Velarion Records

Skilled nursing facility · CMS certification number 26A490

FIESER NURSING CENTER

FENTON, Missouri · Medicaid

Certified beds, as filed in Care Compare: 47

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A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: February 20, 2024, Payment Denial. Every penalty on file ↓

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Finances, as filed

No Medicare cost report on file for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
No owner named in the filingOwnership Data Not AvailableNot stated in the filingNot stated in the filingNot stated in the filing

Medicare enrollment

No owner listed for this facility in CMS’s Medicare enrollment ownership data.

Changes in ownership

No change in ownership appears in the CMS files on record since September 20, 2022.

Recent changes on this record

No change has appeared in the CMS files since this record began.

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1September 30, 2025September 30, 2025148
2February 20, 2024February 20, 20242111
3December 20, 2021December 20, 20212110

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

56 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
September 30, 2025HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0838Administration DeficienciesConduct 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.ENoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyENoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionNovember 13, 2025
September 30, 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.ENoDeficient, Provider has date of correctionNovember 13, 2025
October 17, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionNovember 30, 2024
October 17, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionDecember 4, 2024
February 20, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.FNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.FNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.FNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.ENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.ENoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.ENoDeficient, Provider has date of correctionApril 15, 2024
February 20, 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.FNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionApril 6, 2024
February 20, 2024HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.ENoDeficient, Provider has date of correctionApril 6, 2024
December 20, 2021HealthF 0567Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.DNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.CNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.ENoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.FNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.FNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.FNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0700Quality of Life and Care DeficienciesTry 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.DNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0727Nursing and Physician Services DeficienciesHave 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.ENoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0838Administration DeficienciesConduct 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.ENoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyFNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.CNoDeficient, Provider has date of correctionFebruary 3, 2022
December 20, 2021HealthF 0909Environmental DeficienciesRegularly 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.DNoDeficient, Provider has date of correctionFebruary 3, 2022

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
February 20, 2024Payment DenialMarch 27, 202419

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicaid
Ownership TypeFor profit - Individual
Legal Business NameLegal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services2006-08-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSt. Louis
Telephone Number6363434344
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds47
Average Number of Residents per Day36.7
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating3
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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