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Delmar Gardens of O'Fallon
7068 South Outer 364, O Fallon, MO 63368 (opens Google Maps) · St. Charles County · (636) 240-6100· 198 certified beds · avg 161 residents/day · certified since Dec 15, 2004 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: DELMAR GARDENS (12 facilities, chain avg rating 2.8★)
2/5
Health inspection rating (on-site)
inspected May 14, 2024
1
Serious findings on record
most recent Mar 19, 2025
$0
Fines, last 3 years
4.91
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Mar 19, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · Mar 19, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 11, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 39 inspection findings. Open the full record below to read every finding.
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. · from a complaint F-0759
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint F-0925
View all 39 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 5, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0759 |
| Mar 19, 2025 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Aug 23, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| May 14, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0760 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| May 14, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| May 14, 2024 | B · Potential for minimal harm, pattern | 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. · F-0625 |
| Mar 14, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Oct 27, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Oct 27, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Oct 27, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0638 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740 |
| Oct 27, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Oct 16, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0725 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Oct 16, 2019 | E · Potential for more than minimal harm, pattern | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · F-0809 |
| Oct 16, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Oct 16, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Oct 16, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 17).
All citationsSerious citations (G–L)
2019
All citations: 12
Serious citations (G–L): 0
2022
All citations: 6
Serious citations (G–L): 0
2024
All citations: 19
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 1
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 12 | 0 | F |
| 2022 | 6 | 0 | F |
| 2024 | 19 | 0 | F |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.91
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.44
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.79
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.91 | 3.66 | 3.95 | top 10% in Missouri; top 15% in the U.S. |
| Registered Nurse hours | 0.44 | 0.49 | 0.69 | top 46% in Missouri; bottom 28% in the U.S. |
| Weekend total nurse staffing | 4.79 | 3.22 | 3.50 | top 6% in Missouri; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.33 | 0.48 | top 45% in Missouri; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 42.7 | 56.0 | 45.8 | top 17% in Missouri; top 44% in the U.S. |
| RN turnover (%) | 14.3 | 47.8 | 42.9 | top 7% in Missouri; top 7% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.20, RN 0.37, weekend 4.11.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.20 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Delmar Gardens of O'Fallon. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Delmar Gardens Enterprises INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/24/2004 |
| Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara | Organization | 5% or Greater Indirect Ownership Interest | 8% | 09/24/2004 |
| George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara | Organization | 5% or Greater Indirect Ownership Interest | 8% | 09/24/2004 |
| Goldberg-Nom LLC | Organization | 5% or Greater Indirect Ownership Interest | 25% | 09/24/2004 |
| Grossberg, Gabe | Individual | 5% or Greater Indirect Ownership Interest | 16% | 09/24/2004 |
| Grossberg, George | Individual | 5% or Greater Indirect Ownership Interest | 11% | 09/24/2004 |
| 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 | 09/24/2004 |
| Marx, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 06/11/2019 |
| Oppenheimer, Howard | Individual | Corporate Officer | NOT APPLICABLE | 09/24/2004 |
| Reiter, Teresa | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/24/2004 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Delmar Gardens — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Delmar Gardens on the Green — Chesterfield, MO · overall 2/5
- Delmar Gardens South — Saint Louis, MO · overall 4/5
- Delmar Gardens West — Town and Country, MO · overall 2/5
- St. Joseph Villa Nursing Center — Omaha, NE · overall 1/5
- Delmar Gardens of Gwinnett — Lawrenceville, GA · overall 2/5
- Delmar Gardens of Smyrna — Smyrna, GA · overall 3/5
- Delmar Gardens of Lenexa — Lenexa, KS · overall 4/5
- Delmar Gardens of Overland Park — Overland Park, KS · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 47 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sunterra Springs Dardenne Prairie | 2.0 mi | Dardenne Prairie, MO | ★★☆☆☆ | 2/5 | |
| Garden View Care Center | 3.1 mi | O Fallon, MO | ★☆☆☆☆ | 1/5 | abuse |
| Cottages of Lake St Louis | 3.5 mi | Lake Saint Louis, MO | ★★★★☆ | 4/5 | |
| Abbey Senior Health | 3.7 mi | O Fallon, MO | ★★★☆☆ | 2/5 | abuse |
| Lutheran Senior Services at Breeze Park | 4.2 mi | Saint Charles, MO | ★★★★☆ | 3/5 | |
| St Peters Post Acute | 6.2 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort St Peters | 6.2 mi | Saint Peters, MO | —/5 | ||
| St Peters Rehab and Healthcare Center | 6.3 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| McClay Senior Care | 7.1 mi | Saint Peters, MO | ★★★☆☆ | 3/5 | |
| Aspen Point Health and Rehabilitation | 10.3 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 | |
| NHC Healthcare, St Charles | 10.3 mi | Saint Charles, MO | ★★★★☆ | 4/5 | |
| Delmar Gardens of Chesterfield | 11.2 mi | Chesterfield, MO | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in St. Charles, MO — 15 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Laurel Meadows Wellness & Rehabilitation — Saint Charles, MO · overall 2/5
- Lewis & Clark Gardens — Saint Charles, MO · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265792.
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