Cape Girardeau, MO

Fountainbleau Lodge

4-star overall rating with 4-star inspections with $8,827 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2001 North Kingshighway, Cape Girardeau, MO

(573) 335-1999

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

33

Certified beds

Average residents

30

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Shafiq Malik

Operator or chain grouping

Approved since

1989-08-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 4 health / 2 staffing / 2 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

0.73

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

3.08

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.78

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.70

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.64

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

4.81

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,637

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

Performance score

43.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9963

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.54

Baseline 83.33% · Performance 71.43% · Measure score 1.54 · Achievement 0 · Improvement 1.54

Adjusted total nurse staffing

7.14

Baseline 3.11 hours · Performance 5.11 hours · Measure score 7.14 · Achievement 7.14 · Improvement 6.99

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.56%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 54 · Observed rate 11.11% · Lower 95% interval 6.67%
Discharge to community	30.6%	50.57% 20 pts worse	Worse than the National Rate · Eligible stays 39 · Observed rate 20.51% · Lower 95% interval 19.79%
Medicare spending per beneficiary	1.24	1.02 0.2 pts worse
Drug regimen review with follow-up	89.29%	95.27% 6 pts worse	Numerator 25 · Denominator 28
Falls with major injury	3.57%	0.77% 2.8 pts worse	Numerator 1 · Denominator 28
Discharge self-care score	47.83%	53.69% 5.9 pts worse	Numerator 11 · Denominator 23
Discharge mobility score	34.78%	50.94% 16.2 pts worse	Numerator 8 · Denominator 23
Pressure ulcers or injuries, new or worsened	3.57%	2.29% 1.3 pts worse	Numerator 1 · Denominator 28 · Adjusted rate 2.62%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.13%	8.2% 5.1 pts worse	Numerator 2 · Denominator 64
Staff flu vaccination coverage	29.41%	42% 12.6 pts worse	Numerator 20 · Denominator 68
Discharge function score	34.78%	56.45% 21.7 pts worse	Numerator 8 · Denominator 23
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	2.1 0.5 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.3 0.1 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.8% 15.2 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	90.3%	90.9% 0.6 pts worse	95.5% 5.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.3%
Percentage of long-stay residents experiencing one or more falls with major injury	7.3%	4.1% 3.2 pts worse	3.3% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.5% · Q3 3.4% · Q4 3.7% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	14.7% 13.7 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	20.9%	5.5% 15.4 pts worse	5.4% 15.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 27.3% · Q3 22.7% · Q4 26.1% · 4Q avg 20.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.0%	25.3% 2.7 pts worse	19.6% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 30.4% · Q3 26.1% · Q4 30.4% · 4Q avg 28.0%
Percentage of long-stay residents who received an antipsychotic medication	14.5%	25.0% 10.5 pts better	16.7% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	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	14.6%	20.3% 5.7 pts better	16.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.0%	19.8% 8.8 pts better	14.9% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 14.3% · Q3 21.7% · Q4 0.0% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.4% 0.9 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.7%	2.6% 1.1 pts worse	1.7% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.0% · Q3 0.0% · Q4 7.4% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.2%	18.1% 5.9 pts better	19.8% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 17.8% · Q3 7.5% · Q4 11.6% · 4Q avg 12.2%
Percentage of long-stay residents with pressure ulcers	7.1%	5.0% 2.1 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 9.1% · Q3 9.3% · Q4 7.2% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.1%	66.4% 25.7 pts better	81.7% 10.4 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 92.1%
Percentage of short-stay residents who had an outpatient emergency department visit	17.7%	13.4% 4.3 pts worse	12.0% 5.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 18.5% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.5%	25.3% 0.8 pts better	23.9% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 25.9% · Expected 25.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-08 · Fire 2024-08-08

8 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

9 health deficiencies

Top issue: Administration (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-04

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 2025-10-18

F · Potential for more than minimal harm 2025-09-04

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 2025-10-18

F · Potential for more than minimal harm 2025-09-04

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-10-18

F · Potential for more than minimal harm 2025-09-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-10-18

F · Potential for more than minimal harm 2024-08-08

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 2024-09-22

F · Potential for more than minimal harm 2024-08-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-22

F · Potential for more than minimal harm 2023-03-10

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 2023-03-10

F · Potential for more than minimal harm 2023-03-10

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 2023-03-13

F · Potential for more than minimal harm 2023-03-10

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-28

F · Potential for more than minimal harm 2023-03-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-04

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-18

D · Potential for more than minimal harm 2025-09-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-18

D · Potential for more than minimal harm 2025-09-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-18

F · Potential for more than minimal harm 2024-08-08

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 2024-09-22

D · Potential for more than minimal harm 2024-08-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-22

D · Potential for more than minimal harm 2024-08-08

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-09-22

D · Potential for more than minimal harm 2024-08-08

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-22

D · Potential for more than minimal harm 2024-08-08

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 2024-09-22

D · Potential for more than minimal harm 2024-08-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-22

D · Potential for more than minimal harm 2024-08-08

F925 · Environmental Deficiencies

Health

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

Corrected 2024-09-22

J · Immediate jeopardy 2024-06-18

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 2024-06-09

F · Potential for more than minimal harm 2023-03-10

F867 · Administration Deficiencies

Health

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

Corrected 2023-03-23

F · Potential for more than minimal harm 2023-03-10

F868 · Administration Deficiencies

Health

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

Corrected 2023-03-23

E · Potential for more than minimal harm 2023-03-10