See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Delmar Gardens North

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4401 Parker Road, Black Jack, MO 63033240 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 67 Google reviews

5
4
3
2
1
Delmar Gardens North Nursing Home in Black Jack, MO — Street View
Street View

Watch Delmar Gardens North

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • High staff turnover (58%)

Above average in MO · Critically understaffed (RN) · Above average staffing · $39,299 in fines

Source: Medicare data

What this means for your family

While this facility has a strong reputation for physical therapy and hospice care, the frequency of reports regarding neglect and poor communication is alarming. If you choose this facility, ensure you have a clear plan for daily family check-ins and do not hesitate to escalate concerns to management immediately if call lights go unanswered.

Google Reviews

Google Reviews

67 reviews on Google
Delmar Gardens North receives highly polarized feedback, with some families praising the facility as a caring, 'family-like' environment, while others report severe neglect and communication failures. Recurring criticisms focus on slow response times to call lights, poor hygiene management, and significant difficulties in reaching staff for updates. Prospective families should be aware that experiences appear highly inconsistent, ranging from compassionate end-of-life care to reports of residents being left unattended or unwashed.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean4.0Activities8.0Meds6.0Memory3.0Comms2.0Value2.0

Strengths

  • Effective physical therapy services
  • Compassionate end-of-life/hospice care
  • Clean, well-maintained physical facility
  • Engaging activities and field trips

Concerns

  • Slow or non-existent response to call lights and patient needs (mentioned by 7 reviewers)
  • Poor communication and lack of follow-up from administration/nursing (mentioned by 6 reviewers)
  • Inadequate hygiene care (showers, shaving, room cleanliness) (mentioned by 5 reviewers)
  • Staffing shortages leading to neglect or rough handling (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'12(1)'16(3)'18(3)'20(1)'22(2)'24(10)'26(4)

Distribution · 53 analyzed

5
18
4
4
3
3
2
5
1
23

How They Respond to Reviews

43%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed that the facility offers some great field trips and activities; how do you ensure residents are consistently supported and assisted in getting to these events?
  • 2Given that physical therapy is a noted strength here, how do you coordinate those sessions with daily personal care routines to ensure residents remain comfortable and well-groomed?
  • 3What is your current process for ensuring that call lights are answered promptly, and how is that monitored during shift changes?
  • 4We value clear communication; what is the best way for families to receive regular updates from the nursing staff, and who is our primary point of contact for care concerns?
  • 5With the current staffing levels, how do you ensure that each resident receives consistent, personalized attention for their daily hygiene needs like bathing and shaving?
  • 6How does your team handle communication with families when there is a change in a resident's health status or an urgent medical situation?

Personalized based on this facility's data


Key Review Excerpts

My son has been at DGN for two years and he is one of the youngest stroke residents they have. The staff put me at ease from day one, he was on hospice and he has recovered the staff has made him feel like he's part of their family.

Long-term resident's family · 2021★★★★

From the time I took the tour of this facility until his passing on 7/19 the staff took such good care of my father. He was nothing short of comfortable, clean, and cared for by both the staff at Delmar Gardens and Pathways hospice.

Memory care family member · 2024★★★★★

The physical therapy services and in-house Dr. here ARE very good but the same can’t be said for the response of the nursing staff. I asked several nurses/staff repeatedly for test results and was told they’d get back to me. They NEVER did!!

Rehab patient's family · 2023★★☆☆☆
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.17hrs
23%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
MO
16.7%
St. louis
19.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.8%
Worse than Avg
Here
81.8%
US
93.4%
MO
84.4%
St. louis
83.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
15.4%
MO
23.6%
St. louis
19.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
19.4%
MO
17.9%
St. louis
18.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.9%
Mixed vs Avgs
Here
18.9%
US
19.5%
MO
25.4%
St. louis
16.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
14.4%
MO
19.1%
St. louis
15.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility57.3%
Worse than Avg
Here
57.3%
US
81.8%
MO
65.9%
St. louis
63.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.5%
Worse than Avg
Here
63.5%
US
79.7%
MO
63.5%
St. louis
65.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
MO
2.2%
St. louis
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (12.0)
8 complaint-triggered
$39,299 in fines

Delmar Gardens North has received eight complaint-triggered deficiencies, indicating families have filed reports about care concerns. The facility shows recurring issues across three main areas: safety and accident prevention, medication management, and clinical care including feeding tube management. While most deficiencies appear corrected, the pattern of repeated safety violations and multiple family complaints about care quality warrants careful consideration during any visit.

Nov 17, 2025Routine
17
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761Potential for harm · PatternCorrected

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.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Feb 10, 2025Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 26, 2024Complaint
1
0677Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jul 26, 2024Complaint
3
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 2, 2023Complaint
2
0610Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Oct 6, 2023Routine
15
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Federal Penalties

Fine

Feb 10, 2025

$39,299

Payment Denial

Oct 6, 2023

9-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Delmar Gardens North

Organization Type

for profit

Chain Affiliation

Chain Name

Delmar Gardens

Chain Size

13 facilities nationwide

Chain avg rating: 3.0/5 · Rank 10 of 13

Ownership & Management

Owners

Delmar Gardens Enterprises INC

Owner · Organization

100%

Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara

Owner (parent company) · Organization

8%

George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara

Owner (parent company) · Organization

8%

Goldberg-Nom LLC

Owner (parent company) · Organization

25%

Non-Gst Family Trust Est U/w of Israel Goldberg Fbo Janice Bitanski

Owner (parent company) · Organization

Non-Gst Family Trust Established U/w of Israel Goldberg Fbo Harry Zvi

Owner (parent company) · Organization

Non-Gstfamily Trust Est U/w Israel Goldberg Fbo Diane Fredman

Owner (parent company) · Organization

Grossberg, Gabe

Owner (parent company)

16%

Grossberg, George

Owner (parent company)

11%

Key personnel

Marx, KennethW-2 Managing EmployeeRodgers, LynnW-2 Managing EmployeeUlrich, AmberW-2 Managing EmployeeGrossberg, GabeOfficer / DirectorMarx, KennethOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call