Nursing home
Delmar Gardens of O'fallon
7068 South Outer 364, O Fallon, MO 63368 · Map
For profit - Limited Liability company · Part of Delmar Gardens (13 facilities) · 198 certified beds
Delmar Gardens of O'fallon is a Medicare-certified nursing home in O Fallon, Missouri. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.34 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on May 14, 2024 cited 18 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Delmar Gardens of O'fallon 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) | 4.34 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.10 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 43.3% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 18.0 | 12.0 | 9.5 | above 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.
What inspectors found at Delmar Gardens of O'fallon
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 medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 5, 2026 · Full report (PDF) - Actual 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 · Mar 19, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Aug 23, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 14, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · May 14, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 14, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · May 14, 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 · May 14, 2024 · Full report (PDF) - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · May 14, 2024 · Full report (PDF) - 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 · May 14, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · May 14, 2024 · 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 · May 14, 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
- 7068 South Outer 364
O Fallon, MO 63368 - CMS certification #
- 265792
- Ownership
- For profit - Limited Liability company
- Certified beds
- 198
- Avg residents/day
- 154.8
- Provider type
- Medicare and Medicaid
- First certified
- 2004-12-15
- 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 O'fallon using Google Maps.
Other public records
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 Jan 4, 2021.
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.
Location and nearby care
- Nearest hospital with an emergency room
- Progress West Hospital, Ofallon. 3.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Sunterra Springs Dardenne Prairie, Dardenne Prairie. 2.0 miles away, straight line.
- Nearest home health agency office
- Angels Care Home Health, Saint Peters. 6.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Dierbergs Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63368 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita O'Fallon Missouri Dialysis, O Fallon, 3.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Lake St Louis Dialysis, Lake Saint Louis, 4.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Lake St. Louis Home At Home, Lake Saint Louis, 4.8 miles away, straight line - Hospice
- 27 Medicare hospices tell CMS they serve ZIP code 63368.
Solace Hospice Care, LLC, office in O'Fallon, 4.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
St Croix Hospice, office in Saint Peters, 6.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Ssm Health At Home Hospice, office in Wentzville, 9.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Charles. 10.3 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 very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. 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 | 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 of O'fallon a good nursing home?
CMS gives Delmar Gardens of O'fallon an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Delmar Gardens of O'fallon staffed?
Delmar Gardens of O'fallon reports 4.34 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Delmar Gardens of O'fallon had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Delmar Gardens of O'fallon have?
Delmar Gardens of O'fallon is certified for 198 beds.