Federal inspection record · CMS data as of October 1, 2026
Fountain Bleu Health and Rehabilitation Center
28910 Plymouth Road, Livonia, MI · (734) 425-4814
- Certified beds
- 108
- Residents per day
- 98
- Ownership
- For-Profit
- Chain
- Optalis Health & Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 11, 1998
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Fountain Bleu Health and Rehabilitation Center carries 35 inspection points. That is fewer than 76% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Pharmacy Service4E
- D
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.
- D
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.
- E
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.
- D
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.
Quality of Life and Care3D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-09-10
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-08-15
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-07-12
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 44 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 42% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,985 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-15 | Fine | $8,985 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.0 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 100.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 93.4% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.1% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts better | 3.7% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 5.0% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts better | 14.2% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 10.1% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.1 pts better | 6.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6 pts better | 4.7% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse | 22.3% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.4% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts better | 100.0% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better | 9.3% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.1 pts better | 96.6% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.3 pts worse | 37.2% | 23.9% | 23.4% |
·
Who owns and runs it
27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Dunn, Charles | 5% Or Greater Direct Ownership Interest · Individual | 50% | 14 facilities |
| Patel, Pinal | 5% Or Greater Direct Ownership Interest · Individual | 25% | 3 facilities |
| Shah, Nayana | 5% Or Greater Direct Ownership Interest · Individual | 25% | 3 facilities |
| Cassidy, Bruce | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Cassidy, Bruce | Adp Of The SNF · Individual | 0% | 2 facilities |
| Cervi-Jonski, Laura | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cervi-Jonski, Laura | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Conner, Marianne | Adp Of The SNF · Individual | 0% | 11 facilities |
| Dunn, Charles | Adp Of The SNF · Individual | 0% | 14 facilities |
| Hemant Shah 2018 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| Mcfaddin, Maria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Metro Man Iv LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Optum Management Solutions. Inc | Adp Of The SNF · Organization | 0% | 24 facilities |
| Paar 108 LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Patel, Rajan | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Patel, Rajan | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | Adp Of The SNF · Organization | 0% | 30 facilities |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | Adp Of The SNF · Organization | 0% | 30 facilities |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rajan G Patel 2020 Irr Fam Tr Uad 12-3-2020 | Adp Of The SNF · Organization | 0% | 30 facilities |
| Schlaupitz Madhavan | Adp Of The SNF · Organization | 0% | 29 facilities |
| Shah, Hemant | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 14 facilities |
| Sharon, Robert | Managing Control - Governing Body · Individual | 0% | 15 facilities |
| Sharon, Robert | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Sharon, Robert | Adp Of The SNF · Individual | 0% | 15 facilities |
| Snw LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous4F
- E
Provide a written emergency evacuation plan.
- F
Provide a written emergency evacuation plan.
- F
Have restrictions on the use of portable space heaters.
- D
Have restrictions on the use of flammable curtains.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have horizontal exits used in accordance with safety requirements.
- E
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.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Four Chaplains Nursing Care Center
Westland, MI · Nexcare Health Systems
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $45,126
-
Regency at Livonia
Livonia, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Majestic Care of Livonia
Livonia, MI · Majestic Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $45,367