Festus, MO

Fountainbleau Nursing Center

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1349 Highway 61, Festus, MO

(636) 937-3500

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

116

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Shafiq Malik

Operator or chain grouping

Approved since

1996-12-16

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

0.36

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.68

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.81

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.17

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

2.58

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

13,366

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

Performance score

6.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9806

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

1.23

Baseline 6.39% · Performance 7.47% · Measure score 1.23 · Achievement 1.23 · Improvement 0

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

0

Baseline 3.06 hours · Performance 2.17 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.61%
10.72%
0.1 pts better
No Different than the National Rate · Eligible stays 57 · Observed rate 14.04% · Lower 95% interval 7.4%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.76
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 33 · Denominator 33
Falls with major injury 3.03%
0.77%
2.3 pts worse
Numerator 1 · Denominator 33
Discharge self-care score 12%
53.69%
41.7 pts worse
Numerator 3 · Denominator 25
Discharge mobility score 16%
50.94%
34.9 pts worse
Numerator 4 · Denominator 25
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 33 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.47%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 4.15%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 106
Staff flu vaccination coverage 10.37%
42%
31.6 pts worse
Numerator 14 · Denominator 135
Discharge function score 24%
56.45%
32.5 pts worse
Numerator 6 · Denominator 25
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · 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 1.5
2.1
0.6 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
2.3
1.7 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 66.8%
84.8%
18 pts worse
93.4%
26.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 76.4% · Q2 60.6% · Q3 63.0% · Q4 67.7% · 4Q avg 66.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 75.7%
90.9%
15.2 pts worse
95.5%
19.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.7%
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
4.1%
1.7 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.0% · Q3 3.3% · Q4 1.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 33.6%
14.7%
18.9 pts worse
11.4%
22.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 54.2% · Q2 52.7% · Q3 22.2% · Q4 2.4% · 4Q avg 33.6%
Percentage of long-stay residents who lose too much weight 4.6%
5.5%
0.9 pts better
5.4%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 5.2% · Q3 5.3% · Q4 1.2% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.7%
25.3%
13.4 pts worse
19.6%
19.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.5% · Q2 32.9% · Q3 42.1% · Q4 39.5% · 4Q avg 38.7%
Percentage of long-stay residents who received an antipsychotic medication 24.6%
25.0%
0.4 pts better
16.7%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 24.2% · Q3 27.4% · Q4 23.1% · 4Q avg 24.6% · 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 30.4%
20.3%
10.1 pts worse
16.3%
14.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 22.6% · Q3 36.0% · Q4 18.3% · 4Q avg 30.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.9%
19.8%
3.9 pts better
14.9%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 17.5% · Q3 13.7% · Q4 11.7% · 4Q avg 15.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.4%
1.2 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.7%
2.6%
0.1 pts worse
1.7%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.3% · Q3 1.1% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.2%
18.1%
9.9 pts better
19.8%
11.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 4.5% · Q3 6.6% · Q4 11.9% · 4Q avg 8.2%
Percentage of long-stay residents with pressure ulcers 3.8%
5.0%
1.2 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.0% · Q3 4.4% · Q4 4.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 55.3%
66.4%
11.1 pts worse
81.7%
26.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 51.0% · Q3 52.0% · Q4 69.4% · 4Q avg 55.3%
Percentage of short-stay residents who had an outpatient emergency department visit 10.5%
13.4%
2.9 pts better
12.0%
1.5 pts better
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 12.5% · Expected 13.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.8%
2.2%
1.6 pts worse
1.6%
2.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 4.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 13.0%
63.5%
50.5 pts worse
79.7%
66.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 13.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 9.3%
25.3%
16 pts better
23.9%
14.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 12.5% · Expected 32.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-27 · Fire 2024-09-27

3 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-06-09 · Fire 2023-06-09

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2021-11-05 · Fire 2021-11-05

17 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-11-10

F · Potential for more than minimal harm 2024-09-27

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-11-10

F · Potential for more than minimal harm 2024-09-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-10

E · Potential for more than minimal harm 2024-09-27

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 2024-11-10

F · Potential for more than minimal harm 2023-06-09

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 2023-07-14

F · Potential for more than minimal harm 2023-06-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-09

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-06-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-07-14

F · Potential for more than minimal harm 2021-11-05

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 2021-12-20

F · Potential for more than minimal harm 2021-11-05

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-12-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-09-27

F584 · Resident Rights Deficiencies

Health

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 2024-11-10

E · Potential for more than minimal harm 2024-09-27

F925 · Environmental Deficiencies

Health

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

Corrected 2024-11-10

D · Potential for more than minimal harm 2024-09-27

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-11-10

D · Potential for more than minimal harm 2023-07-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-05

F · Potential for more than minimal harm 2023-06-09

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 2023-07-14

E · Potential for more than minimal harm 2023-06-09

F868 · Administration Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-09

F570 · Resident Rights Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-09

F582 · Resident Rights Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-09

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 2023-07-14

D · Potential for more than minimal harm 2023-06-09

F636 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-09

F638 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-09

F640 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-03-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-21

E · Potential for more than minimal harm 2021-11-05

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

D · Potential for more than minimal harm 2021-11-05

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 2021-12-20

Penalties and ownership

What sits behind the stars

Ownership

Malik, Shafiq

5% Or Greater Direct Ownership Interest · Individual

51% 8 facilities 2018-09-28
Malik, Ali

5% Or Greater Direct Ownership Interest · Individual

13% 3 facilities 1989-09-29
Chaudhry, Bilkess

5% Or Greater Direct Ownership Interest · Individual

12% 2 facilities 1989-09-29
Malik, Muhammad Tariq

5% Or Greater Direct Ownership Interest · Individual

12% 2 facilities 1989-09-29
Naeem, Tahira

5% Or Greater Direct Ownership Interest · Individual

12% 2 facilities 1989-09-29
Dooley, Billy

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-03
Habibullah, Ayaaz

Operational/Managerial Control · Individual

0% 2 facilities 2025-03-01
Malik, Ali

Corporate Officer · Individual

0% 3 facilities 1989-09-29
Malik, Shafiq

Operational/Managerial Control · Individual

0% 8 facilities 2018-09-28
Malik, Shafiq

Corporate Officer · Individual

0% 8 facilities 1989-09-29

Nearby options

Other facilities in reach

#1

Crystal Oaks

Festus, MO

4-star overall rating with 4-star inspections with $165,187 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$165,187
#2

Superior Manor Of Festus, LLC

Festus, MO

1-star overall rating with 2-star inspections with $86,803 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$86,803
#3

Scenic Wellness And Rehabilitation Center

Herculaneum, MO

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
2 / 5
Fines
$0

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