All states › Missouri › Fenton › Delmar Gardens of Meramec Valley
#1 Arbor Terrace Fenton, MO 63026 · St. Louis County
All 3 nursing homes in Fenton, MO (3 take Medicaid)
CMS certification number 265711 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
DProvide safe and appropriate respiratory care for a resident when needed.
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.
March 26, 2024 · 4 citations · includes complaint inspection
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide and implement an infection prevention and control program.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
EEnsure services provided by the nursing facility meet professional standards of quality.
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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DAllow residents to self-administer drugs if determined clinically appropriate.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DHave a plan that describes the process for conducting QAPI and QAA activities.
CEnsure staff are vaccinated for COVID-19
Questions to ask on a tour of Delmar Gardens of Meramec Valley
- CMS cited the home under its abuse and neglect rules on March 26, 2024. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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2.0 mi
SSM St Clare Health Center FentonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 20m for patients treated and sent home
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4.3 mi
Mercy Hospital South St LouisEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 4h 14m for patients treated and sent home
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9.3 mi
Missouri Baptist Medical Center Town and CountryEmergency room ★★★★★ Medicare overall 5 of 5Median 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
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
- Delmar Gardens South · Saint Louis · 4 stars
- Delmar Gardens of O'Fallon · O Fallon · 3 stars
- Delmar Gardens of Chesterfield · Chesterfield · 3 stars
- Delmar Gardens North · Black Jack · 3 stars
- Delmar Gardens West · Town and Country · 3 stars
- Delmar Gardens on the Green · Chesterfield · 2 stars
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.