Nursing home · Fenton, MO

Delmar Gardens of Meramec Valley

#1 Arbor Terrace, Fenton, MO 63026 · 190 certified beds · for profit ownership · part of Delmar Gardens

Medicare & Medicaid

Call (636) 343-0016 Directions

Medicare overall rating5 / 5Much above averageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99

5/5Health inspections Much above average

2/5Staffing Below average

3/5Quality measures Average

4/5Short-stay (rehab) quality Above average

2/5Long-stay quality Below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Dec 5, 2025, when they cited 2 problems. The most common area was infection control (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Dec 5, 2025) it had 2 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.36 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.35 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 48% over the past year, 8 points lower than Missouri (56%) and 2 points higher than the U.S. (46%).

How Delmar Gardens of Meramec Valley compares

This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).

	This home	St. Louis area	Missouri	U.S.
Total nurse hours per resident per day	3.36	3.66	3.43	3.86
Registered nurse hours per resident per day	0.35	0.43	0.46	0.68
Weekend nurse hours per resident per day	3.02	3.22	3.01	3.42
Nursing staff turnover (past year)	48%	58%	56%	46%
Registered nurse turnover (past year)	38%	56%	48%	43%
Citations at the most recent standard inspection	2	14.7	11.4	9.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Dec 5, 20252standard

Apr 9, 20251complaint

Mar 26, 20244standard + complaint

Mar 1, 202215standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 22 of 22 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations

Date	Deficiency	Severity	Status
Dec 5, 2025	Provide and implement an infection prevention and control program. Infection control	E	Deficient, Provider has date of correction
Dec 5, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care	D	Deficient, Provider has date of correction
Apr 9, 2025	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights · complaint	D	Past Non-Compliance
Mar 26, 2024	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation	E	Deficient, Provider has date of correction
Mar 26, 2024	Provide and implement an infection prevention and control program. Infection control	E	Deficient, Provider has date of correction
Mar 26, 2024	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 · complaint	D	Deficient, Provider has date of correction
Mar 26, 2024	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	D	Deficient, Provider has date of correction
Mar 1, 2022	Allow residents to self-administer drugs if determined clinically appropriate. Resident rights	D	Deficient, Provider has date of correction
Mar 1, 2022	Have a plan that describes the process for conducting QAPI and QAA activities. Administration	D	Deficient, Provider has date of correction
Mar 1, 2022	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration	D	Deficient, Provider has date of correction
Mar 1, 2022	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. Pharmacy service	D	Deficient, Provider has date of correction
Mar 1, 2022	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care	D	Deficient, Provider has date of correction
Mar 1, 2022	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from abuse, neglect, and exploitation	D	Deficient, Provider has date of correction
Mar 1, 2022	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights	D	Deficient, Provider has date of correction
Mar 1, 2022	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services	E	Deficient, Provider has date of correction
Mar 1, 2022	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service	E	Deficient, Provider has date of correction
Mar 1, 2022	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and physician services	E	Deficient, Provider has date of correction
Mar 1, 2022	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care	E	Deficient, Provider has date of correction
Mar 1, 2022	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	E	Deficient, Provider has date of correction
Mar 1, 2022	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	E	Deficient, Provider has date of correction
Mar 1, 2022	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	E	Deficient, Provider has date of correction
Mar 1, 2022	Ensure staff are vaccinated for COVID-19 Infection control	C	Deficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Delmar Gardens of Meramec Valley

Answers computed from CMS data for this facility.

What is Delmar Gardens of Meramec Valley's Medicare rating?

Medicare rates Delmar Gardens of Meramec Valley 5 out of 5 stars overall (much above average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Delmar Gardens of Meramec Valley do on its last inspection?

Has Delmar Gardens of Meramec Valley been fined?

CMS reports no federal fines for this facility in the past three years.

Does Delmar Gardens of Meramec Valley accept Medicaid?

Delmar Gardens of Meramec Valley is certified for both Medicare and Medicaid. Call (636) 343-0016 to ask whether a Medicaid bed is open.

Other nursing homes near Fenton

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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.