Quick answers
- Where is Delmar Gardens North?
- 4401 Parker Road, Black Jack, MO 63033, in St. Louis County, Missouri.
- What is the phone number of Delmar Gardens North?
- (314) 355-1516, as listed by Medicare (CMS).
- What is the Medicare star rating of Delmar Gardens North?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Delmar Gardens North been fined?
- Medicare lists 1 fine totaling $39,299.
- What did inspectors find at Delmar Gardens North?
- In its last three inspection cycles (January 8, 2020 to November 17, 2025), Medicare lists 34 health citations; the most serious was level J. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 8, 2020 to November 17, 2025), Delmar Gardens North had 34 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $39,299 in total (1 fine, the latest on February 10, 2025). Nurse staffing is 3.79 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: November 17, 2025 — 6 health citations
Inspections in this cycle: November 17, 2025 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0761 Level E
“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.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
Previous cycle: October 6, 2023 — 10 health citations
Inspections in this cycle: October 6, 2023 (standard health inspection); December 26, 2024 (complaint investigation); February 10, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0867 Level D
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
Earlier cycle: January 8, 2020 — 18 health citations
Inspections in this cycle: January 8, 2020 (standard health inspection); October 6, 2023 (complaint investigation); November 2, 2023 (complaint investigation); July 26, 2024 (complaint investigation).
F0610 Level G
“Respond appropriately to all alleged violations.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 16 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0583 Level E
“Keep residents' personal and medical records private and confidential.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (23)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0500 Level F
“Meet other general requirements that are deficient.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0281 Level E
“Install proper backup exit lighting.”
K0351 Level E
“Install an approved automatic sprinkler system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0271 Level E
“Have exits that are accessible at all times.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Fines and payment denials
Total fines over about the last three years: $39,299 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 10, 2025 | Fine | $39,299 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.18 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.90 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.70 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.79 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.41 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.09 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 49.1% | 56.9% | 45.3% |
| RN turnover (per year) | 20.0% | 50.0% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 12 nursing homes: Delmar Gardens.
Legal business name: Delmar Gardens North Operating, LLC.
Owners and managers Medicare lists (10)
| Name | Role | Share | Since |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | Direct owner | 100% | April 16, 2003 |
| Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara | Indirect owner | 8% | April 16, 2003 |
| George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara | Indirect owner | 8% | April 16, 2003 |
| Goldberg-Nom LLC | Indirect owner | 25% | April 16, 2003 |
| Non-Gst Family Trust Est U/W of Israel Goldberg Fbo Janice Bitanski | Indirect owner | — | April 10, 2013 |
| Non-Gst Family Trust Established U/W of Israel Goldberg Fbo Harry Zvi | Indirect owner | — | April 10, 2013 |
| Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman | Indirect owner | — | April 10, 2013 |
| Grossberg, Gabe | Indirect owner | 16% | April 16, 2003 |
| Grossberg, George | Indirect owner | 11% | April 16, 2003 |
| Delmar Gardens Management Services Inc | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 2005 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 240 |
| Average residents per day | 174.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Delmar Gardens |
| Legal business name | Delmar Gardens North Operating, LLC |
| First approved by Medicare/Medicaid | 1988-05-17 |
| Part of a continuing care retirement community | Yes |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4401 Parker Road, Black Jack, MO 63033 |
| County | St. Louis County |
| State | Missouri |
| Phone | (314) 355‑1516 |
| CMS Certification Number | 265325 |
| Name in Medicare records | DELMAR GARDENS NORTH |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Lakeview Post Acute0.1 mi · Florissant, MO · 1 of 5 stars
- The Pillars of North County Health & Rehab Center1.0 mi · Florissant, MO · 2 of 5 stars
- Crestwood Health Care Center1.2 mi · Florissant, MO · 1 of 5 stars
- Atrium Place Health and Rehabilitation1.6 mi · Saint Louis, MO · 1 of 5 stars
- Christian Extended Care & Rehabilitation1.9 mi · Saint Louis, MO · 5 of 5 stars
Nearest hospital emergency rooms
- Christian Hospital Northeast2.3 mi · Saint Louis, MO · Acute Care Hospital
- SSM Health Depaul Hospital St Louis8.9 mi · Bridgeton, MO · Acute Care Hospital
- Gateway Regional Medical Center9.5 mi · Granite City, IL · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13