Delmar Gardens of Chesterfield

Name: Delmar Gardens of Chesterfield
Address: 14855 NORTH OUTER 40 ROAD, Chesterfield, MO, 63017, US
Telephone: 6365320150

14855 North Outer 40 Road, Chesterfield, MO 63017 · St. Louis County · 227 certified beds · avg 173 residents/day · certified since May 26, 1982

Part of chain: DELMAR GARDENS (12 facilities, chain avg rating 2.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.10

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 6, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 6, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 6, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Aug 6, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 6, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Aug 6, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 6, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 10, 2025	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Feb 15, 2024	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
Feb 15, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 15, 2024	E · Potential for harm, repeated	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Feb 15, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Nov 22, 2021	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 22, 2021	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 22, 2021	E · Potential for harm, repeated	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 7).

Year	Citations	Worst severity that year
2021	15	E
2024	15	F
2025	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.10	3.66	3.95	top 30% in Missouri; top 36% in the U.S.
Registered Nurse hours	0.26	0.49	0.69	bottom 20% in Missouri; bottom 6% in the U.S.
Weekend total nurse staffing	3.72	3.22	3.50	top 25% in Missouri; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.12	0.33	0.48	bottom 7% in Missouri; bottom 3% in the U.S.
Total nursing staff turnover (%)	48.8	56.0	45.8	top 30% in Missouri; bottom 40% in the U.S.
RN turnover (%)	64.3	47.8	42.9	bottom 26% in Missouri; bottom 16% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.77, RN 0.24, weekend 3.42. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Delmar Gardens Enterprises INC	Organization	5% or Greater Direct Ownership Interest	100%	02/18/2005
Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara	Organization	5% or Greater Indirect Ownership Interest	8%	02/18/2005
George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara	Organization	5% or Greater Indirect Ownership Interest	8%	02/18/2005
Goldberg-Nom LLC	Organization	5% or Greater Indirect Ownership Interest	25%	02/18/2005
Grossberg, Gabe	Individual	5% or Greater Indirect Ownership Interest	16%	02/18/2005
Grossberg, George	Individual	5% or Greater Indirect Ownership Interest	11%	02/18/2005
Non-Gst Family Trust Est U/W of Israel Goldberg Fbo Janice Bitanski	Organization	5% or Greater Indirect Ownership Interest	6%	04/10/2013
Non-Gst Family Trust Established U/W of Israel Goldberg Fbo Harry Zvi	Organization	5% or Greater Indirect Ownership Interest	6%	04/10/2013
Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman	Organization	5% or Greater Indirect Ownership Interest	6%	04/10/2013
Delmar Gardens Management Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2005
Grossberg, Gabe	Individual	Corporate Officer	NOT APPLICABLE	02/18/2005
Marx, Kenneth	Individual	W-2 Managing Employee	NOT APPLICABLE	05/01/2022
Marx, Kenneth	Individual	Corporate Officer	NOT APPLICABLE	06/11/2019
Nallabelli, Kavitha	Individual	W-2 Managing Employee	NOT APPLICABLE	04/29/2019
Oppenheimer, Howard	Individual	Corporate Officer	NOT APPLICABLE	02/18/2005

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Garden View Care Center of Chesterfield	0.8 mi	Chesterfield, MO	★★★★☆	4/5
Friendship Village Chesterfield	1.0 mi	Chesterfield, MO	★★★★★	4/5
Westchester House, the	1.4 mi	Chesterfield, MO	★★☆☆☆	2/5
Mason Pointe Care Center	1.7 mi	Chesterfield, MO	★★★★★	5/5
Delmar Gardens West	1.7 mi	Town and Country, MO	★★☆☆☆	3/5
Surrey Place St Lukes Hospital Skilled Nursing	2.0 mi	Chesterfield, MO	★★★★☆	3/5
Brooking Park	2.6 mi	Chesterfield, MO	★★★☆☆	3/5
Delmar Gardens on the Green	3.1 mi	Chesterfield, MO	★★☆☆☆	3/5
Athene Nursing and Rehabilitation	3.2 mi	Town and Country, MO	★☆☆☆☆	1/5	abuse
Manchester Rehab and Healthcare Center	4.7 mi	Ballwin, MO	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Chesterfield →

Facility data as of CMS processing date 2026-08-01. CCN 265170.

The Care File

Visit checklist — Delmar Gardens of Chesterfield

14855 North Outer 40 Road, Chesterfield, MO 63017 · 6365320150

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265170 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)