Riverview, MI

Belle Fountain Nursing & Rehabilitation Center

2-star overall rating with 2-star inspections with abuse icon flag with $4,194 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

18591 Quarry Rd, Riverview, MI

(734) 282-2100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

91

Certified beds

Average residents

74

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Optalis Health & Rehabilitation

Operator or chain grouping

Approved since

1978-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 2 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.66

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.23

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

2.15

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.63

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.84

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,415

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.45

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.35

Baseline 25.15% · Performance 24.46% · Measure score 0.35 · Achievement 0 · Improvement 0.35

Healthcare-associated infections

2.01

Baseline 7.47% · Performance 7.23% · Measure score 2.01 · Achievement 2.01 · Improvement 0.45

Total nurse turnover

3.96

Baseline 41.76% · Performance 47.48% · Measure score 3.96 · Achievement 3.96 · Improvement 0

Adjusted total nurse staffing

1.85

Baseline 2.95 hours · Performance 3.60 hours · Measure score 1.85 · Achievement 1.85 · Improvement 1.82

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.88%
10.72%
1.2 pts worse
No Different than the National Rate · Eligible stays 513 · Observed rate 13.26% · Lower 95% interval 9.75%
Discharge to community 58.67%
50.57%
8.1 pts better
Better than the National Rate · Eligible stays 544 · Observed rate 50.37% · Lower 95% interval 53.82%
Medicare spending per beneficiary 0.94
1.02
0.1 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 322 · Denominator 322
Falls with major injury 0.62%
0.77%
0.2 pts better
Numerator 2 · Denominator 322
Discharge self-care score 76.69%
53.69%
23 pts better
Numerator 181 · Denominator 236
Discharge mobility score 74.58%
50.94%
23.6 pts better
Numerator 176 · Denominator 236
Pressure ulcers or injuries, new or worsened 0.31%
2.29%
2 pts better
Numerator 1 · Denominator 322 · Adjusted rate 0.29%
Healthcare-associated infections requiring hospitalization 7.23%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 327 · Observed rate 7.03% · Lower 95% interval 4.75%
Staff COVID-19 vaccination coverage 8.7%
8.2%
0.5 pts better
Numerator 14 · Denominator 161
Staff flu vaccination coverage 17.61%
42%
24.4 pts worse
Numerator 31 · Denominator 176
Discharge function score 78.81%
56.45%
22.4 pts better
Numerator 186 · Denominator 236
Transfer of health information to provider 99.17%
95.95%
3.2 pts better
Numerator 240 · Denominator 242
Transfer of health information to patient 95.56%
96.28%
0.7 pts worse
Numerator 43 · Denominator 45
Resident COVID-19 vaccinations up to date 27.97%
25.2%
2.8 pts better
Numerator 40 · Denominator 143

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.5
1.7
1.8 pts worse
1.9
1.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 5.1 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.5
0.1 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.0%
5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.1%
1.3 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 3.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.0%
4.1%
0.1 pts better
11.4%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.5% · Q3 4.0% · Q4 0.0% · 4Q avg 4.0%
Percentage of long-stay residents who lose too much weight 0.0%
5.5%
5.5 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.8%
19.6%
5.2 pts worse
19.6%
5.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 30.4% · Q3 21.7% · Q4 23.1% · 4Q avg 24.8%
Percentage of long-stay residents who received an antipsychotic medication 15.6%
16.5%
0.9 pts better
16.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q3 15.0% · Q4 15.0% · 4Q avg 15.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 20.1%
13.9%
6.2 pts worse
16.3%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 4.3%
11.7%
7.4 pts better
14.9%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 4.8% · Q3 0.0% · Q4 4.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.1%
20.4%
2.3 pts better
19.8%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 23.7% · Q3 8.1% · Q4 25.0% · 4Q avg 18.1%
Percentage of long-stay residents with pressure ulcers 22.0%
5.6%
16.4 pts worse
5.1%
16.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 19.1% · Q3 21.1% · Q4 14.7% · 4Q avg 22.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
82.8%
16.3 pts better
81.7%
17.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 98.7% · Q3 99.1% · Q4 99.5% · 4Q avg 99.1%
Percentage of short-stay residents who had an outpatient emergency department visit 9.4%
11.5%
2.1 pts better
12.0%
2.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 7.8% · Expected 9.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.3%
0.8 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.4% · Q3 0.4% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.0%
79.5%
14.5 pts better
79.7%
14.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.7%
24.2%
5.5 pts worse
23.9%
5.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 27.0% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-09 · Fire 2024-01-09

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-10

E · Potential for more than minimal harm 2025-03-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-10

E · Potential for more than minimal harm 2025-03-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-10

E · Potential for more than minimal harm 2025-03-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-10

F · Potential for more than minimal harm 2024-01-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-05

F · Potential for more than minimal harm 2024-01-09

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-09

K223 · Egress Deficiencies

Fire Safety

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

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-09

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-09

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-02-05

D · Potential for more than minimal harm 2024-01-09

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-02-05

D · Potential for more than minimal harm 2024-01-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-05

D · Potential for more than minimal harm 2024-01-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-02-05

F · Potential for more than minimal harm 2023-03-16

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-03-16

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-03-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-04-28

F · Potential for more than minimal harm 2023-03-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-28

E · Potential for more than minimal harm 2023-03-16

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-28

E · Potential for more than minimal harm 2023-03-16

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-28

E · Potential for more than minimal harm 2023-03-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-28

Inspection history

Recent health citations

G · Actual harm 2025-08-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-08-21

D · Potential for more than minimal harm 2025-08-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-21

F · Potential for more than minimal harm 2025-03-12

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-12

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-12

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-01-28

F727 · Nursing and Physician Services Deficiencies

Health

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 2025-02-18

D · Potential for more than minimal harm 2024-11-21

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-12-11

D · Potential for more than minimal harm 2024-09-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-25

F · Potential for more than minimal harm 2024-06-26

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-06-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-06-07

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-06-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-03-06

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-03-20

E · Potential for more than minimal harm 2024-01-09

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-02-02

D · Potential for more than minimal harm 2024-01-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-02-02

D · Potential for more than minimal harm 2024-01-09

F761 · Pharmacy Service Deficiencies

Health

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 2024-02-02

E · Potential for more than minimal harm 2023-03-16

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

F582 · Resident Rights Deficiencies

Health

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

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-16

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-04-28

Penalties and ownership

What sits behind the stars

$4,194 2023-10-17

Fine

Fine · fine $4,194

Fine

Ownership

Dunn, Charles

5% Or Greater Indirect Ownership Interest · Individual

100% 6 facilities 2013-12-01
Metro Man Ii Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2014-12-01
Drake, Melissa

W-2 Managing Employee · Individual

0% 2 facilities 2021-10-31
Dunn, Charles

Corporate Officer · Individual

0% 6 facilities 2006-02-24

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