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.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-13 | 8 | 11.9 | 9.5 | -3.9 better |
| 2 | 2023-06-30 | 18 | 13.0 | 9.8 | +5.0 worse |
| 3 | 2019-10-11 | 22 | 11.0 | 9.3 | +11.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-11-13 · Health · corrected 2024-12-25
Potential for more than minimal harm
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-11-13 · Health · corrected 2024-12-25
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2024-11-13 · Health · corrected 2025-01-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2024-04-19 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-23 · Health · corrected 2024-03-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-06-30 · Health · corrected 2023-08-05
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-06-30 · Health · corrected 2023-08-05
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2019-10-11 · Health · corrected 2019-11-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2019-10-11 · Health · corrected 2019-11-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2002-08-07 |
| SOVEREIGN HEALTHCARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-23 |
| BEDELL, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2002-08-07 |
| JACKSON, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-15 |
| LABONTE, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-01-01 |
| BEDELL, DONALD | Individual | CORPORATE DIRECTOR | — | 2002-08-07 |
| BEAIRD, TODD | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| AGH1 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-02 |
| BEDELL, DONALD | Individual | CORPORATE OFFICER | — | 2002-08-07 |
Other facilities in SAINT LOUIS
| Name | Overall | Beds |
|---|---|---|
| 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.