Delmar Gardens West

Nursing Home, Assisted Living, Hospice Care, Independent Living, Memory Care & Palliative Care · Town And Country, MO

CMS overall rating

13550 South Outer 40 Rd, Town And Country, MO 63017-5812 View map

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Delmar Gardens West accepts Medicare, Medicaid, and private pay.

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Delmar Gardens West accepts Medicare, Medicaid, and private pay.

Overview of Delmar Gardens West

Delmar Gardens West is a 321-bed nursing community located on South Outer 40 Road in Town and Country, Missouri, under operator Delmar Gardens West Operating, LLC and administrator Richard Taylor. Financial frameworks process accounts across multiple standard streams, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding suburban area holds a walkability score of 3 out of 100, indicating a car-dependent layout where family members will depend on a vehicle for all transit to the campus.

Data profiles track a current resident census of 189 individuals with an average length of stay of 26 days, confirming a rapid clinical focus on short-term post-hospital rehabilitation rather than traditional long-term placements. To handle regular physical conditioning and direct medical needs, the 24-hour staffing schedule organizes an average of 4 hours and 21 minutes of total nursing care per resident each day. This shared workload supplies consistent clinical oversight across all shifts to monitor therapeutic recovery goals.

Records from state health departments monitor the property’s recurring regulatory compliance files through scheduled safety reviews. Public inspection charts verify that the building’s everyday operational logs and nursing documentation remain within standard legal boundaries, keeping the facility’s long-term cumulative citations-per-inspection rate at zero.

Families can evaluate a dedicated rehabilitation infrastructure featuring an on-staff physician, temporary respite care tracks, and physical, occupational, and speech therapy loops. The campus accommodates residents in private or semi-private layouts equipped with emergency call buttons and safety grab bars, alongside a beauty salon, central dining space, and dedicated activity rooms.

Facility Direct Line (314) 878-1330 info@delmargardens.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 21m per day

vs avg

2 of 6 metrics below state avg

Standout metric Weekend RN is +15% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	25m per day	▼ 9% State avg: 28m per day · National avg: 41m per day
LPN / LVN 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.	45m per day	▲ 10% State avg: 41m per day · National avg: 52m per day
Nurse Aide 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.	2h 25m per day	▲ 4% State avg: 2h 19m per day · National avg: 2h 20m per day
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 26m per day	▲ 12% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist 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.	2m per day	▼ 18% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	23m per day	▲ 15% State avg: 20m per day · National avg: 28m per day

Capacity and availability

26 days

321-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 3 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

56%

Lower than the Missouri average: 66.6%

Occupied beds

181 / 321

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceFebruary 1, 2025

ExpirationJanuary 31, 2027

CountySaint Louis County

License Number052469

CMS Certification Number265105

Certification TypeMedicare / Medicaid

Delmar Gardens West is legally operated by Delmar Gardens West Operating, Llc, and administered by Richard Taylor.

Corporate EntityDELMAR GARDENS WEST OPERATING, LLC

Owner NameDelmar Gardens West Operating, LLC

Skilled Nursing Facility

321 units

Total beds

321 units

Grab Bars

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

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

Religious Services

Since 2018 · 8 years of data 148 deficiencies 21 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection April 11, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	148	35	This facility has 323% more total deficiencies than a typical Missouri assisted living residence (148 vs. MO avg 35).↑ 323% worse
Deficiencies per year Average deficiencies per year since 2018.	18.5	4.4	This facility has 320% more deficiencies per year than a typical Missouri assisted living residence (18.5 vs. MO avg 4.4).↑ 320% worse
Deficiencies per inspection Average deficiencies per inspection.	7	5	This facility has 40% more deficiencies per inspection than a typical Missouri assisted living residence (7 vs. MO avg 5).↑ 40% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	21	7	This facility has 200% more total inspections than a typical Missouri assisted living residence (21 vs. MO avg 7).↑ 200% worse

Show Inspection Reports

Inspections since 2020

Total health inspections 8

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

3.75

State average N/A

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 6 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

1 serious citation State average: N/A

28 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 6 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

Total staff 358

Employees 171

Contractors 187

Staff to resident ratio 1.99 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 91

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 69,774

Nursing staff breakdown

9.6 hours

8.6 hours

163

8.1 hours

Contractor staffing

8,029 contractor hours this quarter

Certified Nursing Assistant: 79 Licensed Practical Nurse: 60 Registered Nurse: 27 Respiratory Therapy Technician: 4 Speech Language Pathologist: 4 Qualified Social Worker: 4 Physical Therapy Aide: 3 Occupational Therapy Assistant: 3 Physical Therapy Assistant: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	84	79	163	29,646	92	100%	8.1
Medication Aide/Technician	23	0	23	11,080	92	100%	8.9
Licensed Practical Nurse	28	60	88	10,839	92	100%	8.6
Registered Nurse	15	27	42	5,458	92	100%	9.6
Other Dietary Services Staff	5	0	5	2,173	89	97%	8.2
RN Director of Nursing	3	0	3	1,837	85	92%	9.3
Physical Therapy Aide	0	3	3	1,378	68	74%	7.3
Clinical Nurse Specialist	4	0	4	1,224	75	82%	7.3
Qualified Social Worker	0	4	4	1,138	70	76%	7.9
Administrator	2	0	2	981	78	85%	8.2
Speech Language Pathologist	0	4	4	908	67	73%	7.2
Dental Services Staff	2	0	2	808	66	72%	8.3
Physical Therapy Assistant	0	2	2	521	65	71%	7.9
Dietitian	1	0	1	497	60	65%	8.3
Respiratory Therapy Technician	0	4	4	463	73	79%	6.1
Nurse Practitioner	1	0	1	442	58	63%	7.6
Occupational Therapy Assistant	0	3	3	184	28	30%	6.3
Occupational Therapy Aide	2	0	2	170	24	26%	7.1
Medical Director	0	1	1	24	23	25%	1.1
Nurse Aide in Training	1	0	1	7	1	1%	6.5

163 Certified Nursing Assistant

% of Days 100%

23 Medication Aide/Technician

% of Days 100%

88 Licensed Practical Nurse

% of Days 100%

42 Registered Nurse

% of Days 100%

5 Other Dietary Services Staff

% of Days 97%

3 RN Director of Nursing

% of Days 92%

3 Physical Therapy Aide

% of Days 74%

4 Clinical Nurse Specialist

% of Days 82%

4 Qualified Social Worker

% of Days 76%

2 Administrator

% of Days 85%

4 Speech Language Pathologist

% of Days 73%

2 Dental Services Staff

% of Days 72%

2 Physical Therapy Assistant

% of Days 71%

1 Dietitian

% of Days 65%

4 Respiratory Therapy Technician

% of Days 79%

1 Nurse Practitioner

% of Days 63%

3 Occupational Therapy Assistant

% of Days 30%

2 Occupational Therapy Aide

% of Days 26%

1 Medical Director

% of Days 25%

1 Nurse Aide in Training

% of Days 1%

View All Staffing Data

Total fines amount $23K

69% lower than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $23K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Apr 2, 2024

$14K

Civil Money Penalty Jul 21, 2023

$8K

Last updated: Jan 2026

High-risk clinical events score 9.0

18% better than State average

State average: 10.9

Functional decline score 12.8

34% better than State average

State average: 19.5

Long-stay resident measures

Average State avg: 2.7

Need for Help with Daily Activities Increased 14.4%

27% better than State average

State average: 19.8%

Walking Ability Worsened 17.3%

16% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 6.7%

63% better than State average

State average: 18.1%

Falls with Major Injury 3.2%

20% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.9%

In line with State average

State average: 5.0%

Urinary Tract Infection 3.1%

13% worse than State average

State average: 2.7%

Lost Too Much Weight 5.0%

10% better than State average

State average: 5.6%

Depressive Symptoms 0.7%

94% better than State average

State average: 12.8%

Antipsychotic Use 23.3%

6% worse than State average

State average: 22.0%

Pneumococcal Vaccine 88.7%

In line with State average

State average: 85.2%

Influenza Vaccine 93.5%

In line with State average

State average: 90.9%

Hospitalizations per 1,000 days 1.24

40% better than State average

State average: 2.08

ED visits per 1,000 days 0.86

63% better than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 83.0%

25% better than State average

State average: 66.6%

Antipsychotic medication increase 2.2%

In line with State average

State average: 2.2%

Influenza Vaccine 74.9%

18% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 24.5%

In line with State average

State average: 25.3%

Emergency department visits 8.9%

34% better than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 26.1%

51% worse than State average

State average: 53.7%

Successful return to home or community 47.1%

7% worse than State average

State average: 50.6%

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

Total residents 180

Medicare

9.4% of residents

Medicaid

138

76.7% of residents

Private pay or other

13.9% of residents

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.

Financial Trends

Historical financial and operational data for Delmar Gardens West from 2012–2024, based on CMS SNF Cost Reports.

Occupancy Rate 58.9% ↑ 0.9pp vs 2023

Net Patient Income -$1.4M ↑ ~$1.2M vs 2023

Payroll Costs $12.1M ↑ ~$1.8M vs 2023

Operating Margin -7.1% ↑ 9.2pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	83.8%	83.0%	82.4%	82.0%	81.7%	82.4%	80.8%	78.4%	75.8%	65.0%	55.0%	58.0%	58.9%
Beds	321	321	321	321	321	321	321	321	321	321	321	321	321
Net Income	$370,682	$278,207	$206,378	$87,539	-$27,677	$159,496	-$989,769	-$581,712	-$75,322	$840,741	-$664,953	-$2,106,945	-$1,150,368
Gross Revenue	$26,768,895	$27,049,041	$27,696,458	$27,550,236	$28,771,367	$29,288,043	$30,202,064	$29,941,429	$29,080,464	$26,528,594	$23,257,239	$24,064,095	$25,912,127
Operating Expenses	$19,404,794	$19,903,358	$19,951,307	$19,921,018	$20,286,148	$20,550,766	$21,545,057	$20,691,763	$19,503,368	$18,077,549	$16,434,038	$18,599,019	$21,707,912
Net Patient Income	$166,704	$97,519	$42,163	-$78,995	-$179,683	-$120,169	-$1,401,558	-$1,012,115	-$550,900	-$976,872	-$1,358,498	-$2,606,501	-$1,440,858
Net Patient Revenue	$19,571,498	$20,000,877	$19,993,470	$19,842,023	$20,106,465	$20,430,597	$20,143,499	$19,679,648	$18,952,468	$17,100,677	$15,075,540	$15,992,518	$20,267,054
Payroll Costs	$10,132,928	$10,438,961	$10,486,120	$10,707,974	$10,890,439	$10,901,914	$11,934,261	$11,267,559	$10,850,682	$9,741,352	$8,726,466	$10,325,789	$12,127,969
Operating Margin %	0.9%	0.5%	0.2%	-0.4%	-0.9%	-0.6%	-7.0%	-5.1%	-2.9%	-5.7%	-9.0%	-16.3%	-7.1%
Medicare %	7.9%	7.9%	6.9%	6.0%	5.3%	5.2%	5.3%	4.9%	3.9%	5.2%	4.0%	4.6%	2.4%
Medicaid %	69.0%	69.0%	71.7%	75.9%	77.8%	77.1%	75.0%	80.0%	84.3%	81.1%	78.3%	79.9%	83.5%
Private %	23.1%	23.2%	21.5%	18.0%	16.9%	17.7%	19.7%	15.0%	11.8%	13.8%	17.7%	15.6%	14.1%
Net Patient Revenue/Day	$199	$206	$207	$206	$209	$212	$213	$214	$213	$224	$234	$235	$293
Cost/Day	$197	$205	$207	$207	$211	$213	$228	$225	$219	$237	$255	$274	$314
Avg Length of Stay	20.8 days	17.8 days	27.7 days	32.3 days	33.0 days	34.0 days	43.7 days	36.9 days	32.7 days	226.7 days	170.5 days	139.9 days	26.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Net patient revenue

$20.3M

Net patient income

-$1.4M

For-profit Corporation

Net patient revenue

$20.3M

Net patient income

-$1.4M

Other income

$290.5K

Payroll costs

$12.1M 59.8% of net patient revenue

Other operating costs

$9.6M

Total costs

$21.7M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (54% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Coverage residents most often arrive under.

Medicare 17%

Private pay 28%

Medicaid 54%

Coverage residents most often leave under.

Medicare 18%

Private pay 38%

Medicaid 44%

0.0 miles from city center Estimated distance in miles from Town And Country's city center to Delmar Gardens West's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Delmar Gardens West	NH AL HC IL MC PC	Town And Country (College Park Drive)	-	321	-	3	-
Breeze Park – Lutheran Senior Services	NH AL IL MC	Weldon Spring	-	50	A+	2	1 Bed / 2 Bed
John Knox Village	NH AL HC IL MC RC	Lee's Summit	-	408	A+	58	1 Bed / 2 Bed
Ignite Medical Resort Blue Springs	NH PC	Blue Springs	-	90	-	68	-
Moore-Few Care Center	NH HC MC PC RC	-	-	108	-	39	Private Suites

Nursing Home Explorer

What neighborhood is Delmar Gardens West in?

Delmar Gardens West is in the College Park Drive neighborhood of TOWN AND COUNTRY.

Who is the owner of Delmar Gardens West?

Delmar Gardens West is legally operated by Delmar Gardens West Operating, Llc, and administered by Richard Taylor.

Is Delmar Gardens West in a walkable area?

Delmar Gardens West has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Delmar Gardens West?

According to MO state health department records, Delmar Gardens West's license number is 052469.

When does Delmar Gardens West's license expire?

According to MO state health department records, Delmar Gardens West's license expires on January 31, 2027.

What is the occupancy rate at Delmar Gardens West?

Delmar Gardens West's occupancy is 56%.

Does Delmar Gardens West operate as a for-profit or non-profit?

Delmar Gardens West is registered as a for-profit in MO.

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Delmar Gardens West

Overview of Delmar Gardens West

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Safety & Compliance

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Contact Delmar Gardens West

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

163 Certified Nursing Assistant

23 Medication Aide/Technician

88 Licensed Practical Nurse

42 Registered Nurse

5 Other Dietary Services Staff

3 RN Director of Nursing

3 Physical Therapy Aide

4 Clinical Nurse Specialist

4 Qualified Social Worker

2 Administrator

4 Speech Language Pathologist

2 Dental Services Staff

2 Physical Therapy Assistant

1 Dietitian

4 Respiratory Therapy Technician

1 Nurse Practitioner

3 Occupational Therapy Assistant

2 Occupational Therapy Aide

1 Medical Director

1 Nurse Aide in Training

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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