facebook tracking Delmar Gardens of Meramec Valley, Fenton MO: CMS Ratings
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Delmar Gardens of Meramec Valley

All states › Missouri › Fenton › Delmar Gardens of Meramec Valley

#1 Arbor Terrace Fenton, MO 63026 · St. Louis County

(636) 343-0016

All 3 nursing homes in Fenton, MO (3 take Medicaid)

Accepts Medicare Accepts Medicaid 190 certified beds For profit

CMS certification number 265711 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Delmar Gardens of Meramec Valley a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Delmar Gardens of Meramec Valley as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Missouri average of 2.6. Inspectors issued 22 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.64 hours per resident per day at Delmar Gardens of Meramec Valley, above the Missouri median of 3.37 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 3.36 hours, 8% below its all-week average. 48.2% of nursing staff left within a year (Missouri median 56.8%).

Nursing care per resident per day 3.64 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.36 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.36 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 48.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 31.8% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds190
Residents per day 167 About 88% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2001
Part of a chainDelmar Gardens
Legal business nameDELMAR GARDENS OF MERAMEC VALLEY OPERATING, LLC

Paying for care at Delmar Gardens of Meramec Valley: Medicare and Medicaid

Delmar Gardens of Meramec Valley is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 5, 2025 and found 2 deficiencies. In total, inspectors issued 22 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 22 citations at Delmar Gardens of Meramec Valley across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 21 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (4) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level E, December 5, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

December 5, 2025 · 2 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 19, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jan 19, 2026)

April 9, 2025 · 1 citation · includes complaint inspection

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Complaint inspection · Past Non-Compliance (Mar 14, 2025)

March 26, 2024 · 4 citations · includes complaint inspection

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Apr 25, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 25, 2024)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 25, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 25, 2024)

March 1, 2022 · 15 citations

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 8, 2022)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 8, 2022)

EProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Apr 8, 2022)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 8, 2022)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Apr 8, 2022)

EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Apr 8, 2022)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 8, 2022)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Apr 8, 2022)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Apr 8, 2022)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Apr 8, 2022)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Apr 8, 2022)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 8, 2022)

DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Deficient, Provider has date of correction (Apr 8, 2022)

DHave a plan that describes the process for conducting QAPI and QAA activities.

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Deficient, Provider has date of correction (Apr 8, 2022)

CEnsure staff are vaccinated for COVID-19

Potential for minimal harm · Infection Control Deficiencies · Tag F0888 · Deficient, Provider has date of correction (Apr 8, 2022)

Questions to ask on a tour of Delmar Gardens of Meramec Valley

  1. CMS cited the home under its abuse and neglect rules on March 26, 2024. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 3/5 3/5
August 2026 5/5 5/5 2/5 3/5
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Location

Hospitals near Delmar Gardens of Meramec Valley

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.0 mi
    SSM St Clare Health Center Fenton
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 20m for patients treated and sent home
  • 4.3 mi
    Mercy Hospital South St Louis
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 4h 14m for patients treated and sent home
  • 9.3 mi
    Missouri Baptist Medical Center Town and Country
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 4h 22m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Maple Grove Wellness & Rehabilitation Fenton · 0.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 144 beds · Medicaid
Fieser Nursing Center Fenton · 1.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 47 beds · Medicaid
South County Health Care Center Arnold · 3.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 126 beds · Medicaid
Friendship Village Sunset Hills Saint Louis · 3.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 144 beds · Medicaid
Fountain Care at Sunset Hills Saint Louis · 3.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 166 beds · Medicaid

More nursing homes near Delmar Gardens of Meramec Valley ›   All nursing homes in Fenton ›

Compare Delmar Gardens of Meramec Valley with the 3 closest homes side by side ›

Other Delmar Gardens nursing homes in Missouri

Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Delmar Gardens nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/missouri/fenton/delmar-gardens-of-meramec-valley/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.