Lilisity

Nursing home

Fieser Nursing Center

404 Main Street, Fenton, MO 63026 · Map
For profit - Individual · 47 certified beds

Medicaid certified
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Fieser Nursing Center is a Medicare-certified nursing home in Fenton, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Sep 30, 2025 cited 14 deficiencies.

1 out of 5Overall CMS rating
2 out of 5Health inspections
1 out of 5Staffing
47 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing1/5
Quality measures2/5
Long-stay quality2/5
Short-stay qualityNo data

How Fieser Nursing Center 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.

MetricThis facilityMissouri avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.253.473.89below avg
RN staffing (hrs/resident/day)0.310.460.68below avg
Aide staffing (hrs/resident/day)2.092.322.34below avg
Nursing staff turnover—%57.0%46.4%—
Deficiencies cited, last inspection14.012.09.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.25Total nurse hrs/resident/day
0.31RN hrs/resident/day
0.86LPN hrs/resident/day
2.09Aide hrs/resident/day
2.75Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff—
Registered nurses—
Administrator changes—

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Sep 30, 2025Most recent inspection
14Deficiencies found
80Health inspection score
0Fines
  • Every deficiency from the September 30, 2025 inspection was corrected by November 13, 2025

Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.

What inspectors found at Fieser Nursing Center

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Administration Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Nursing and Physician Services Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Administration Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Administration Deficiencies · Sep 30, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Resident Rights Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 30, 2025 · Full report (PDF)
  • Potential for harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Resident Rights Deficiencies · Sep 30, 2025 · Full report (PDF)

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
404 Main Street
Fenton, MO 63026
CMS certification #
26A490
Ownership
For profit - Individual
Certified beds
47
Avg residents/day
34.5
Provider type
Medicaid
First certified
2006-08-03
Setting
Urban

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Fieser Nursing Center using Google Maps.

Other public records

  • Website says Works with hospice
  • Workplace safety 2 OSHA workplace safety inspections since 2021, 4 violations cited
Full public records, with dates and sources

Care and services

From the community’s website

What Fieser Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers hospice care on site or works with hospice providers. We have Hospice service. (page, checked Oct 12, 2026)
  • Apartment types named: private room, semi-private room. Semi-private Suite $185.00 a day (page, checked Oct 12, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Jan 13, 2022: follow-up inspection, partial (safety). Case closed Feb 7, 2022. No violations cited. OSHA record. OSHA recorded the employer as Fieser Nursing Center.
  • Jan 5, 2021: fatality or catastrophe inspection, partial (safety). Case closed Sep 21, 2021. 4 violations cited (4 serious). Penalties: $9,557 proposed, $6,690 now. OSHA record. OSHA recorded the employer as Fieser Nursing Center.
    Details
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)). Penalty $9,557 proposed, $6,690 now. To be fixed by Jul 9, 2021.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Jul 9, 2021.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $0 proposed, $0 now. To be fixed by Jul 9, 2021.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(k)). Penalty $0 proposed, $0 now. To be fixed by Jul 2, 2021.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Ssm St Clare Health Center, Fenton. 2.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Delmar Gardens of Meramec Valley, Fenton. 1.6 miles away, straight line.
Nearest home health agency office
Mercy Home Health, Saint Louis. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.6 miles 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, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Lamplighter Dialysis, Saint Louis, 3.0 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Tesson Ferry Dialysis, Saint Louis, 3.3 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
28 Medicare hospices tell CMS they serve ZIP code 63026.
Fv Hospice, office in St Louis, 1.8 miles away, straight line
Alternative Hospice, LLC, office in Fenton, 2.5 miles away, straight line (CMS family survey rating 2 of 5 stars)
Accentcare Hospice & Palliative Care Of Missouri, office in Saint Louis, 2.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Ssm Health Care Group, Saint Louis. 4.8 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 high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave very high, earthquake relatively high. 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Fieser Nursing Center a good nursing home?

CMS gives Fieser Nursing Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Fieser Nursing Center staffed?

Fieser Nursing Center reports 3.25 total nurse hours per resident per day, compared with the Missouri average of 3.47.

Has Fieser Nursing Center had inspection problems?

Its most recent CMS inspection cited 14 deficiencies.

How many beds does Fieser Nursing Center have?

Fieser Nursing Center is certified for 47 beds.