Nursing home
Delmar Gardens North
4401 Parker Road, Black Jack, MO 63033 · Map
For profit - Corporation · Part of Delmar Gardens (13 facilities) · 240 certified beds
Delmar Gardens North is a Medicare-certified nursing home in Black Jack, Missouri. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.75 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 17, 2025 cited 6 deficiencies.
- 1 fine totaling $39,299In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Delmar Gardens North compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.75 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.18 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.71 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 57.5% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 17, 2025 inspection was corrected by January 7, 2026
Penalties in CMS records: 1 fine totaling $39,299, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Delmar Gardens North
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Nov 17, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 26, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 26, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 26, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 26, 2024 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 2, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4401 Parker Road
Black Jack, MO 63033 - CMS certification #
- 265325
- Ownership
- For profit - Corporation
- Certified beds
- 240
- Avg residents/day
- 174.8
- Provider type
- Medicare and Medicaid
- First certified
- 1988-05-17
- Chain
- Delmar Gardens (13 facilities)
- Setting
- Urban
Part of Delmar Gardens
Delmar Gardens operates 13 nursing facilities across the United States. View all Delmar Gardens facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Delmar Gardens North using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Christian Hospital Northeast, Saint Louis. 2.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Lakeview Post Acute, Florissant. 0.1 miles away, straight line.
- Nearest home health agency office
- Life Fountain Health Care, Inc., Saint Louis. 1.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63033 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- North County Dialysis Center, Florissant, 0.4 miles away, straight line (CMS rating 2 of 5 stars)
Davita North St Louis County Dialysis, Florissant, 0.6 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - St Louis Northeast, Saint Louis, 1.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 63033.
Dover Hospice Mo Stl Metro, LLC, office in St Louis, 10.7 miles away, straight line
Acg Hospice, office in Saint Louis, 11.0 miles away, straight line
Unity Hospice Gsl, LLC, office in Saint Louis, 11.4 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Mercy Clinic East Communities, Hazelwood. 4.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave very high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Delmar Gardens North a good nursing home?
CMS gives Delmar Gardens North an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Delmar Gardens North staffed?
Delmar Gardens North reports 3.75 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Delmar Gardens North had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Delmar Gardens North have?
Delmar Gardens North is certified for 240 beds.