Delmar Gardens On The Green

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

41.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 49 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 83.3 residents a day — about 69% occupied, or roughly 37 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.38 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.40 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.19 hrs/resident/day on weekends vs 4.46 on weekdays — 6% thinner on weekends. RN hours go from 0.41 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2024-10-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure professional standards of practice where met, when staff failed to transcribe one resident's new treatment order onto the electronic treatment administration record (eTAR), resulting in the new treatment order not being administered from 7/24/24 to 8/2/24 as ordered by the physician for one resident (Resident #8) resulting in the wound showing signs and symptoms of infection. The sample was 18. The census was 96 with 83 residents in certified beds. Review of the facility's Following Physician Orders Policy, dated June 29, 2021, showed: -Purpose: It is the policy of the community to ensure that all Licensed Professional Nurses (Registered Nurse (RN)/Licensed Practical Nurse (LPN)/ Licensed Vocational Nurse (LVN)) and other healthcare professionals, follow physician orders in accordance with state, federal regulations, and their respective practice acts; -Procedure: -All physician orders will be followed as prescribed and if not followed, the reason shall be recorded on the resident's medical record; -All physician or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-10-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure one resident was free from verbal abuse and intimidation (Resident #1). On 8/19/23 between 3:30 P.M. and 4:30 P.M., during medication pass, Certified Medication Technician (CMT B) was observed by Certified Nurse Aide (CNA) C and Nurse A standing chest to chest with the resident, yelling/cursing at the resident, and/or throwing a towel at the resident. CMT B initially refused to leave the resident's room when Nurse A instructed him/her to do so and continued to yell and curse at the resident who was visibly upset. Furthermore, the facility failed to follow their policy, state and federal regulations when staff failed to ensure CMT B was removed from the building when he/she was seen by staff sitting in the resident smoking area and walking through the building unsupervised. The census was 103. Review of the facility's Freedom from Abuse, Neglect and Exploitation Policy, most recently revised in 9/2022, showed: -Resident Safety Position Statement: It is the policy to maintain a living environment that is professional…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to obtain and document initial and weekly measurements of pressure ulcers (localized damage to the skin and/or underlying soft tissue, usually over a bony prominence or related to a medical or other device) for one resident (Resident #4). The sample was 8. The census was 118.The Administrator was notified on 11/26/25 of the past non-compliance. The facility has changed their process on how they assess residents at risk for pressure ulcers, as well as their process to document measurements of wounds for residents at risk. Staff were in-serviced on the new process. The deficiency was corrected on 11/17/25. Review of the facility's Pressure Injury Prevent and Wound Documentation policy, dated October 2025, showed:-Purpose: To establish clear guidelines for the prevention, early identification, and management of pressure ulcers (also known as pressure injuries or bed sores) and all residents, thereby promoting skin integrity and improving quality of care;…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-07-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow the physician's order when nursing staff on multiple occasions did not collect a physician ordered urine sample from a resident who had been admitted to the facility with a urinary tract infection (UTI) and who had a history of recurrent UTIs. The sample size was 3. The census was 111.Review of the facility's Following Physician Orders policy, effective date 6/29/25, showed:-Purpose: It is the policy of the community to ensure that all Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN) and other healthcare professionals, follow physician orders in accordance with State, Federal regulations and their respective practice acts;-Procedure: -All physician orders will be followed as prescribed and if not followed, the reason shall be recorded on the residents medical record; -If an order is questionable according to the seven rights of medication administration, a clarification order will be obtained; -All physician…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-07 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to conduct a thorough investigation after a facility nurse discovered a resident (Resident #1), who was confused, with a bruise on his/her chest, an abrasion above his/her right eye, a skin tear on his/her nose and an abrasion on his/her right elbow. The resident could not tell the nurse how he/she sustained the injuries. The sample was 3. The census was 105. Review of the facility's Injury of Unknown Source policy, revised May 2021, showed: -Indicators of physical abuse may include but are not limited to: -Bruises and/or hematomas; -Injuries of unknown source-no abuse/neglect suspected; -If a logical/reasonable explanation of the source of the injury cannot be determined, notify your local state agency within two hours of discovery; -Staff must provide a statement as to their knowledge or lack of knowledge of the injury; -The resident's physician must be notified; -The resident's representative must be notified; -A complete body assessment must be completed on the resident. Review of the facility's Post Fall Assessment…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure all residents were treated in a manner to maintain dignity when staff left a resident exposed and visible from the hallway (Resident #10) and another resident in a hospital gown in the main dining room (Resident #21). In addition, staff failed to ensure two residents' (Resident #8 and #285) catheter bags (urine drainage bag) were not visible in the hallway from the residents' rooms. Staff also entered resident rooms without knocking (Resident #30 and #46). The sample size was 18. The census was 96 with 83 in certified beds. Review of the facility's undated Resident's Rights policy, showed: -Dignity and Respect: Your right to be treated with dignity and respect is the foundation on which all other resident rights and responsibilities are based. You have a right to expect that we will: -Treat you as an individual and assist you in getting the most out of the programs and services we offer; -Make sure your surroundings are safe, clean…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide residents with a transfer notice when transferred to the hospital, for seven of seven residents investigated for hospital transfers (Residents #12, #45, #20, #43, #32, #81, and #8). The Census was 96 with 83 residents in certified beds. Review of the facility's undated Residents' Rights Policy, showed: -Admission, Transfer, discharge: The residents have the right to due notice of the reasons for transfer or discharge if such occurrence takes place. 1. Review of Resident #12's quarterly Minimum Data Set (MDS), a federally mandated assessment instrument completed by the facility staff, dated 9/13/24, showed: -Should a brief interview for mental status be conducted? No; -Both long-term and short-term memory loss; -Diagnoses included: heart failure, high blood pressure, obstructive uropathy (disorder of the urinary tract that occurs due to obstructed urinary flow), stroke, hemiplegia (paralysis of the arm, leg, and trunk on the same side of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0625 — pattern
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide written notice to the resident, or their legal representative of the facility bed hold policy at the time of transfer to the hospital, for seven of seven investigated residents for hospital transfers (Residents #12, #45, #20, #43, #32, #81 and #8). The Census was 96 with 83 residents in certified beds. Review of the facility's undated Bed Hold Policy, showed: -Purpose: to notify the resident or representative of the Bed-Hold Policy in writing at the time of admission, upon discharge or revision and when transferred to a hospital or during therapeutic leave, as well as the intent of readmission according to state and federal regulations; -Procedure: The facility will inform and give a written copy of this policy to the resident and/or representative upon admission. The facility will also give a copy of this policy to the resident and representative if transferred to a hospital or during therapeutic leave. In addition, the facility will call the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in a sufficient detail to enable accurate reconciliation. The facility failed to ensure accuracy and monitoring for controlled substances for one of four electronic narcotic counts reviewed. The census was 96 with 83 in certified beds. Review of the facility's Medication Administration policy, effective date January 2021, showed: -All inventoried drugs are to be counted by licensed/certified personnel at each shift change. Any discrepancy must be called to the attention of the Director of Nursing (DON). Review of the facility's electronic narcotic count system reviewed on 9/30/24 at 1:39 P.M., showed the electronic screen showed a count 120 tablets of tramadol (opioid) 50 milligrams (mg) and the card in the cart showed 114 tablets. During an interview on 9/30/24 at 1:39 P.M., the Certified Medication Technician (CMT) G said he/she mentioned to the DON that the count was not correct, and the count had been off since last Friday, 9/27/24. A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure a medication error rate of less than 5%. Out of 30 opportunities observed, five errors occurred resulting in a 16.67% error rate (Residents #50, #74, #19 and #26). The census was 96 with 83 residents in certified beds. Review of the facility's Insulin Administration via Pen Devices policy, effective date 5/21, showed: -Purpose: To safely administer insulin via pen devices according to physician orders and the facility's Policy and Procedure recommendations; -Procedure: Prime the pen immediately before injection. Priming is dialing up two units of insulin and pressing the bottom on the pen to shoot some insulin into the air. You should see a drop of insulin at the end of the needle. More than one prime may be required for a new pen. Review of the facility's Following Physicians Orders, dated June 29, 2021, showed: -Purpose: It is the policy of the community to ensure that all Licensed Professional Nurses and other Healthcare Professionals, follow physician's orders in accordance to State, Federal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-04 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure drugs and biologicals were labeled and stored per acceptable standards of practice. Problems were noted in one of three identified facility medication rooms and in one of four medication administration carts. The facility census was 96 with 83 residents in certified beds. Review of the facility's Storage of Drugs policy, updated 12/21, showed: -Drugs and medications are to be stored in the original container in which they were received. Refrigerator, freezer, and control room will be available in the pharmacy for medications requiring specific storage; -No discontinued, outdated, or deteriorated drugs or medications are stored in the facility over thirty (30) days. Review of the facility's Pharmacy Responsibility, dated 12/20, showed: Date opened stickers will be attached to all multi-dose vials and other medications with time-limited use. 1. Observation on 9/30/24 at 11:08 A.M. of the facility's 300 Division medication room, showed: -One 3 milliliter (mL) bottle of True Metrix Control Solution (a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-04 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure the main kitchen floors, appliances and food storage areas were clean and free from debris. In addition, the facility failed to ensure outdated food was discarded. This affected all residents who ate at the facility. The census was 96 with 83 residents in certified beds. Review of the facility's undated Dining Services Clean-Sanitize-Disinfect policy, showed: -Policy: This facility will store, prepare, distribute and serve food under sanitary conditions to ensure proper cleanliness and food handling practices to prevent the outbreak of food-born illnesses is attained continuously; -Cleaning: The process of removing visible debris, dirt and dust and organize a space. Observation of the kitchen on 9/30/24 at 11:08 A.M., showed: -The floors throughout the entire kitchen contained white specs, dust, grease and water stains; -Two refrigerators in the preparation area were stained with debris on the doors of both refrigerators; -The prep table had several dirty dish rags on top. Several containers of various spices and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$46,589 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $46,589 — penalty dated 2024-10-04
• Medicare payment denial — starting 2024-11-12 for 8 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to DELMAR GARDENS — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO