Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 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 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.
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 | — | 0 | 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 August 2026) and official state health department websites.