Delmar Gardens of Meramec Valley
#1 Arbor Terrace, Fenton, MO 63026 · St. Louis County · 190 certified beds · avg 169 residents/day · certified since Jan 22, 2001
Part of chain: DELMAR GARDENS (12 facilities, chain avg rating 2.8★)
5/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.57
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 5, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Mar 26, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Mar 26, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Mar 1, 2022 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Mar 1, 2022 | D · Potential for harm, one-off | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Mar 1, 2022 | C · Minimal risk, facility-wide | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 15 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.57 | 3.66 | 3.95 | bottom 49% in Missouri; bottom 40% in the U.S. |
| Registered Nurse hours | 0.37 | 0.49 | 0.69 | bottom 41% in Missouri; bottom 18% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.22 | 3.50 | top 47% in Missouri; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.33 | 0.48 | bottom 36% in Missouri; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 47.8 | 56.0 | 45.8 | top 28% in Missouri; bottom 42% in the U.S. |
| RN turnover (%) | 38.1 | 47.8 | 42.9 | top 36% in Missouri; top 44% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.35, weekend 3.02. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Delmar Gardens Enterprises INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/07/2003 |
| Gabe Grossberg and George Grossberg, Trustees of the Henry and Barbara | Organization | 5% or Greater Indirect Ownership Interest | 8% | 03/07/2003 |
| George Grossberg and Gabe Grossberg, Trustees of the Henry and Barbara | Organization | 5% or Greater Indirect Ownership Interest | 8% | 03/07/2003 |
| Goldberg-Nom LLC | Organization | 5% or Greater Indirect Ownership Interest | 25% | 03/07/2003 |
| Grossberg, Gabe | Individual | 5% or Greater Indirect Ownership Interest | 16% | 03/07/2003 |
| Grossberg, George | Individual | 5% or Greater Indirect Ownership Interest | 11% | 03/07/2003 |
| Non-Gst Family Trust Est U/W of Israel Goldberg Fbo Janice Bitanski | Organization | 5% or Greater Indirect Ownership Interest | 6% | 04/10/2013 |
| Non-Gst Family Trust Established U/W of Israel Goldberg Fbo Harry Zvi | Organization | 5% or Greater Indirect Ownership Interest | 6% | 04/10/2013 |
| Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman | Organization | 5% or Greater Indirect Ownership Interest | 6% | 04/10/2013 |
| Delmar Gardens Management Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2005 |
| Gray, Tracie | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/07/2021 |
| Grossberg, Gabe | Individual | Corporate Officer | NOT APPLICABLE | 03/07/2003 |
| Marx, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 06/11/2019 |
| Oppenheimer, Howard | Individual | Corporate Officer | NOT APPLICABLE | 03/07/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Maple Grove Wellness & Rehabilitation | 0.2 mi | Fenton, MO | ★☆☆☆☆ | 2/5 | |
| Fieser Nursing Center | 1.6 mi | Fenton, MO | ★★☆☆☆ | 2/5 | |
| South County Health Care Center | 3.2 mi | Arnold, MO | ★☆☆☆☆ | 2/5 | abuse |
| Friendship Village Sunset Hills | 3.4 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Fountain Care at Sunset Hills | 3.8 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Delmar Gardens South | 4.0 mi | Saint Louis, MO | ★★★★☆ | 4/5 | |
| Big Bend Woods Healthcare Center | 4.3 mi | Valley Park, MO | ★☆☆☆☆ | 3/5 | |
| Garden View Care Center at Dougherty Ferry | 4.7 mi | Valley Park, MO | ★★★★☆ | 5/5 | |
| Aberdeen Heights | 5.4 mi | Kirkwood, MO | ★★★★★ | 5/5 | |
| Woodland Manor Nursing Center | 5.6 mi | Arnold, MO | ★★☆☆☆ | 4/5 | |
| Grove at Kirkwood, the | 5.6 mi | Kirkwood, MO | ★☆☆☆☆ | 1/5 | SFF |
| Lutheran Senior Services at Meramec Bluffs | 6.4 mi | Ballwin, MO | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265711.