Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Delmar Gardens Of Meramec Valley during CMS and state inspections, most recent first.
Staff failed to follow infection control precautions for a resident on C-diff precautions, including improper gown and linen handling, and failed to implement EBP for multiple residents with wounds, feeding tubes, dialysis access, and urinary catheters. Observations showed staff providing direct care without required gowns, missing EBP signage, and not performing hand hygiene before care. A hospice CNA also fed a resident with a bare hand instead of using gloves or utensils.
A resident with pneumonia and an order for nebulizer treatments was observed receiving treatment while lying in bed with the mask positioned on the cheek/eye and eyes closed, and staff did not remain in the room for the full treatment. The nebulizer mask and tubing were also observed uncovered on the machine or nightstand instead of being rinsed, air dried, and stored in a Ziplock or breathable bag as required by policy.
Staff did not follow a resident's documented DNR order and initiated CPR when the resident was found unresponsive. Although the DNR status was available in the EHR and in a binder at the nurse's station, the nurse could not immediately locate the paperwork and instructed staff to begin CPR. The resident was transported to the hospital by EMS and was pronounced dead on arrival. Facility policies required verification of code status before CPR, but this was not followed, resulting in the resident's wishes not being honored.
Infection Control and EBP Failures During Resident Care
Penalty
Summary
The facility failed to follow infection control standards for a resident with C-diff precautions. Resident #19 had an order for droplet precautions for C-diff, while the door displayed an EBP sign. During observation, two CNAs donned gowns and gloves and assisted the resident with brief care and transfer to a Broda chair, but they adjusted their isolation gowns with the same gloved hands after touching the resident and their uniforms. One CNA then removed the resident’s linens with ungloved hands, placed them in a clear trash bag, and took them out of the room to a hallway laundry hamper. Staff interviews later indicated the resident was on contact precautions for C-diff, that laundry should have been handled in a red bio-hazard bag, and that the signage and orders were not accurate. The facility also failed to implement EBP for residents with wounds or indwelling devices. Resident #2 had a g-tube and severe cognitive impairment, and the care plan and physician order required EBP with gloves and gowns for high-contact tasks. During observation, an RN entered the room, applied gloves only, and provided g-tube site care without a gown. Resident #3 had a dialysis port and was also on EBP, but no EBP sign was posted outside the room; CNAs provided direct care, including applying lotion, assisting with a prosthetic leg, and helping the resident ambulate, while wearing gloves but no gown. Staff interviews confirmed the resident should have been on EBP and that gown and glove use was expected. Additional EBP failures were observed for Resident #71 and Resident #179. Resident #71 had a Foley catheter and wounds to both feet, with orders and care plan directing EBP for high-contact care. A CNA entered the room, did not perform hand hygiene before gloving, provided peri-care and a bed bath, handled linens, and did not wear a gown. Resident #179 had an indwelling urinary catheter and an order for EBP, but no EBP sign was posted; a CNA performed hand hygiene and gloved, then transferred the resident and handled the urinary bag and blanket without wearing a gown. The facility also failed to ensure hand hygiene during feeding when hospice CNA J fed Resident #146, who was receiving hospice services and had Parkinson’s disease, dementia, anxiety, heart disease, and stroke, using a bare hand to place bacon in the resident’s mouth and stating gloves had been forgotten.
Nebulizer Treatment Not Monitored and Equipment Not Properly Cleaned or Stored
Penalty
Summary
Safe and appropriate respiratory care was not provided for a resident who had a diagnosis that included pneumonia and an order for ipratropium-albuterol nebulizer treatments every six hours while awake. The resident’s care plan directed staff to administer oxygen as ordered and monitor/report signs of hypoxia and oxygen saturation as ordered. During observation, the resident was seen lying in bed with the nebulizer mask positioned over the cheek and eye rather than being actively used for treatment, and the resident’s eyes were closed while the nebulizer machine remained on. The resident was later observed sitting up with the machine turned off and the mask resting on top of the machine. Staff interviews showed differing practices, with one CMT stating the resident had some confusion and that staff did not stay in the room for the full treatment, while an RN stated staff should stay with the resident during treatment and should not administer it if the resident was sleeping. The nebulizer mask and tubing were also observed uncovered and draped over the machine or placed on the nightstand rather than being cleaned and stored as required. The facility’s nebulizer policy required staff to watch and coach the resident during treatment, clean the mask with water after use, air dry it on a clean field, and store the tubing in an unzipped Ziplock bag. The nebulizer cleaning policy likewise required rinsing the chamber and mask after treatment, air drying on a paper towel, and storing tubing in a breathable or unzipped bag. The DON stated staff were not expected to stay in the room during the treatment, which differed from the RN’s statement and the facility policy.
Failure to Honor Resident DNR Status Results in Unwanted CPR
Penalty
Summary
Staff failed to honor a resident's documented choice to be a Do Not Resuscitate (DNR) when they initiated cardiopulmonary resuscitation (CPR) after the resident was found unresponsive and not breathing. The resident had a completed and signed Outside the Hospital Do Not Resuscitate (OHDNR) order, which was available in both the resident's medical record and a binder at the nurse's station. Despite these measures, the nurse on duty was unable to immediately locate the DNR paperwork in the binder and, based on the information available at the time, instructed staff to begin CPR and called 911. The nurse later accessed the electronic health record (EHR) and confirmed the resident's DNR status, but CPR had already been initiated and was not stopped. Emergency medical services (EMS) arrived, obtained a faint pulse, and transported the resident to the hospital, where the resident was pronounced dead on arrival. Interviews with staff revealed that code status information was accessible in multiple locations, including the EHR, crash cart clipboards, and binders at the nurse's station, and that it was the responsibility of the nurse to verify code status prior to initiating CPR. The incident occurred despite facility policies requiring verification of code status before starting CPR and the presence of systems intended to communicate residents' code status to direct care staff. The failure to promptly locate and confirm the resident's DNR status resulted in the initiation of life-prolonging measures that were contrary to the resident's documented wishes.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fenton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maple Grove Wellness & Rehabilitation | 0.2 mi | ★★★★★ | 24 | 0 |
| Fieser Nursing Center | 1.6 mi | ★★★★★ | 22 | 0 |
| South County Health Care Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Friendship Village Sunset Hills | 3.4 mi | ★★★★★ | 0 | 0 |
| Fountain Care At Sunset Hills | 3.7 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.