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Delmar Gardens of Meramec Valley

#1 Arbor Terrace

3.7(79 ratings)· Fenton average: 4.1

Delmar Gardens of Meramec Valley, photo 11 / 5

Quick Facts

Total units
190
Medicare rating
5 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
190
Memory Care
Dedicated Special Care Unit for dementia residents
Dental Care
On-site dental visits through Apex insurance
Therapy Services
Daily physical, speech, and occupational therapy on-site

What Families Think

Delmar Gardens of Meramec Valley is a skilled nursing and rehab facility in Fenton, MO, with a dedicated memory care unit. Reviews are sharply divided: some families describe attentive, well-coordinated long-term care with noticeable health improvements, while others report serious lapses in hygiene, medication management, and staff responsiveness during shorter rehab stays.

The Good

  • Long-term residents report attentive, consistent nursing care
  • Coordination with outside doctors and dental providers
  • Special Care Unit dedicated to dementia and Alzheimer's residents
  • Daily physical, speech, and occupational therapy on-site
  • One family saw reduced infections and hospice discharge

The Bad

  • Multiple reports of slow response to call lights
  • Several accounts of neglected hygiene and infrequent bathing
  • Reports of medication errors, including unexplained drug changes
  • One report of severe dehydration and hospitalization after rehab stay

AI-generated from reviews and community data.

Delmar Gardens of Meramec Valley is a senior living community in Fenton, Missouri offering Memory Care and Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.7 out of 5 across 79 reviews.

About Delmar Gardens of Meramec Valley

Delmar Gardens of Meramec Valley is a skilled nursing and rehabilitation facility in Fenton, Missouri, serving the St. Louis area since 1999. The community provides 24-hour medical oversight with a Medical Director on call, supported by Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants.

The facility offers comprehensive rehabilitative therapy for stroke victims, post-operative patients, and fracture cases through daily physical, speech, and occupational therapy delivered by licensed professionals. A Special Care Unit is dedicated exclusively to residents with Alzheimer's disease, dementia, and other memory impairments, with staff specially trained in cognitive care.

The memory care program emphasizes structured daily activities and regular exercise designed to enhance motor skills, decrease falls, reduce cognitive decline progression, and improve behavior and communication. Residents in the Special Care Unit receive close supervision while maintaining freedom of mobility without restraint.

The community's activity programming provides constant engagement throughout the day with activities specifically designed for residents with memory impairments. Staff across all departments, from nursing and therapy to dining and housekeeping, work to create a welcoming environment for residents and their families during transitions of care.

Types of Care at Delmar Gardens of Meramec Valley

Memory CareSkilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Delmar Gardens of Meramec Valley

3.7overall · 79 ratings combined

3.7★ on Google (79)

Steve Barron

Jul 2026

via Google

Most of staff Very uncaring let my 83 year old mom sit on toilet crying for help fir hours at night. Many other un caring things. Thank God she was only there for 8 days of hell

Cathie Weisenfels

Jul 2026

via Google

Very nice home with wonderful people

Cortnie Hulett

Jun 2026

via Google

If I could give this place 0 stars I would. My grandpa was admitted here at Meramec Valley back in April just for just a few days. Upon visiting , the lobby looks fine but you go up the elevator and the smell of urine hits you. There were ants in his room and once reported someone came in and sprayed Raid WITH my grandpa and his roommate IN THE room and just left the dead ants and wet spray on the window sill. Old food plates laying all over the nurses station, residents wondering the halls, nurses carts everywhere you could hardly get by at times. The nurse that did my grandpas bandage change one evening, I about lost it she was so rough w him and had no compassion about it at all. The glasses in the dining room were laid out as “clean” but were filthy. The dining room stayed dirty even after meal time. My grandpa spent the first night pressing his button for hours because he needed to go to the bathroom and no one came ! His roommate happened to have the number for the desk and called and when they answered had to ask for help on behalf of my grandpa. These residents only get a shower twice a week that are on a set schedule. All of this was happening in the matter of the few days my grandpa was there. I can’t imagine what goes on if your loved one is there for a long period of time.<br>There are clearly issues that need to be addressed and not a single excuse to be made. Whoever runs this place should be looking out for the residents on a regular basis, not just collecting a paycheck and letting them live to the lowest standard. These are PEOPLE who are there because they need help in their last days or last years of life. The standard of care was so low. The smell in that place and the chaos still haunt me.<br>My grandpa died shortly after staying there and I absolutely hate that he spent even a few of his last days in this place and that is why I am writing this review to hopefully help open the eyes of whoever is in charge and to steer families away if they have another option.

Hate Tax-N-Spend

Feb 2026

via Google

My mother spent her last 14 months of Earthly life at Delmar Gardens of Meramec Valley. I cannot speak highly enough of Delmar Garden of Meramec Valley. The entire staff, extremely caring and professional. The organizational structure is superb. I know that there are a lot of "behind the scenes" people at every level that I never had the pleasure of meeting, but they clearly do their jobs very well because the entire organization runs flawlessly (from my surface level observations). I know that there are other Delmar Garden campuses; I hope that they're as wonderful as this one located in Fenton, MO. If you're considering a place for your loved one to receive the specialized care that our senior citizens need; look no further than Delmar Gardens of Meramec Valley. Perry Furgason

Stephanie Earll

Feb 2025

via Google

My friend was in this facility while she was in her stay they gave her her bed pen made her put herself on it then she had to take herself off the bed and put it on the back counter. I find this totally unacceptable. At the end of her stay, they tried to give her insulin and she is not diabetic. So please keep your loved ones far away.

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Government Inspection History

4 inspection visits in the last three years, 37 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Dec 5, 2025Fire Safety StandardHealth Standard5 citations
  • Provide properly protected cooking facilities.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2026

  • Have proper medical gas storage and administration areas.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2026

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2026

  • Use approved construction type or materials.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2026

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2026

Apr 9, 2025Health Complaint1 citation
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 14, 2025

Mar 26, 2024Fire Safety StandardHealth ComplaintHealth Standard5 citations
  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

  • Properly provide smoke detection systems in areas open to corridors.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2024

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2024

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

Mar 1, 2022Fire Safety StandardHealth Standard26 citations
  • Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2022

  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2022

  • Implement emergency and standby power systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2022

  • List the names and contact information of those in the facility.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2022

  • Have elevators that firefighters can control in the event of a fire.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2022

  • Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 8, 2022

  • Have proper medical gas storage and administration areas.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Provide 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Have exits that are accessible at all times.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Properly select, install, inspect, or maintain portable fire extinguishes.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2022

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Allow residents to self-administer drugs if determined clinically appropriate.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Ensure 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2022

  • Ensure staff are vaccinated for COVID-19

    Severity C of L: potential for minimal harm, widespreadCorrected Apr 8, 2022

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Delmar Gardens of Meramec Valley offer?

Delmar Gardens of Meramec Valley offers Memory Care and Skilled Nursing / Long Term Care.

Where is Delmar Gardens of Meramec Valley located?

Delmar Gardens of Meramec Valley is located at #1 Arbor Terrace in Fenton, Missouri.

What do families say about Delmar Gardens of Meramec Valley?

Delmar Gardens of Meramec Valley is a skilled nursing and rehab facility in Fenton, MO, with a dedicated memory care unit. Reviews are sharply divided: some families describe attentive, well-coordinated long-term care with noticeable health improvements, while others report serious lapses in hygiene, medication management, and staff responsiveness during shorter rehab stays.

How did Delmar Gardens of Meramec Valley do on recent health and safety inspections?

Delmar Gardens of Meramec Valley had 4 government inspection visits in the last three years, with 37 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Delmar Gardens of Meramec Valley?

Submit the Request Information form on this page to connect with Delmar Gardens of Meramec Valley and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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