Fountainbleau Nursing Center
1349 Highway 61, Festus, MO 63028 · Jefferson County · 116 certified beds · avg 102 residents/day · certified since Dec 16, 1996
Part of chain: SHAFIQ MALIK (9 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jun 9, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 9, 2023 | E · Potential for harm, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 3 | 0 | E |
| 2026 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.51 | 3.66 | 3.95 | bottom 13% in Missouri; bottom 4% in the U.S. |
| Registered Nurse hours | 0.43 | 0.49 | 0.69 | top 48% in Missouri; bottom 26% in the U.S. |
| Weekend total nurse staffing | 2.04 | 3.22 | 3.50 | bottom 10% in Missouri; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.33 | 0.48 | bottom 43% in Missouri; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 44.1 | 56.0 | 45.8 | top 21% in Missouri; top 48% in the U.S. |
| RN turnover (%) | 12.5 | 47.8 | 42.9 | top 7% in Missouri; top 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.66, RN 0.45, weekend 2.17. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chaudhry, Bilkess | Individual | 5% or Greater Direct Ownership Interest | 12% | 09/29/1989 |
| Malik, Ali | Individual | 5% or Greater Direct Ownership Interest | 13% | 09/29/1989 |
| Malik, Muhammad Tariq | Individual | 5% or Greater Direct Ownership Interest | 12% | 09/29/1989 |
| Naeem, Tahira | Individual | 5% or Greater Direct Ownership Interest | 12% | 09/29/1989 |
| Dooley, Billy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2024 |
| Dooley, Billy | Individual | ADP of the SNF | NOT APPLICABLE | 09/03/2024 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/10/2020 |
| Habibullah, Ayaaz | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Habibullah, Ayaaz | Individual | ADP of the SNF | NOT APPLICABLE | 11/10/2025 |
| Malik, Ali | Individual | Corporate Officer | NOT APPLICABLE | 09/29/1989 |
| Malik, Muhammad Tariq | Individual | ADP of the SNF | NOT APPLICABLE | 09/29/1989 |
| Malik, Shafiq | Individual | Corporate Officer | NOT APPLICABLE | 09/29/1989 |
| Malik, Shafiq | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/28/2018 |
| Malik, Shafiq | Individual | ADP of the SNF | NOT APPLICABLE | 09/28/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Crystal Oaks | 0.3 mi | Festus, MO | ★★★★☆ | 4/5 | |
| Superior Manor of Festus, LLC | 1.4 mi | Festus, MO | ★☆☆☆☆ | 2/5 | |
| Scenic Wellness and Rehabilitation Center | 4.0 mi | Herculaneum, MO | ★★★★☆ | 5/5 | |
| Hillcrest Care Center INC | 9.7 mi | De Soto, MO | ★★★★☆ | 4/5 | |
| Baisch Nursing Center | 9.7 mi | De Soto, MO | ★★☆☆☆ | 3/5 | |
| Stonebridge Desoto | 11.9 mi | De Soto, MO | ★★★★☆ | 4/5 | |
| Woodland Manor Nursing Center | 16.6 mi | Arnold, MO | ★★☆☆☆ | 4/5 | |
| Accolade Healthcare of Waterloo | 17.5 mi | Waterloo, IL | ★★★★☆ | 4/5 | |
| Arbor View Nursing and Rehabilitation | 17.6 mi | Cedar Hill, MO | ★☆☆☆☆ | 2/5 | |
| South County Health Care Center | 18.2 mi | Arnold, MO | ★☆☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265654.