Nursing home
Delmar Gardens of Chesterfield
14855 North Outer 40 Road, Chesterfield, MO 63017 · Map
For profit - Limited Liability company · Part of Delmar Gardens (13 facilities) · 227 certified beds
Delmar Gardens of Chesterfield is a Medicare-certified nursing home in Chesterfield, Missouri. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.88 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Aug 6, 2025 cited 9 deficiencies.
- 1 fine totaling $17,160In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Delmar Gardens of Chesterfield 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) | 3.88 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.25 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.79 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 51.1% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 9.0 | 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.
Penalties in CMS records: 1 fine totaling $17,160, 1 total penalty.
What inspectors found at Delmar Gardens of Chesterfield
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 · Aug 6, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Aug 6, 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 · Aug 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- 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 · Aug 6, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 15, 2024 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Feb 15, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 15, 2024 · Full report (PDF)
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
- 14855 North Outer 40 Road
Chesterfield, MO 63017 - CMS certification #
- 265170
- Ownership
- For profit - Limited Liability company
- Certified beds
- 227
- Avg residents/day
- 162.3
- Provider type
- Medicare and Medicaid
- First certified
- 1982-05-26
- 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 of Chesterfield using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2019, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Sep 4, 2012.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 12, 2019: referral inspection, partial (health). Case closed May 6, 2019. 4 violations cited (3 serious, 1 other). Penalties: $17,050 proposed, $11,936 now. OSHA record. OSHA recorded the employer as Delmar Gardens of Chesterfield.
Details
- Serious: Personal protective equipment (general) (1910.132(d)(1)). Penalty $8,525 proposed, $5,968 now. To be fixed by May 9, 2019.
- Serious: Personal protective equipment (general) (1910.132(f)(3)(iii)). Penalty $0 proposed, $0 now. To be fixed by May 9, 2019.
- Serious: Safe electrical work practices (1910.333(b)(2)(ii)(b)). Penalty $8,525 proposed, $5,968 now. To be fixed by May 9, 2019.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)). Penalty $0 proposed, $0 now. To be fixed by May 9, 2019.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St Lukes Hospital, Chesterfield. 2.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Garden View Care Center of Chesterfield, Chesterfield. 0.8 miles away, straight line.
- Nearest home health agency office
- Delmar Gardens Home Care Inc, Chesterfield. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Sam's Club Pharmacy. 2.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63017 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Ellisville Dialysis, Ellisville, 4.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Town And Country West Dialysis, Saint Louis, 4.6 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Creve Coeur Dialysis, Creve Coeur, 4.7 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 63017.
Pathways Hospice And Palliative Care, office in Chesterfield, 0.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
St Luke'S Hospice Services, office in Chesterfield, 2.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Bjc Hospice, office in Saint Louis, 4.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Physical Therapy Spine And Sports Medicine LLC, Ballwin. 4.3 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 moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave very high, earthquake relatively moderate. 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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively 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 of Chesterfield a good nursing home?
CMS gives Delmar Gardens of Chesterfield 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 of Chesterfield staffed?
Delmar Gardens of Chesterfield reports 3.88 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Delmar Gardens of Chesterfield had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Delmar Gardens of Chesterfield have?
Delmar Gardens of Chesterfield is certified for 227 beds.