Starfile

Starfile / Missouri

DELHAVEN MANOR

5460 DELMAR BLVD, SAINT LOUIS, MO 63112 · CCN 265392

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing

Facility

Ownership type
For profit - Corporation
Certified beds
156
Avg residents/day
Phone
3143612902

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12024-11-13811.99.5-3.9 better
22023-06-301813.09.8+5.0 worse
32019-10-112211.09.3+11.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning1
Resident rights3
Nutrition and dietary1
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)
RN staffing (reported)
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$73,048
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
CIRCLE B ENTERPRISES
Facilities in chain
29
Chain avg overall
2.30 / 5

Inspection citations (48)1 immediate jeopardy

  1. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-11-13 · Health · corrected 2024-12-25

    Potential for more than minimal harm

  2. EF0570Assure the security of all personal funds of residents deposited with the facility.2024-11-13 · Health · corrected 2024-12-25

    Potential for more than minimal harm

  3. CF0574The resident has the right to receive notices in a format and a language he or she understands.2024-11-13 · Health · corrected 2024-12-25

    Potential for minimal harm

  4. DF0641Ensure each resident receives an accurate assessment.2024-11-13 · Health · corrected 2024-12-25

    Potential for more than minimal harm

  5. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-13 · Health · corrected 2024-12-25

    Potential for more than minimal harm

  6. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-13 · Health · corrected 2024-12-25

    Potential for more than minimal harm

  7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-13 · Health · corrected 2024-12-25

    Potential for more than minimal harm

  8. EF0880Provide and implement an infection prevention and control program.2024-11-13 · Health · corrected 2025-01-08

    Potential for more than minimal harm

  9. EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-08-14 · Health · corrected 2024-08-21

    Potential for more than minimal harm

  10. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2024-08-14 · Health · corrected 2024-08-21

    Potential for more than minimal harm

  11. JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-07-10 · Health · corrected 2024-08-02

    Immediate jeopardy

  12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-17 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  13. EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-06-17 · Health · corrected 2024-08-21

    Potential for more than minimal harm

  14. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2024-06-17 · Health · corrected 2024-08-21

    Potential for more than minimal harm

  15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-19 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-19 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  17. DF0760Ensure that residents are free from significant medication errors.2024-04-19 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  18. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-23 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-23 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  21. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-02-23 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  22. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-08-25 · Health · corrected 2023-08-26

    Potential for more than minimal harm

  23. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  24. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  26. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  27. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  28. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-06-30 · Health · corrected 2023-08-26

    Potential for more than minimal harm

  29. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  30. DF0760Ensure that residents are free from significant medication errors.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  31. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-30 · Health · corrected 2023-08-05

    Potential for more than minimal harm

  32. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-04-27 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  33. EF0567Honor the resident's right to manage his or her financial affairs.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  34. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  35. EF0570Assure the security of all personal funds of residents deposited with the facility.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  36. BF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2019-10-11 · Health · corrected 2019-11-25

    Potential for minimal harm

  37. BF0625Notify 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.2019-10-11 · Health · corrected 2019-11-25

    Potential for minimal harm

  38. DF0641Ensure each resident receives an accurate assessment.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  39. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  40. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  41. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  42. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  43. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  44. DF0759Ensure medication error rates are not 5 percent or greater.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  45. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  46. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  47. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

  48. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2019-10-11 · Health · corrected 2019-11-25

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CIRCLE B ENTERPRISES HOLDING COMPANY INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2002-08-07
SOVEREIGN HEALTHCARE GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-04-23
BEDELL, DONALDIndividualOPERATIONAL/MANAGERIAL CONTROL2002-08-07
JACKSON, THOMASIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-15
LABONTE, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL2005-01-01
BEDELL, DONALDIndividualCORPORATE DIRECTOR2002-08-07
BEAIRD, TODDIndividualCORPORATE OFFICER2022-01-01
AGH1 LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-12-02
BEDELL, DONALDIndividualCORPORATE OFFICER2002-08-07

Other facilities in SAINT LOUIS

NameOverallBeds
BETHESDA SOUTHGATE★★★★★130
CHRISTIAN EXTENDED CARE & REHABILITATION★★★★★60
DELMAR GARDENS SOUTH★★★★☆184
FRIENDSHIP VILLAGE SUNSET HILLS★★★★☆144
BARNES-JEWISH EXTENDED CARE★★★★☆120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.