Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Delmar Gardens South during CMS and state inspections, most recent first.
The facility failed to label and store medications properly, as insulin pens were not dated when removed from refrigeration, and narcotic medications were not consistently double-locked. Observations revealed insulin pens without dates and an unattended, unlocked medication cart with an unsecured narcotic box. Staff interviews confirmed the expectation for proper labeling and locking procedures, which were not followed.
A resident with cognitive impairment and mobility issues fell and sustained injuries after a CNA failed to follow the facility's transfer protocol, which required two-person assistance. The CNA, unfamiliar with the facility's system indicating transfer needs, attempted to provide care alone, resulting in the resident rolling out of bed and hitting their head.
The facility did not post the results of the most recent survey and complaint investigations in an accessible location for residents, family members, and visitors. Observations showed no visible survey results or signs at the entrance, lobby, or receptionist desk. Residents were largely unaware of the survey binder's location, and the receptionist struggled to locate it, eventually found hidden under other materials.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to properly label and store medications according to accepted standards of practice, as observed in two of the seven medication carts reviewed. Specifically, insulin pens were not dated when removed from refrigeration and placed in the medication cart. This was noted during an observation of the Division 400 nurse cart, where insulin pens for individual residents were stored without dates indicating when they were removed from refrigeration or their expiration dates. Licensed Practical Nurse (LPN) A confirmed that the pens were not labeled as required. Additionally, the facility did not ensure that narcotic medications were always maintained under double lock when not under direct supervision. During an observation of the Division 500 Certified Medication Technician (CMT) cart, it was found unattended and unlocked, with a narcotic box inside the cart also unlocked. CMT B explained that the narcotic box should be locked by pushing down on the top until it clicked, but it was not secured at the time of observation. Interviews with staff, including LPN C, Registered Nurse (RN) D, and the Director of Nursing (DON), revealed that there was an expectation for insulin pens to be labeled and dated when opened and removed from the refrigerator, and for narcotic medications to be locked at all times. However, these procedures were not consistently followed, leading to the deficiencies noted during the survey.
Failure to Follow Transfer Protocol Leads to Resident Fall
Penalty
Summary
The facility failed to ensure adequate supervision and assistance to prevent accidents, resulting in a resident's fall and subsequent injuries. A Certified Nursing Assistant (CNA) did not adhere to the facility's Transfer and Lift Policy, which mandates that two staff members be present for all means of transfer and bed mobility for certain residents. This policy is communicated through a system of colored butterfly magnets placed in residents' rooms, with a red dot indicating the need for two-person assistance. Despite this, the CNA attempted to provide care alone, leading to the resident rolling out of bed and sustaining a skin tear and a bruise with a laceration above the left eye. The resident involved in the incident was moderately cognitively impaired and dependent on staff for all activities of daily living. The resident's care plan specified the need for a full-body lift with two-person assistance for all bed mobility and transfers. The resident had a history of falls and was at risk due to conditions such as hemiplegia, weakness, and decreased safety awareness. During the incident, the resident began shaking while being cleaned by the CNA, which led to the fall. The resident hit their head on an oxygen concentrator, resulting in injuries that required hospital evaluation. Interviews with facility staff revealed that the CNA involved was an agency employee who was not familiar with the facility's butterfly system indicating transfer requirements. Other staff members confirmed that the resident required two-person assistance, as indicated by the red dot on the butterfly magnet. The CNA's lack of awareness and failure to follow the established protocol directly contributed to the resident's fall and injuries. The facility's Director of Nursing and Administrator both emphasized the expectation for staff to adhere to the transfer policy and the resident's care plan.
Failure to Post Survey Results Accessibly
Penalty
Summary
The facility failed to post the results of the most recent survey and complaint investigations in a location that was readily accessible to residents, family members, legal representatives, and visitors. Observations conducted over several days revealed that there were no visible survey results at the entrance, lobby, or receptionist desk. Additionally, there were no signs indicating the location or availability of the survey results. During a group interview, eight out of nine alert and oriented residents stated they were unaware of the survey binder's location and had never viewed it. One resident recalled that the binder and a sign used to be at the receptionist desk but had not seen them recently. Further observations and interviews confirmed the absence of visible signs or the survey binder at the front lobby desk. The receptionist acknowledged that the binder was usually kept at the desk but was unable to locate it initially. The surveyor eventually found the binder underneath a glass shelf with other binders on top, and the sign was found underneath another sign. The receptionist admitted that the binder and sign had been there the entire time but were not accessible. The Administrator insisted that the binder and sign were available in the front lobby, but this was contradicted by the observations.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 938 citations issued within 25 miles in the last 12 months — including the 15 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saint Louis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South County Health Care Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Woodland Manor Nursing Center | 2.9 mi | ★★★★★ | 15 | 0 |
| Friendship Village Sunset Hills | 3 mi | ★★★★★ | 0 | 0 |
| Fountain Care At Sunset Hills | 3 mi | ★★★★★ | 3 | 0 |
| Fieser Nursing Center | 3.3 mi | ★★★★★ | 22 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.