Total health inspections
8
Missouri average 6.6
Last Health inspection on Apr 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Delmar Gardens West
Nursing Home
Delmar Gardens West
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Proprietary home
Other
Home revenue
$26.2M
Operating loss
-$1.2M
Proprietary home
Other
Home revenue
$26,202,617.00
Operating loss
$-1,150,368.00
Payroll costs
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
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265105
Certification type:
Medicare/Medicaid
County:
SAINT LOUIS COUNTY
Ownership & operating entity
Delmar Gardens West is administrated by RICHARD TAYLOR.
Owner name:
DELMAR GARDENS WEST OPERATING, LLC
Safety & Compliance
Grab Bars
Care Services
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Independent Living, Assisted Living, Memory Care, Short-Term Rehabilitation, Respite Care
Religious Services
Yes
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.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
-
10
-
+42%-2%+18%
Delmar Gardens West
+44%
+16%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63017-5812
321
No
-
TAYLOR, RICHARD
58.9%
$25,912,127.00
$10,467,080.00
40.4%
185.90
4.3494
2
30
2
+44%+16%-12%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
-
29
2
-2%+5%-67%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Pets Allowed:
No
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
53.70
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Delmar Gardens West
Type of care:
SNF
AL
Community:
MO 63017-5812
Bed Count:
321
Pets Allowed:
No
Operator:
TAYLOR, RICHARD
CCN:
265105
Occupancy:
58.9%
Home Revenue:
$25,912,127.00
Payroll Costs:
$10,467,080.00
Payroll %:
40.4%
Avg Residents/Day:
185.90
Overall Rating:
Adj Nurse Hours:
4.3494
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
30
Severe Citations:
2
RN share vs State Avg:
+44%
+44%
Staffing vs State Avg:
+16%
+16%
Occupancy vs State Avg:
-12%
-12%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%Places of interest near Delmar Gardens West
86.7 miles from city center
TOWN AND COUNTRY, MO 63017-5812
Calculate Travel Distance to Delmar Gardens West
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
523
Total Staff
182
Employees
341
Contractors
73,619
Total Hours (Quarter)
99
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 59 | 9.2 | Yes |
| Licensed Practical Nurse | 114 | 8.7 | Yes |
| Certified Nursing Assistant | 273 | 8.2 | Yes |
Staff by Category
Administration ⓘ
3 staff
7.5hs shift avg
Nursing Staff ⓘ
481 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
7 staff
7.3hs shift avg
Therapy Services ⓘ
20 staff
6.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
4 staff
7.2hs shift avg
Dietary Services ⓘ
6 staff
7.9hs shift avg
Other Services ⓘ
2 staff
8.6hs shift avg
Contractor Analysis
17.1%
of total hours from contractors
12,606 contractor hours this quarter
Certified Nursing Assistant: 181
Medication Aide/Technician: 5
Speech Language Pathologist: 3
Physical Therapy Assistant: 3
Licensed Practical Nurse: 83
Physical Therapy Aide: 4
Qualified Social Worker: 4
Registered Nurse: 48
Respiratory Therapy Technician: 6
Occupational Therapy Assistant: 3
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 92 | 181 | 273 | 34,953 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 31 | 83 | 114 | 12,559 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 27 | 5 | 32 | 9,197 | 91 | 100% | 8.6 |
| Registered Nurse | 11 | 48 | 59 | 4,920 | 90 | 99% | 9.2 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,111 | 90 | 99% | 7.9 |
| RN Director of Nursing | 3 | 0 | 3 | 1,568 | 81 | 89% | 8.7 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,403 | 66 | 73% | 6.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,105 | 75 | 82% | 7.3 |
| Administrator | 2 | 0 | 2 | 994 | 77 | 85% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 963 | 67 | 74% | 7.2 |
| Dental Services Staff | 2 | 0 | 2 | 840 | 69 | 76% | 8.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 619 | 61 | 67% | 7 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 606 | 84 | 92% | 5.3 |
| Dietitian | 1 | 0 | 1 | 477 | 59 | 65% | 8.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 437 | 64 | 70% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 57 | 63% | 7.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 210 | 29 | 32% | 7.2 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 194 | 31 | 34% | 5.9 |
| Medical Director | 0 | 1 | 1 | 39 | 13 | 14% | 3 |
Health Inspection History
Inspections
Total health citations
30
Citations per inspection
3.75
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
Apr 11, 2025
Corrected
Nutrition moderate citation
Apr 11, 2025
Corrected
Pharmacy moderate citation
Apr 11, 2025
Corrected
Pharmacy moderate citation
Apr 11, 2025
Corrected
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: DELMAR GARDENS ENTERPRISES
Resident Census by Payment Source
180
Total Residents
Medicare
17
(9.4%)
ⓘ
Medicaid
138
(76.7%)
ⓘ
Private Pay/Other
25
(13.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Missouri Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Delmar Gardens West
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
