Delmar Gardens of Meramec ValleyCMS ratings, inspections and fines
- Address
- #1 Arbor Terrace, Fenton, MO 63026
- CCN
- 265711
- Ownership type
- For-profit, corporation
- Certified beds
- 190
- Chain
- Delmar Gardens
- Residents per day
- 169
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Delmar Gardens of Meramec Valley an overall rating of 5 of 5 stars. The last standard survey was on 5 Dec 2025. The latest survey cycle has 2 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | St. Louis County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 5 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 69 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Dec 2025 | 2 | 9 |
| Cycle 2 | 26 Mar 2024 | 5 | 10 |
| Cycle 3 | No date | 15 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Jan 2026 |
| 5 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Jan 2026 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 14 Mar 2025 |
| 26 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Apr 2024 |
| 26 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 25 Apr 2024 |
| 26 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Apr 2024 |
| 26 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Apr 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Mar 2022 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0688 | 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. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0726 | 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. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0761 | 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. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 8 Apr 2022 |
| 1 Mar 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 8 Apr 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.36 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.35 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.75 | 0.68 | |
| Nurse aides | 2.26 | 2.29 | |
| All nurse staff, weekends | 3.02 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 47.8%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 38.1%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.1% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Delmar Gardens of Meramec Valley Operating, LLC
- Chain
- Delmar Gardens (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Delmar Gardens Enterprises Inc | 5% or greater direct ownership interest | 100% | 7 Mar 2003 |
| Goldberg-Nom LLC | 5% or greater indirect ownership interest | 25% | 7 Mar 2003 |
| Delmar Gardens Management Services Inc | Operational/managerial control | 1 Apr 2005 |
The site shows organisations only. It does not show the names of persons.
Other homes in St. Louis County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Fieser Nursing Center | Fenton | 2 of 5 | 14 | $0 | 30 Sep 2025 | |
| Friendship Village Sunset Hills | Saint Louis | 3 of 5 | 9 | $14,433 | 28 Jan 2025 | |
| Fountain Care at Sunset Hills | Saint Louis | 1 of 5 | 15 | $105,665 | 24 Apr 2025 | |
| Delmar Gardens South | Saint Louis | 4 of 5 | 4 | $23,520 | 17 Sep 2024 | |
| Big Bend Woods Healthcare Center | Valley Park | 1 of 5 | 9 | $85,176 | 12 Sep 2025 | |
| Garden View Care Center at Dougherty Ferry | Valley Park | 4 of 5 | 4 | $0 | 17 Apr 2026 | |
| Aberdeen Heights | Kirkwood | 5 of 5 | 5 | $0 | 7 May 2025 | |
| Grove at Kirkwood, TheSpecial Focus candidate | Kirkwood | 1 of 5 | 54 | $172,400 | 29 Jan 2026 | |
| Lutheran Senior Services at Meramec Bluffs | Ballwin | 5 of 5 | 3 | $0 | 9 Oct 2024 | |
| Bethesda Dilworth | Saint Louis | 3 of 5 | 6 | $88,946 | 23 Jul 2025 | |
| Quarters at Des Peres, The | Des Peres | 1 of 5 | 23 | $334,933 | 3 Jun 2025 | |
| Bluebird Wellness and Rehabilitation | Saint Louis | 1 of 5 | 11 | $234,836 | 8 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Delmar Gardens of Meramec Valley (CCN 265711). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/delmar-gardens-of-meramec-valley-fenton-mo-265711/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Delmar Gardens of Meramec Valley last inspected?
- The latest inspection with a citation in the CMS record was on 5 Dec 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 26 Mar 2024.
- Who operates Delmar Gardens of Meramec Valley?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Delmar Gardens. The CMS ownership file names Delmar Gardens Management Services Inc for operational or managerial control. This site does not show the names of persons.
- Is Delmar Gardens of Meramec Valley a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.