
Physical Therapy Aide: 7
Respiratory Therapy Technician: 5
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 85 | 64 | 149 | 29,565 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 27 | 0 | 27 | 10,266 | 91 | 100% | 8.7 |
| Nurse Aide in Training | 25 | 0 | 25 | 6,901 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 26 | 0 | 26 | 5,451 | 91 | 100% | 8.1 |
| Registered Nurse | 11 | 0 | 11 | 2,697 | 91 | 100% | 7.6 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,888 | 86 | 95% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,559 | 83 | 91% | 7.5 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,270 | 73 | 80% | 6.6 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,195 | 69 | 76% | 6.7 |
| Qualified Social Worker | 0 | 9 | 9 | 1,095 | 69 | 76% | 6.6 |
| Administrator | 2 | 0 | 2 | 1,052 | 75 | 82% | 9.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 543 | 74 | 81% | 5.2 |
| Dietitian | 1 | 0 | 1 | 524 | 63 | 69% | 8.3 |
| Physical Therapy Assistant | 0 | 8 | 8 | 484 | 69 | 76% | 6 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 152 | 21 | 23% | 7.2 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 126 | 28 | 31% | 4.3 |
| Medical Director | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
149 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
25 Nurse Aide in Training
% of Days
100%
26 Medication Aide/Technician
% of Days
100%
11 Registered Nurse
% of Days
100%
4 Clinical Nurse Specialist
% of Days
95%
4 Other Dietary Services Staff
% of Days
91%
8 Speech Language Pathologist
% of Days
80%
7 Physical Therapy Aide
% of Days
76%
9 Qualified Social Worker
% of Days
76%
2 Administrator
% of Days
82%
5 Respiratory Therapy Technician
% of Days
81%
1 Dietitian
% of Days
69%
8 Physical Therapy Assistant
% of Days
76%
1 Nurse Practitioner
% of Days
63%
2 Occupational Therapy Aide
% of Days
23%
3 Occupational Therapy Assistant
% of Days
31%
1 Medical Director
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
149
Medicare
22
14.8% of residents
Medicaid
86
57.7% of residents
Private pay or other
41
27.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
In line with Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
26% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.2%
Percent of long-stay residents whose need for help with daily activities has increased
16.2%
18% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.9%
Percent of long-stay residents whose ability to move independently worsened
15.9%
23% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.3%
38% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
13% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
8% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
8.1%
Percent of long-stay residents with a urinary tract infection
8.1%
197% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
16.5%
Percent of long-stay residents who lose too much weight
16.5%
197% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.8%
Percent of long-stay residents who have depressive symptoms
5.8%
55% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.1%
Percent of long-stay residents who received an antipsychotic medication
23.1%
5% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
7% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
42% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
67% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
40% better 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.
Financial Trends
Historical financial and operational data for Delmar Gardens of O’fallon based on CMS SNF Cost Reports.
Occupancy Rate
66.8%
↑ 7.0pp vs 2023
Net Income
$470.6K
↑ ~$1.1M vs 2023
Total Payroll
$10.8M
↑ ~$1.1M vs 2023
Profit Margin
2.0%
↑ 5.3pp vs 2023
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