Fieser Nursing Center
404 Main Street · Fenton, MO · 63026 · 6363434344
47 certified beds For profit - Individual
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.67 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (56 in the current record)
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Potential for harm · D September 30, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 13, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected November 13, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected November 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 30, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 13, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 13, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
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.
Corrected November 13, 2025 · Pharmacy Service
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Potential for harm · E September 30, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected November 13, 2025 · Administration
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Potential for harm · F September 30, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected November 13, 2025 · Administration
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Potential for harm · E September 30, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected November 13, 2025 · Administration
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Potential for harm · E September 30, 2025
Provide and implement an infection prevention and control program.
Corrected November 13, 2025 · Infection Control
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Potential for harm · E September 30, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected November 13, 2025 · Nursing and Physician Services
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No harm found · C September 30, 2025
Post nurse staffing information every day.
Corrected November 13, 2025 · Nursing and Physician Services
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Potential for harm · D October 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 4, 2024 · Quality of Life and Care
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Actual harm · G February 20, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 6, 2024 · Pharmacy Service
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Potential for harm · D February 20, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 6, 2024 · Resident Rights
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Potential for harm · F February 20, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2024
Assess the resident when there is a significant change in condition
Corrected April 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · F February 20, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected April 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · F February 20, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2024
Ensure each resident receives an accurate assessment.
Corrected April 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 6, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2024 | Payment Denial | 19 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 26A490 · certified since August 3, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.