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Delmar Gardens North

4401 Parker Road, Black Jack, MO 630333143551516Ownership: For profit - CorporationCertified beds: 240Avg. daily residents: 177Chain: Delmar Gardens (12 facilities)County: St. Louis

The complete public record on Delmar Gardens North, a Medicare & Medicaid–certified nursing home in Black Jack, Missouri, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. Missouri average: 2.5 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Delmar Gardens North holds a 2-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $39,299 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.56 total nurse staff hours per resident per day
about the state average (3.43)
0.18 RN hours per resident per day
below the state average (0.46)
3.27 weekend nurse staff hours per resident per day
42.9% total nursing staff turnover
below the state average (56.0)
Not reported RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

November 17, 2025 most recent standard health inspection
6 health deficiencies cited in the most recent inspection cycle
below the state average (11.5)
15 health deficiencies in the two prior cycles combined
$39,299 in federal fines across 1 penalty (last 3 years)
above the state average ($36,698)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

34 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
November 17, 20250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E · Potential for more than minimal harm
November 17, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
November 17, 20250628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D · Potential for more than minimal harm
November 17, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D · Potential for more than minimal harm
November 17, 20250690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate…D · Potential for more than minimal harm
November 17, 20250693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a…D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.