Nursing home · Fenton, MO
Fieser Nursing Center
404 Main Street, Fenton, MO 63026 · 47 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Sep 30, 2025, when they cited 14 problems. The most common area was administration (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Sep 30, 2025) it had 14 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 3.56 hours per resident per day here, 4% more than the Missouri average (3.43) and 8% less than the U.S. average (3.86). Registered nurses account for 0.46 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Fieser Nursing Center 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 | 3.56 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.46 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.12 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 58% | 56% | 46% |
| Registered nurse turnover (past year) | — | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 14 | 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.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 56 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Sep 30, 2025 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration | F | Deficient, Provider has date of correction |
| Sep 30, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| Sep 30, 2025 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration | E | Deficient, Provider has date of correction |
| Sep 30, 2025 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Sep 30, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 30, 2025 | 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 | D | Deficient, Provider has date of correction |
| Sep 30, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 30, 2025 | 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 |
| Sep 30, 2025 | 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 |
| Sep 30, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Sep 30, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | E | Deficient, Provider has date of correction |
| Sep 30, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Sep 30, 2025 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | D | Deficient, Provider has date of correction |
| Sep 30, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | E | Deficient, Provider has date of correction |
| Oct 17, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 17, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Feb 20, 2024 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration | E | Deficient, Provider has date of correction |
| Feb 20, 2024 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Feb 20, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Feb 20, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 20, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection control | E | Deficient, Provider has date of correction |
| Feb 20, 2024 | 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 |
| Feb 20, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 20, 2024 | 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 |
| Feb 20, 2024 | 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 |
| Feb 20, 2024 | 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 | E | Deficient, Provider has date of correction |
| Feb 20, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Feb 20, 2024 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | G actual harm | Deficient, Provider has date of correction |
| Feb 20, 2024 | Assess the resident when there is a significant change in condition Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Dec 20, 2021 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 20, 2021 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Dec 20, 2021 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Dec 20, 2021 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 20, 2021 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Feb 20, 2024 | Payment Denial | 19 days |
Location
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Reviews
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Questions about Fieser Nursing Center
Answers computed from CMS data for this facility.
What is Fieser Nursing Center's Medicare rating?
Medicare rates Fieser Nursing Center 2 out of 5 stars overall (below 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 Fieser Nursing Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Sep 30, 2025, when they cited 14 problems. The most common area was administration (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Sep 30, 2025) it had 14 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Fieser Nursing Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Fieser Nursing Center accept Medicaid?
Fieser Nursing Center is certified for Medicaid only. Call (636) 343-4344 to ask whether a Medicaid bed is open.
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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.