Fenton, Missouri · CMS Care Compare

Delmar Gardens of Meramec Valley

4 of 5 · CMS overall rating Above average

#1 ARBOR TERRACE, Fenton, MO 63026

Fenton, Missouri · CMS verdict

Delmar Gardens of Meramec Valley reflects above-average quality on the federal five-star scale, above the Missouri state average of 2.5.

The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.

Delmar Gardens of Meramec Valley in Fenton, Missouri holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 51 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.

51 of 100 · F

Quality & Compliance Index (larger bed book)

Its certified bed capacity sits in the upper U.S. bed tercile (>120). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.

How the 51 is built

Each segment is a dimension's weighted points toward the score, summing to 51.

Health inspections 75/100
Staffing 50/100
Quality measures 25/100
Inspection record 46.666666666666664/100

Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.

Delmar Gardens of Meramec Valley's larger certified-bed book

Quality ratings

CMS's most recent Care Compare release (data as of April 2026) scores Delmar Gardens of Meramec Valley on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Missouri average below.

What each sub-rating measures

The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.

Size and setting

Located in Fenton, Missouri. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 84% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.

Same-ownership peers

Within Missouri, Delmar Gardens of Meramec Valley is one of 169 for profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the for profit - corporation-segment average of 2.5 stars, ahead of roughly 72% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.

Inspection record

On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.

Where these figures come from

Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.

How Delmar Gardens of Meramec Valley compares to Missouri

CMS five-star sub-ratings (0–5) for this facility against the Missouri facility-weighted average. Source: CMS Care Compare.

Overall 4/5 · state avg 2.5
Health inspection 4/5 · state avg 2.8
Staffing 3/5 · state avg 2.1
Quality measures 2/5 · state avg 2.7

Bar = this facility's rating · vertical marker = Missouri state average. Higher is better on all four CMS measures.

Where Delmar Gardens of Meramec Valley ranks in Missouri

Among the 479 CMS-rated nursing homes in Missouri, Delmar Gardens of Meramec Valley’s 4-star overall rating is higher than 72% of them. The bars show how all Missouri homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.

1 star 157 · 33%
2 stars 101 · 21%
3 stars 88 · 18%
4 stars · this facility 81 · 17%
5 stars 52 · 11%

81 Missouri homes share this 4-star rating. Source: CMS Nursing Home Compare.

Facility details

Beds, residents, ownership, location, penalty and deficiency counts from CMS Care Compare.
Attribute Value
Beds 190
Residents 160
Ownership For profit - Corporation
County St. Louis
Penalties 0
Deficiencies 25

Source: CMS Care Compare Nursing Homes (data as of April 2026)

What families ask about Delmar Gardens of Meramec Valley's larger facility

What is the quality rating for Delmar Gardens of Meramec Valley? ▾

4 out of 5 stars is Delmar Gardens of Meramec Valley's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the Missouri average.

How much does a nursing home cost per month in Missouri? ▾

The median cost for a semi-private nursing home room in Missouri is $6,741 per month ($80,893 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.

What services does Delmar Gardens of Meramec Valley offer? ▾

Delmar Gardens of Meramec Valley is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.

Does Delmar Gardens of Meramec Valley have any deficiencies or penalties? ▾

Delmar Gardens of Meramec Valley has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.

What are the alternatives to a nursing home in Missouri? ▾

In Missouri, alternatives include assisted living ($5,400/mo), home health aides ($6,292/mo), and adult day care ($2,058/mo).

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainElderCare