Nursing Care Index

Delhaven Manor

Saint Louis, St. Louis City County, Missouri · CCN 265392 · For-profit (Corporation) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)

CMS rates Delhaven Manor 3 of 5 overall as of August 2026. 156 certified beds, 29 residents a day on average. 48 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $73,048 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing7.18053 hours per resident per day
Registered nurses0.34661 hours per resident per day
Weekend total5.90612 hours per resident per day

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-16
complaint survey
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-03
2024-11-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-12-25
2024-11-13 Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · tag F0570
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-25
2024-11-13 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-08
2024-11-13 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-25
2024-11-13 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-25
2024-11-13 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-25
2024-11-13 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-25
2024-11-13 The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies · tag F0574
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-12-25
2024-08-14
complaint survey
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · tag F0839
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-21
2024-08-14
complaint survey
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · tag F0850
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-21
2024-07-10
complaint survey
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-08-02
2024-06-17
complaint survey
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · tag F0839
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-21
2024-06-17
complaint survey
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · tag F0850
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-21
2024-06-17
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-28
2024-04-19
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-04-19
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-04-19
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-02-23
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-25
2024-02-23
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-25
2024-02-23
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-25
2024-02-23
complaint survey
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-25
2023-08-25
complaint survey
Have 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.
Nursing and Physician Services Deficiencies · tag F0727
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-08-26
2023-06-30 Have 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.
Nursing and Physician Services Deficiencies · tag F0727
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-08-26
2023-06-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-08-05
2023-06-30 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · tag F0568
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2023-06-30 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2023-06-30 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2023-06-30 Provide 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2023-06-30 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2023-06-30 Implement 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2023-06-30 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-05
2019-10-11 Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · tag F0567
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · tag F0568
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · tag F0570
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · tag F0849
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-11-25
2019-10-11 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-11-25
2019-10-11 Honor 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.
Resident Rights Deficiencies · tag F0584
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2019-11-25
2019-10-11 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.
Resident Rights Deficiencies · tag F0625
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2019-11-25

Fines and payment denials

DatePenaltyAmount
2024-06-17Payment denial for 5 days from 2024-08-16
2024-06-17Fine$73,048

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Circle B Enterprises Holding Company Inc.
Organization
5% or greater direct ownership interest100%2002-08-07
Agh1 LLC
Organization
adp of the snf2025-03-25
Circle B Enterprises Holding Company Inc.
Organization
adp of the snf2002-08-07
Fg LLC
Organization
adp of the snf2016-12-02
Forvis Mazars LLP
Organization
adp of the snf2021-08-16
Mid States Inc.
Organization
adp of the snf2010-11-01
Sovereign Healthcare Group LLC
Organization
adp of the snf2025-04-06
Van De Ven LLC
Organization
adp of the snf2000-01-01
Agh1 LLC
Organization
operational/managerial control2016-12-02
Sovereign Healthcare Group LLC
Organization
operational/managerial control2021-04-23
Beaird, Todd
Individual
adp of the snf2022-01-01
Jackson, Thomas
Individual
adp of the snf2024-01-15
Labonte, Christopher
Individual
adp of the snf2005-01-01
Bedell, Donald
Individual
corporate director2002-08-07
Beaird, Todd
Individual
corporate officer2022-01-01
Bedell, Donald
Individual
corporate officer2002-08-07
Bedell, Bryan
Individual
individual is an owner, partner or trustee of any adp of the snf2025-06-02
Bedell, Donald
Individual
operational/managerial control2002-08-07
Jackson, Thomas
Individual
operational/managerial control2024-01-15
Labonte, Christopher
Individual
operational/managerial control2005-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in St. Louis City County.