Occupancy rate
59%
In line with Missouri averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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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 West
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 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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
58.9%
Residents per day (avg)
186
Occupancy rate
58.9%
Residents per day (avg)
186
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
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
Privately-owned community
Home revenue
$26.2M
Operating loss
-$1.2M
Privately-owned community
Home revenue
$26,202,617.00
Operating loss
$-1,150,368.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$10.5M
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.
$16.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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
Occupancy
In line with Missouri averageOccupied beds
189 / 321
Average residents
72 per day
Facility TypeSnf
CountySAINT LOUIS COUNTY
CMS Certification Number265105
Certification TypeMedicare/Medicaid
Delmar Gardens West is administrated by Richard Taylor.
Owner NameDELMAR GARDENS WEST OPERATING, LLC
Grab Bars
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Skilled Nursing
24-Hour Staffing
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
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
Specific ProgramsSkilled Nursing, Rehabilitation, Independent Living, Assisted Living, Memory Care, Short-Term Rehabilitation, Respite Care
Religious ServicesYes
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.
Health Inspection History
Inspections
Total health inspections
8
Missouri average 6.6
Last Health inspection on Apr 2025
Total health citations
30
Missouri average 36.5
Citations per inspection
3.75
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 30 citations resulted from standard inspections; 9 of 30 resulted from complaint investigations; and 3 of 30 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
1 critical citation
1 serious citation
28 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 11, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 11, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 11, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 11, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 11, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 11, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 11, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 11, 2025
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
+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
-2%
0
10
3.3
0
54
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Delmar Gardens West
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.
TOWN AND COUNTRY
321
58.9%
-12%
4.35
+16%
2
30
3.8
2
186
-
Taylor, Richard
$25.9M
$10.5M
40.4%
265105
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
-
-
-
-
-
0
0
0.0
0
-
38
-
-
-
-
-
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
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Places of interest near Delmar Gardens West
86.7 miles from city center
13550 SOUTH OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5812
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
523
Employees
182
Contractors
341
Staff to resident ratio
2.91:1
70% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
99
Average shift
8.2 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
73,619
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
59
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
114
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 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
273
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
17.1%
12,606 contractor hours this quarter
Certified Nursing Assistant: 181
Licensed Practical Nurse: 83
Registered Nurse: 48
Respiratory Therapy Technician: 6
Medication Aide/Technician: 5
Physical Therapy Aide: 4
Qualified Social Worker: 4
Speech Language Pathologist: 3
Physical Therapy Assistant: 3
Occupational Therapy Assistant: 3
Medical Director: 1
Staff by category
| 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 |
273 Certified Nursing Assistant
% of Days
100%
114 Licensed Practical Nurse
% of Days
100%
32 Medication Aide/Technician
% of Days
100%
59 Registered Nurse
% of Days
99%
5 Other Dietary Services Staff
% of Days
99%
3 RN Director of Nursing
% of Days
89%
4 Physical Therapy Aide
% of Days
73%
6 Clinical Nurse Specialist
% of Days
82%
2 Administrator
% of Days
85%
4 Qualified Social Worker
% of Days
74%
2 Dental Services Staff
% of Days
76%
3 Speech Language Pathologist
% of Days
67%
6 Respiratory Therapy Technician
% of Days
92%
1 Dietitian
% of Days
65%
3 Physical Therapy Assistant
% of Days
70%
1 Nurse Practitioner
% of Days
63%
1 Occupational Therapy Aide
% of Days
32%
3 Occupational Therapy Assistant
% of Days
34%
1 Medical Director
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
180 residents
Residents by payment source
Medicare
17 residents (9.4%)
Medicaid
138 residents (76.7%)
Private pay or other
25 residents (13.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
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.
9.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
18% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
34% 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
14.4%
Percent of long-stay residents whose need for help with daily activities has increased
14.4%
27% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.3%
Percent of long-stay residents whose ability to move independently worsened
17.3%
16% 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
6.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.7%
63% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
20% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.9%
Percent of long-stay high risk residents with pressure ulcers
4.9%
In line with Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
13% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.0%
Percent of long-stay residents who lose too much weight
5.0%
10% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
94% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.3%
Percent of long-stay residents who received an antipsychotic medication
23.3%
6% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.7%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.5%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.0%
25% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
In line with Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.9%
18% 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.
Penalties and fines
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)
Total fines amount
$23K
69% lower than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$23K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 2, 2024
$14K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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