01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-13 | 9 | 2024-11-13 | 10 |
| Cycle 2 | 2023-06-30 | 11 | 2023-06-30 | 10 |
| Cycle 3 | 2019-10-11 | 28 | 2019-10-11 | 9 |
CMS CCN 2653922026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Delhaven Manor
5460 Delmar Blvd · Saint Louis, MO 63112 · St. Louis City County
Certified beds156CMS provider file
Recent citation rows77current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
77 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 22 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-16 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-04-03 · complaint2024-11-13 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · HEALTHF0569Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0570Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0574Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-13 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-082024-11-13 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREK0531Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREK0741Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-11-13 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-12-282024-08-14 · HEALTHF0839Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Correction field: Deficient, Provider has date of correction · 2024-08-21 · complaint2024-08-14 · HEALTHF0850Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Correction field: Deficient, Provider has date of correction · 2024-08-21 · complaint2024-07-10 · HEALTHF0740Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2024-08-02 · complaint2024-06-17 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-06-28 · complaint2024-06-17 · HEALTHF0839Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Correction field: Deficient, Provider has date of correction · 2024-08-21 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-06-17 | Fine | $73,048 | 0 |
| 2024-06-17 | Payment Denial | $0 | 5 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CIRCLE B ENTERPRISES HOLDING COMPANY INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/07/2002
- BEDELL, DONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/07/2002
- BEAIRD, TODDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2022
- BEDELL, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/07/2002
- AGH1 LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2016
- SOVEREIGN HEALTHCARE GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/23/2021
- BEDELL, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/07/2002
- JACKSON, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/15/2024
- LABONTE, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2005
- BEDELL, BRYANIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 06/02/2025
- AGH1 LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/25/2025
- CIRCLE B ENTERPRISES HOLDING COMPANY INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/07/2002
- FG LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/02/2016
- FORVIS MAZARS LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/16/2021
- MID STATES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2010
- SOVEREIGN HEALTHCARE GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/06/2025
- VAN DE VEN LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2000
- BEAIRD, TODDIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours7.18per resident day
RN hours0.35per resident day
Weekend nurse hours5.91per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Saint Louis ledger →Other published facilities nearby
Amberwood Estates Nursing And Rehabilitation115 beds · CMS overall 1/5101 citation rowsAtrium Place Health And Rehabilitation120 beds · CMS overall 1/576 citation rowsBarnes-Jewish Extended Care120 beds · CMS overall 3/541 citation rowsBeauvais Rehab And Healthcare Center184 beds · CMS overall 1/580 citation rowsBernard Care Center141 beds · CMS overall 1/597 citation rowsBethesda Dilworth350 beds · CMS overall 3/538 citation rowsBethesda Southgate130 beds · CMS overall 5/532 citation rowsBlue Circle Rehab And Nursing90 beds · CMS overall 2/5104 citation rows