Delmar Gardens of O'fallon
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 62 Google reviews
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What this means for your family
This facility has a history of severe complaints regarding staffing levels, cleanliness, and medication management. If you are considering this location, we strongly advise you to conduct unannounced visits, check the latest state inspection reports, and speak directly with current families to verify if improvements have been made.
Google Reviews
Google Reviews
62 reviews on Google“Delmar Gardens of O'Fallon faces severe and recurring criticism regarding chronic understaffing, neglect, and poor facility maintenance. While a small minority of reviewers praise specific staff members for their kindness, the overwhelming majority of feedback describes a facility where residents suffer from poor hygiene, medication errors, and dismissive treatment by staff.”
Quality Themes
Tap a score for detailsStrengths
- Select compassionate nursing and therapy staff
- Engaging activity programs
- Warm, welcoming atmosphere for some residents
Concerns
- Chronic understaffing leading to neglect (mentioned by 12 reviewers)
- Poor hygiene and facility cleanliness (feces, roaches, trash) (mentioned by 7 reviewers)
- Rude and dismissive communication from staff (mentioned by 6 reviewers)
- Medication management and dietary errors (mentioned by 4 reviewers)
- Inadequate response to call lights and basic resident needs (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 53 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about your activity programs; could you show us some of the specific engagement opportunities available for residents here?
- 2With the high staffing rating noted in CMS reports, how do you ensure that enough nurses and aides are available to respond quickly when a resident presses their call light?
- 3How does the facility manage daily cleaning schedules and hygiene protocols to ensure all resident rooms and common areas remain pristine?
- 4Could you walk us through your process for medication management and how you prevent errors in dietary or medicinal needs?
- 5How do you train your team to maintain the warm and welcoming atmosphere that some of your residents and families have experienced?
- 6In the event of a medical emergency during the night, what is the specific protocol for getting immediate care for a resident?
Personalized based on this facility's data
Key Review Excerpts
“My parents were in there just over a month. Gave my Dad the wrong medication and almost killed him. Understaffed and the place is unkept and filthy.”
“The facility is poorly maintained. Took 4 days to get a TV working, and still not working correctly. No appearance of housekeeping, trash cans have nit been emptied in common areas forb6 days with food in them. Feces on the floor in the room”
“My mother is so young to be placed in memory care but unfortunately that's her story... I have been so happy with the care she has received at Delmar Gardens. The two head nurses are the best.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
3
measures
2
measures
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of families filing complaints, triggering four separate investigations that found deficiencies in accident prevention and pressure ulcer care. The most recurring problems involve safety hazards, food safety and kitchen operations, and fire safety equipment maintenance - issues that have persisted across multiple surveys from 2019 to 2025. While the facility corrects deficiencies when cited, the repetitive nature of safety and kitchen violations suggests ongoing operational challenges that warrant careful consideration during any visit.
Feb 5, 2026Complaint1
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Mar 19, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 23, 2024Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 14, 2024Routine30
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Environmental Deficiencies
Keep all essential equipment working safely.
Resident Rights Deficiencies
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.
Mar 14, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 25, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
Delmar Gardens of O'fallon
for profit
Chain Affiliation
Delmar Gardens
13 facilities nationwide
Chain avg rating: 3.0/5 · Rank 5 of 13
Ownership & Management
Owners
Delmar Gardens Enterprises INC
Owner · Organization
Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara
Owner (parent company) · Organization
George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara
Owner (parent company) · Organization
Goldberg-Nom LLC
Owner (parent company) · Organization
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)
Grossberg, George
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
62 reviews from families & visitors
Official Website
Visit delmargardens.com
Medicare data downloads
Original nursing home datasets
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