Leo H. Fieser Nursing Center

    404 Main St, Fenton, MO 63026
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    4.0ยท9 reviews

    Attentive caregivers, clean calm facility

    I placed my mom here and I'm very pleased: caregivers are friendly and attentive, she's always clean and clothed and much calmer - better than Sunset Hill. The facility is clean, quiet and odor-free, with affordable private rooms, home-cooked meals, engaging activities (card games, bingo, singing, organ) and an upcoming fashion show. I'd recommend it.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.00ยท(9)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.7
    • Meals

      2.5
    • Amenities

      4.0
    • Value

      5.0

    Pros

    • Clean, odor-free environment
    • Quiet atmosphere
    • Affordable private rooms
    • Home-cooked meals
    • Diverse recreational activities (card games, bingo, music, fashion events)
    • Attentive personal-care staff
    • Friendly staffโ€“resident interactions
    • Well-maintained interiors

    Cons

    • Gaps in clinical triage and hospital-transfer decision-making
    • Delays in addressing residents' basic needs and monitoring
    • Gaps in clinical-incident response and family communication
    • Variable hiring and staff-training practices affecting care consistency
    • Visitor-screening and security process gaps
    • Delayed access to ancillary services (dental/denture follow-up)
    • Front-desk customer-service and communication deficiencies

    Summary of reviews

    Reviews of Leo H. Fieser Nursing Center are mixed, with a clear split between strong praise for day-to-day caregiving and environment and serious concerns about clinical decision-making and communication. Positive comments emphasize a clean, quiet facility with affordable private rooms, home-style meals, and an active recreational calendar. Several reviewers highlighted attentive, friendly direct-care staff who keep residents well-groomed and engaged in social activities.

    Care and staff performance draw divergent impressions. Many families described respectful, hands-on caregivers who provide routine personal care and companionship. At the same time, a number of accounts raise substantial concerns about clinical triage, monitoring, and response: examples include delayed attention to basic needs, contested assessments of injuries, and refusal or delay of hospital transfers. One account described later-identified fractures and potential legal follow-up; this represents a serious individual concern that prospective families should probe further when evaluating the facility.

    Dining and activities are frequently cited as strengths. Reviewers describe home-cooked meals and a variety of programmed offeringsโ€”card games, bingo, singing, organ music and special events such as a fashion showโ€”which contribute to a lively social environment for residents.

    Facility condition and management observations are likewise mixed. The building is noted as clean, odor-free and generally well-maintained, which families appreciate. However, operational and administrative weaknesses were also described: inconsistent family communication, front-desk unprofessionalism, delayed follow-through on ancillary needs such as dentures, and perceived gaps in hiring and staff training that contribute to variability in care quality. Visitor-screening lapses were also mentioned, indicating potential security and infection-control process gaps.

    Taken together, the pattern suggests a facility with many positive day-to-day attributes but with important operational risks in clinical escalation, incident response, and administrative communication. Prospective residents and families would benefit from direct questions about transfer and triage protocols, staffing and training practices, incident-reporting and family-notification procedures, visitor-screening policies, and the facilityโ€™s approach to coordinating ancillary services. An on-site tour and conversations with nursing leadership can help clarify whether the facilityโ€™s strengths align with a particular residentโ€™s clinical and safety needs.

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    Medicare Ratings

    2ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Leo H. Fieser Nursing Center

    Leo H. Fieser Nursing Center is located at 404 Main St, Fenton, MO, 63026.

    About Leo H. Fieser Nursing Center

    Leo H. Fieser Nursing Center sits in a quiet area and offers long-term skilled nursing care with a focus on dignity and comfort, and, being family owned since 1955, it keeps a home-like feel with just 50 beds, which lets them have a higher nurse-to-resident ratio for more personal attention and takes care of a wide range of needs, from basic daily support like bathing and dressing to more complex care, but doesn't do intravenous therapy or tracheotomy care, though it does have hospice and palliative services for those needing extra comfort as well as spiritual programs like Catholic Communion, Mass, Lutheran services, and other church visits that roll around each month, and you also get help with medication, tube feeding, oxygen, laundry, and continence management if you need it, and besides all that it has recently renovated spaces for residents to enjoy, shared and private suites at reasonable daily rates, and offers amenities like beautician services for hair or nails, on-site medical procedures like lab work or x-rays, and access to geriatric equipment rentals. The center includes a secured memory care wing for people with dementia where staff provides memory-enhancing activities and supervision, and it also gives rehabilitation care after hospital stays, using physical, occupational, speech, and swallowing therapy, and brings in live music with holiday celebrations or entertainment, social activities like bingo, crafts, cooking, card and dice games, and opportunities for residents to visit with their friends and families. Board and care homes with daily support in residential neighborhoods are part of the larger community, with services stretching from independent living to skilled nursing if needed, and for those who want a maintenance-free lifestyle without the need for much care, the independent living neighborhoods have amenities and social activities. Round-the-clock support handles medical and custodial care, and the center's aim stays on personal attention, safety, and making life as comfortable and engaging as possible. The facility is Medicaid approved and rated 2.8 from 9 reviews, and respite care's available if a family caregiver needs a break.

    People often ask...

    Leo H. Fieser Nursing Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 404 Main St, Fenton, MO 63026.

    No, Leo H. Fieser Nursing Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Leo H. Fieser Nursing Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Leo H. Fieser Nursing Center directly. There is no cost for this service. We are compensated by the community you select.

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