01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-11 | 8 | 2025-04-11 | 6 |
| Cycle 2 | 2023-11-17 | 12 | 2023-11-17 | 11 |
| Cycle 3 | 2020-01-15 | 9 | 2020-01-15 | 5 |
CMS CCN 2651052026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Delmar Gardens West
13550 South Outer 40 Road · Town And Country, MO 63017 · St. Louis County
Certified beds321CMS provider file
Recent citation rows51current CMS citation release
Penalty rows1current 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
51 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-11 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-05-13 · complaint2025-04-11 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · HEALTHF0759Severity E · pattern; 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 · 2025-05-132025-04-11 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · 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 · 2025-05-132025-04-11 · 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 · 2025-05-132025-04-11 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-05-132025-04-11 · 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 · 2025-05-132024-10-09 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-10-30 · complaint2024-10-09 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-30 · complaint2024-08-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-10-30 · complaint2024-08-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-30 · complaint2024-08-21 · HEALTHF0925Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2024-10-04 · complaint2024-04-29 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-06-03 · complaint2024-04-29 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
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 · 2024-06-03 · complaint2024-04-02 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Past Non-Compliance · 2024-03-24 · complaint2023-11-17 · 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 · 2023-12-262023-11-17 · 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 · 2023-12-2603 / 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 |
|---|---|---|---|
| 2024-04-02 | Fine | $14,433 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DELMAR GARDENS ENTERPRISES INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/07/2003
- GABE GROSSBERG AND GEORGE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARAOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 03/07/2003
- GEORGE GROSSBERG AND GABE GROSSBERG, TRUSTEES OF THE HENRY AND BARBARAOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 03/07/2003
- GOLDBERG-NOM LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST25% · since 03/07/2003
- NON-GST FAMILY TRUST EST U/W OF ISRAEL GOLDBERG FBO JANICE BITANSKIOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 04/10/2013
- NON-GST FAMILY TRUST ESTABLISHED U/W OF ISRAEL GOLDBERG FBO HARRY ZVIOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 04/10/2013
- NON-GSTFAMILY TRUST EST U/W ISRAEL GOLDBERG FBO DIANE FREDMANOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 04/10/2013
- GROSSBERG, GABEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST16% · since 03/07/2003
- GROSSBERG, GEORGEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST11% · since 03/07/2003
- MARX, KENNETHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2022
- TAYLOR, RICHARDIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2015
- GROSSBERG, GABEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/07/2003
- MARX, KENNETHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/02/2019
- OPPENHEIMER, HOWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/07/2003
- DELMAR GARDENS MANAGEMENT SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2005
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 hours3.62per resident day
RN hours0.45per resident day
Weekend nurse hours3.52per resident day
Staff turnover42.4%CMS reported field
06 / LOCAL RECORDS
Open the Town And Country ledger →