Missouri › St. Louis County › Fenton
Fieser Nursing Center
404 Main Street, Fenton, MO 63026
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Fieser Nursing Center, in Fenton, Missouri, is certified for 47 beds under for-profit, individual ownership.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 56 health deficiencies across the three most recent survey cycles (14, 21, 21 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 119.1 per 100 beds, more than the state median of 32.1.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Missouri median of 3.4.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 56 | 46 | 31 | 28.7 |
| Citations per 100 beds | 119.1 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 60.7% | 56.1% | 45.8% |
| Fines listed | $0 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Sep 2025, 20 Feb 2024.
Severity mix: G ×1 D ×20 E ×19 F ×12 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Sep 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0838 | 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. | E | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 13 Nov 2025 |
| 30 Sep 2025 | 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 | 13 Nov 2025 |
| 30 Sep 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 13 Nov 2025 |
| 17 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Nov 2024 |
| 17 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 4 Dec 2024 |
| 20 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 6 Apr 2024 |
| 20 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | F | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | F | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | 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 | 6 Apr 2024 |
| 20 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | 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. | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0801 | 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. | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 15 Apr 2024 |
| 20 Feb 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | 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 | 6 Apr 2024 |
| 20 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Apr 2024 |
| 20 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Apr 2024 |
| 20 Dec 2021 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | F | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | F | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | 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 | 3 Feb 2022 |
| 20 Dec 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0838 | 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. | E | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0732 | Post nurse staffing information every day. | C | Standard survey | 3 Feb 2022 |
| 20 Dec 2021 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | C | Standard survey | 3 Feb 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Feb 2024 | Payment denial | — | 19 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 9.1% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.7% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Fieser Nursing Center been cited for?
56 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Fieser Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Fieser Nursing Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Fieser Nursing Center?
Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Fieser Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Sep 2025; the most recent standard health survey was 30 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.