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DELMAR GARDENS OF MERAMEC VALLEY Inspection Report, Violations & Safety Grade (FENTON, Missouri)

#1 ARBOR TERRACE, FENTON, Missouri 63026

Phone: 6363430016

CMS Overall:5/5

Overview & Bed Count

Certified Beds
190
Avg Residents/Day
166.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
St. Louis
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.360.46-0.10
Total Nurse Hours per Resident per Day3.643.40+0.24
CMS Staffing Rating3/52.2/5-
Nursing Staff Turnover48.2%56.9%-

Health Citation History

22 health citations on record

DateCategoryDescriptionSeverity
2025-12-05Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-12-05Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-04-09Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-03-26Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2024-03-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-03-26Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-03-26Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2022-03-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2022-03-01Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2022-03-01Quality of Life and Care DeficienciesProvide 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 – Moderate Harm Potential
2022-03-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2022-03-01Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2022-03-01Nursing and Physician Services DeficienciesEnsure 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 – Moderate Harm Potential
2022-03-01Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2022-03-01Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2022-03-01Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2022-03-01Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2022-03-01Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2022-03-01Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2022-03-01Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.D – Moderate Harm Potential
2022-03-01Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.D – Moderate Harm Potential
2022-03-01Infection Control DeficienciesEnsure staff are vaccinated for COVID-19C – Minimal Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-05Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2025-12-05Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-12-05Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-03-26Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.E – Moderate Harm Potential
2022-03-01Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2022-03-01Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2022-03-01Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2022-03-01Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2022-03-01Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2022-03-01Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2022-03-01Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2022-03-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2022-03-01Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2022-03-01Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-03-01Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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