Nursing home · Top rated by CMS
Delmar Gardens of Meramec Valley
#1 Arbor Terrace, Fenton, MO 63026 · Map
For profit - Corporation · Part of Delmar Gardens (13 facilities) · 190 certified beds
Delmar Gardens of Meramec Valley is a Medicare-certified nursing home in Fenton, Missouri. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.74 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Dec 5, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Delmar Gardens of Meramec Valley compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.74 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.55 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 44.2% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 5, 2025 inspection was corrected by January 19, 2026
What inspectors found at Delmar Gardens of Meramec Valley
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 26, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 1, 2022 - Potential for harm
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.
Nursing and Physician Services Deficiencies · Mar 1, 2022 - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Mar 1, 2022 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 1, 2022 - Potential for harm
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.
Quality of Life and Care Deficiencies · Mar 1, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- #1 Arbor Terrace
Fenton, MO 63026 - CMS certification #
- 265711
- Ownership
- For profit - Corporation
- Certified beds
- 190
- Avg residents/day
- 159.9
- Provider type
- Medicare and Medicaid
- First certified
- 2001-01-22
- Chain
- Delmar Gardens (13 facilities)
- Setting
- Urban
Part of Delmar Gardens
Delmar Gardens operates 13 nursing facilities across the United States. View all Delmar Gardens facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Delmar Gardens of Meramec Valley using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ssm St Clare Health Center, Fenton. 1.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Fieser Nursing Center, Fenton. 1.6 miles away, straight line.
- Nearest home health agency office
- Mercy Home Health, Saint Louis. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63026 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Bowles Avenue Dialysis, Fenton, 1.8 miles away, straight line (CMS rating 2 of 5 stars)
Davita Lamplighter Dialysis, Saint Louis, 4.1 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Tesson Ferry Dialysis, Saint Louis, 4.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 63026.
Alternative Hospice, LLC, office in Fenton, 2.8 miles away, straight line (CMS family survey rating 2 of 5 stars)
Fv Hospice, office in St Louis, 3.3 miles away, straight line
Accentcare Hospice & Palliative Care Of Missouri, office in Saint Louis, 4.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Louis. 5.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Delmar Gardens of Meramec Valley a good nursing home?
CMS gives Delmar Gardens of Meramec Valley an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Delmar Gardens of Meramec Valley staffed?
Delmar Gardens of Meramec Valley reports 3.74 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Delmar Gardens of Meramec Valley had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Delmar Gardens of Meramec Valley have?
Delmar Gardens of Meramec Valley is certified for 190 beds.