Nursing HomeInspections

Fieser Nursing Center

Nursing home in Fenton, MO

Medicaid-certified2★ overall (CMS)

Call (636) 343-4344Send a messageMap ↗

Public-record details

Address
404 Main Street, Fenton, MO 63026
Phone
(636) 343-4344
Listed under
For-profit
Medicare CCN
26A490
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
47
Average residents per day
37
Ownership
For-profit, individual
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Aug 3, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 26A490. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 30, 2025. CMS lists 56 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 20, 2021 to Sep 30, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 30, 2025Post nurse staffing information every day.
Nursing and Physician Services
C
Potential for minimal harm, widespread
Sep 30, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 30, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 30, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Sep 30, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 30, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 30, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 30, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 30, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Sep 30, 2025Conduct 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…
Administration
E
Potential for more than minimal harm, pattern
Sep 30, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration
E
Potential for more than minimal harm, pattern
Sep 30, 2025Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 56. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 0 fines totalling $0 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 20, 2024Payment denial for 19 days from Mar 27, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.56 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
3.12 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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