Home›Browse›Missouri›Fenton›Fieser Nursing Center

Nursing homeFAID #7463

Fieser Nursing Center

404 MAIN STREET, FENTON, MO, 63026

(636) 343-4344

47 licensed beds

CMS rates Fieser Nursing Center 2 out of 5 overall. Federal inspectors issued 85 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

404 Main Street

Fenton, MO 63026

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Public record summary

What we can show you for free.

Bed capacity

State license

052875

CMS facility ID

26A490

Care type

Nursing home

Facility name

Fieser Nursing Center

Street address

404 MAIN STREET

City / state / ZIP

Fenton, MO 63026

Phone

(636) 343-4344

State license #

052875

About this facility — Fieser Nursing Center

Fieser Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Fenton, Missouri. It is licensed for 47 beds — well below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 4 senior care facilities in Fenton and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Fieser Nursing Center 85 times across 8 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Fieser Nursing Center, Llc

Ownership type

For profit - Individual

Administrator

Rachel Counts

Regulatory standing

Licensed / certified since

2006-08-03

License expires

2027-07-31

CMS overall rating

2 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-09-30

Nurse staffing

3.7 hours per resident per day

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-09-30Health inspection14 citations

F-0554

D · No harm found

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

Corrected 2025-11-13

F-0577

D · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-11-13

F-0605

D · No harm found

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

Corrected 2025-11-13

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-11-13

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-11-13

F-0656

D · No harm found

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

Corrected 2025-11-13

F-0686

D · No harm found

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

Corrected 2025-11-13

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-11-13

F-0761

D · No harm found

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 2025-11-13

F-0838

E · No harm found

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 2025-11-13

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-11-13

F-0868

E · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-11-13

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-11-13

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-11-13

2024-10-17Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-30

F-0686

D · No harm foundFrom a complaint

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

Corrected 2024-12-04

5 earlier / fire-safety inspections (69 citations)

2024-02-20Health inspectionComplaint-triggered19 citations

F-0580

D · No harm found

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

Corrected 2024-04-06

F-0636

F · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-04-06

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-04-06

F-0638

F · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-04-06

F-0640

F · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-04-06

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-04-06

F-0656

E · No harm found

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

Corrected 2024-04-06

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-06

F-0686

D · No harm found

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

Corrected 2024-04-06

F-0689

E · No harm found

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

Corrected 2024-04-06

F-0730

E · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2024-04-06

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-04-06

F-0761

E · No harm found

Corrected 2024-04-06

F-0801

E · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-04-06

F-0847

E · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-04-15

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-04-06

F-0865

F · No harm found

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

Corrected 2024-04-06

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-06

F-0882

E · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-04-06

2021-12-20Health inspection21 citations

F-0567

D · No harm found

Honor the resident's right to manage his or her financial affairs.

Corrected 2022-02-03

F-0577

C · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2022-02-03

F-0607

E · No harm found

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

Corrected 2022-02-03

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-02-03

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2022-02-03

F-0636

F · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-02-03

F-0638

F · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2022-02-03

F-0640

F · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-02-03

F-0656

E · No harm found

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

Corrected 2022-02-03

F-0658

E · No harm found

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

Corrected 2022-02-03

F-0689

D · No harm found

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

Corrected 2022-02-03

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-02-03

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-02-03

F-0727

E · No harm found

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-02-03

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2022-02-03

F-0838

E · No harm found

Corrected 2022-02-03

F-0867

F · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-02-03

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-02-03

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-02-03

F-0883

C · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-02-03

F-0909

D · No harm found

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2022-02-03

2025-09-30Fire-safety inspection8 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-11-13

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-11-13

K-0345

F · No harm found

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

Corrected 2025-11-13

K-0372

F · No harm found

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

Corrected 2025-11-13

K-0500

E · No harm found

Meet other general requirements that are deficient.

Corrected 2025-11-13

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-11-13

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-11-13

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-11-13

2024-02-20Fire-safety inspection11 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-04-06

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-04-06

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2024-04-06

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-04-15

K-0345

F · No harm found

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

Corrected 2024-04-06

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-06

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-04-06

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-06

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-15

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-06

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-04-06

2021-12-20Fire-safety inspection10 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-02-03

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-02-03

K-0346

F · No harm found

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

Corrected 2022-02-03

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2022-02-03

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-02-03

K-0372

E · No harm found

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

Corrected 2022-02-03

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2022-02-03

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2022-02-03

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-02-03

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-02-03

Federal penalties

2024-02-20Medicare payment denial — 19 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 26A490.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 82% of nursing homes in the state

State median: 50

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.7

Higher than 74% of nursing homes in the state

State median: 3.4

Resident outcomes

On 15 federal quality measures, this facility does better than the Missouri average on 8 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	5.6%	17.4%	13.5%	Better than state
Lose too much weight	11.0%	5.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.0%	0.9%	0.7%	Near state average
With a urinary tract infection	10.9%	2.2%	1.5%	Worse than state
Have depressive symptoms	0.0%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.4%	4.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	51.1%	84.0%	93.7%	Worse than state
Ability to walk independently worsened	2.8%	15.8%	12.7%	Better than state
Received an antianxiety or hypnotic medication	10.3%	25.6%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	62.5%	90.8%	95.3%	Worse than state
With pressure ulcers	7.9%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	6.1%	17.1%	18.3%	Better than state
Received an antipsychotic medication	17.3%	23.5%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	5.3%	65.7%	82.3%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0686 3 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
E-0006 2 inspections. Conduct risk assessment and an All-Hazards approach.
F-0577 2 inspections. Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F-0732 2 inspections. Post nurse staffing information every day.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ssm St Clare Health Center, about 2.2 miles. CMS rating 4 of 5.
Mercy Hospital South, about 3.1 miles. CMS rating 2 of 5.
Missouri Baptist Medical Center, about 8.4 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Maple Grove Wellness & Rehabilitation, Fenton, about 1.4 miles. CMS rating 1 of 5.
Delmar Gardens of Meramec Valley, Fenton, about 1.6 miles. CMS rating 5 of 5.
Friendship Village Sunset Hills, Saint Louis, about 1.8 miles. CMS rating 3 of 5.
Fountain Care At Sunset Hills, Saint Louis, about 2.2 miles. CMS rating 1 of 5.
Delmar Gardens South, Saint Louis, about 3.3 miles. CMS rating 4 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 85 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered