Delmar Gardens of Meramec Valley
#1 Arbor Terrace · Fenton, MO · 63026 · 6363430016
190 certified beds For profit - Corporation Chain: Delmar Gardens
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D December 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · E December 5, 2025
Provide and implement an infection prevention and control program.
Corrected January 19, 2026 · Infection Control
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Potential for harm · D April 9, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 14, 2025 · Resident Rights
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Potential for harm · E March 26, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 26, 2024
Provide and implement an infection prevention and control program.
Corrected April 25, 2024 · Infection Control
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Potential for harm · D March 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 1, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 8, 2022 · Resident Rights
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Potential for harm · D March 1, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 8, 2022 · Resident Rights
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Potential for harm · D March 1, 2022
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 8, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 1, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · E March 1, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 8, 2022 · Resident Assessment and Care Planning
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Potential for harm · D March 1, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 8, 2022 · Quality of Life and Care
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Potential for harm · E March 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.
Corrected April 8, 2022 · Quality of Life and Care
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Potential for harm · E March 1, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 8, 2022 · Quality of Life and Care
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Potential for harm · E March 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.
Corrected April 8, 2022 · Nursing and Physician Services
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Potential for harm · E March 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.
Corrected April 8, 2022 · Nursing and Physician Services
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Potential for harm · E March 1, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 8, 2022 · Pharmacy Service
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Potential for harm · D March 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.
Corrected April 8, 2022 · Pharmacy Service
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Potential for harm · D March 1, 2022
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 8, 2022 · Administration
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Potential for harm · D March 1, 2022
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 8, 2022 · Administration
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No harm found · C March 1, 2022
Ensure staff are vaccinated for COVID-19
Corrected April 8, 2022 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265711 · certified since January 22, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.