Federal inspection record · CMS data as of October 1, 2026

Fountainbleau Lodge

2001 North Kingshighway, Cape Girardeau, MO · (573) 335-1999

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
33
Residents per day
29
Ownership
For-Profit
Chain
Shafiq Malik
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 11, 1989

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Fountainbleau Lodge carries 33 inspection points. That is fewer than 81% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 33 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: 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★ 0–20 pts
  • 4★ 20–54 pts
  • 3★ 54–93.75 pts
  • 2★ 93.75–159 pts
  • 1★ over 159 pts

Bars show every rated home in Missouri 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

20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 1 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (1)

  1. J

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

    June 18, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 9, 2024

Everything else, by area of care

Resident Rights4D
  1. D

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

    August 8, 2024 · Standard · F623 · Corrected September 22, 2024

  2. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    August 8, 2024 · Standard · F625 · Corrected September 22, 2024

  3. D

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

    March 10, 2023 · Standard · F623 · Corrected March 23, 2023

  4. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    March 10, 2023 · Standard · F625 · Corrected March 21, 2023

Resident Assessment and Care Planning3D
  1. D

    Ensure each resident receives an accurate assessment.

    September 4, 2025 · Standard · F641 · Corrected October 18, 2025

  2. D

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

    August 8, 2024 · Standard · F656 · Corrected September 22, 2024

  3. D

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

    March 10, 2023 · Standard · F656 · Corrected March 27, 2023

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    September 4, 2025 · Standard · F880 · Corrected October 18, 2025

  2. D

    Provide and implement an infection prevention and control program.

    August 8, 2024 · Standard · F880 · Corrected September 22, 2024

  3. D

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

    March 10, 2023 · Standard · F883 · Corrected March 17, 2023

Nutrition and Dietary2F
  1. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    September 4, 2025 · Standard · F804 · Corrected October 18, 2025

  2. F

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

    August 8, 2024 · Standard · F812 · Corrected September 22, 2024

Freedom from Abuse, Neglect, and Exploitation2E
  1. D

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

    August 8, 2024 · Standard · F607 · Corrected September 22, 2024

  2. E

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

    March 10, 2023 · Standard · F607 · Corrected March 10, 2023

Administration2F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    March 10, 2023 · Standard · F867 · Corrected March 23, 2023

  2. F

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

    March 10, 2023 · Standard · F868 · Corrected March 23, 2023

Pharmacy Service2D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    March 10, 2023 · Standard · F756 · Corrected March 22, 2023

  2. D

    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.

    March 10, 2023 · Standard · F758 · Corrected March 17, 2023

Environmental1D
  1. D

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

    August 8, 2024 · Standard · F925 · Corrected September 22, 2024

Inspection history

  1. 2025-09-04

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-08-08

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  3. 2023-03-10

    10 health deficiencies · 4 fire-safety deficiencies

    Top issue: Administration (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 43 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.

This home

4 h 43 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 20% of registered nurses left in the past year.

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

$8,827 in federal fines on record over the past three years.

DatePenaltyAmount
2024-06-18Fine$8,827

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better1.32.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better0.82.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts better98.1%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts better96.4%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better0.9%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms20 pts better0.0%20.0%13.5%
Percentage of long-stay residents who lose too much weight5.7 pts worse10.8%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better23.4%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication17 pts better6.5%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.8 pts worse16.6%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts better17.0%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.6%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts worse2.9%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2 pts better15.1%17.1%18.3%
Percentage of long-stay residents with pressure ulcers2.4 pts worse6.8%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.7 pts better98.4%65.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%

·

Who owns and runs it

14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Malik, Ali5% Or Greater Direct Ownership Interest · Individual13%3 facilities
Chaudhry, Bilkess5% Or Greater Direct Ownership Interest · Individual12%2 facilities
Malik, Muhammad Tariq5% Or Greater Direct Ownership Interest · Individual12%2 facilities
Naeem, Tahira5% Or Greater Direct Ownership Interest · Individual12%2 facilities
Chaudhry, BilkessAdp Of The SNF · Individual0%2 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
King, ReginaOperational/Managerial Control · Individual0%1 facilities
King, ReginaAdp Of The SNF · Individual0%1 facilities
Malik, AliCorporate Officer · Individual0%3 facilities
Malik, ShafiqCorporate Officer · Individual0%9 facilities
Malik, ShafiqOperational/Managerial Control · Individual0%9 facilities
Malik, ShafiqAdp Of The SNF · Individual0%9 facilities
Sahai, MadhuOperational/Managerial Control · Individual0%5 facilities
Sahai, MadhuAdp Of The SNF · Individual0%5 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

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

    September 4, 2025 · K321 · Corrected October 18, 2025

  2. F

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

    September 4, 2025 · K374 · Corrected October 18, 2025

  3. F

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

    August 8, 2024 · K321 · Corrected September 22, 2024

  4. F

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

    March 10, 2023 · K321 · Corrected March 13, 2023

  5. F

    Install a fire alarm system that can be heard throughout the facility.

    March 10, 2023 · K341 · Corrected March 28, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure proper usage of power strips and extension cords.

    September 4, 2025 · K920 · Corrected October 18, 2025

  2. F

    Have proper medical gas storage and administration areas.

    August 8, 2024 · K923 · Corrected September 22, 2024

  3. F

    Ensure proper usage of power strips and extension cords.

    March 10, 2023 · K920 · Corrected April 3, 2023

Egress2F
  1. F

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

    September 4, 2025 · K223 · Corrected October 18, 2025

  2. F

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

    March 10, 2023 · K223 · Corrected March 10, 2023

·

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    Nursing / resident / day
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    Fines
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  2. Chateau Girardeau

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