Fountainbleau Nursing Center

1349 Highway 61 · Festus, MO · 63028 · 6369373500

116 certified beds For profit - Limited Liability company Chain: Shafiq Malik

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Total nurse staffing below 3.0 hours per resident-day

2.57 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 100
Staffing 20% 47
Federal penalties 15% 100
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.573.48 min · 4.1 strong
RN hours / resident-day0.360.55–0.75
Weekend hours / resident-day2.16≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · E February 12, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected March 28, 2026 · Resident Rights

  • Potential for harm · D February 12, 2026

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 12, 2026

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

    Corrected March 28, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 12, 2026

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected March 28, 2026 · Quality of Life and Care

  • Potential for harm · D February 12, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 28, 2026 · Pharmacy Service

  • Potential for harm · D February 12, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 28, 2026 · Infection Control

  • Potential for harm · D February 12, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 28, 2026 · Environmental

  • Potential for harm · D February 12, 2026

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

    Corrected March 28, 2026 · Nursing and Physician Services

  • Potential for harm · E September 27, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected November 10, 2024 · Resident Rights

  • Potential for harm · D September 27, 2024

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

    Corrected November 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 27, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected November 10, 2024 · Environmental

  • Potential for harm · D July 5, 2023 · found via complaint

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

    Corrected July 5, 2023 · Quality of Life and Care

  • Potential for harm · D June 9, 2023

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected July 14, 2023 · Resident Rights

  • Potential for harm · D June 9, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 14, 2023 · Resident Rights

  • Potential for harm · D June 9, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 14, 2023 · Resident Rights

  • Potential for harm · D June 9, 2023

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

    Corrected July 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 9, 2023

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

    Corrected July 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 9, 2023

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

    Corrected July 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F June 9, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 14, 2023 · Nutrition and Dietary

  • Potential for harm · E June 9, 2023

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

    Corrected July 14, 2023 · Administration

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265654 · certified since December 16, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.