Fountain Bleu Health and Rehabilitation Center
28910 Plymouth Road, Livonia, MI 48150 · Wayne County · (734) 425-4814
108 certified beds, about 98 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235587 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 10, 2025, inspectors cited 2 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 16 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,985 in the last three years; the largest was $8,985, and the latest is dated August 15, 2024.
Nurses and nurse aides worked 3.69 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
48.5% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Optalis Health & Rehabilitation, an affiliated group of 36 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
607/23
206/24
408/24
104/25
209/25
112/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
10D
2E
1F
Potential for minimal harm
0A
0B
0C
December 3, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to Intake Number: 2626257 Based on interview and record review, the facility failed to ensure the safety of one sampled resident (R701) of two residents reviewed for falls resulting in hospitalization.
September 10, 2025Standard inspection · 2 citations
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to date medication when opened in two (400B and 500B) of four medication carts reviewed for medication storage.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident rooms had signage alerting of Enhance Barrier Precaution (EBP-precautions used to reduce the spread of infection for residents with medical devices or wounds) notices for two residents (R30 and R99) reviewed for infection control.
April 15, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis citation pertains to Intake MI00152110. Based on observation, interview, and record review, the facility failed to implement a fall intervention for one resident (R704) out of one reviewed for falls.
August 15, 2024Standard inspection, Complaint inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safety during a transfer for one sampled resident (R26) of six reviewed for accidents, resulting in a laceration to the head and emergency transfer to the hospital.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement dietary care plan interventions for one residents (R22) out of two reviewed for care plans.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review, the facility failed to revise an individualized, person-centered care plan for one resident (R8) of two residents reviewed for care plans.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure three residents (R11, R13, R64) of three residents reviewed, call lights were accessible.
June 18, 2024Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteThis citation pertains to Intake: MI00145063. Based on observation, interview, and record review, the facility failed to implement care plan interventions for two residents (R706 and R708), of four residents reviewed for falls.
- 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.
Inspectors wroteThis citation pertains to Intake MI00145063. Based on observation, interview, and record review the facility failed to secure medications on three of three medication carts throughout the facility.
July 12, 2023Standard inspection · 6 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThis citation has two deficient practices. Deficient practice number one: This citation pertains to Intake number MI00135555. Based on interview and record review the facility failed to ensure timely treatments for a skin condition were initiated and documented on for one (R187) of three residents whose care and treatments were reviewed, resulting in a delay in treatment, and worsening of the skin condition prior to treatment initiation.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident food items were dated, failed to maintain kitchen equipment in a sanitary manner, and failed to ensure proper sanitization of dishware. This deficient practice had the potential to affect all residents that consume food from the kitchen.
- 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.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure psychotropic medication orders for Ativan (lorazepam) and Xanax (alprazolam) had a 14 day stop date for four residents (R19, R49, R54, R187) of five whose psychotropic medications were reviewed resulting in the potential for unintended use beyond 14 days, unnecessary use and decreased monitoring and assessment.
- 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.
Inspectors wroteBased upon observation, interview and record review, the facility failed to consistently provide evening snacks for three (R5, R34, R76) of four residents reviewed as well as seven anonymous group residents, resulting in resident dissatisfaction with snack/food service.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to prevent a fall during a transfer (by not properly applying a sling) for one sampled resident (R58) of one resident reviewed for accidents resulting in, the resident falling out of their sling during a transfer and onto the floor.
- 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.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a medication cart was locked when unattended, expired medications were discarded, and biologicals were dated properly when opened for two of four medications carts and in two of three medication rooms reviewed, resulting in the potential for unauthorized access to items in the medication cart and decreased efficacy of biologicals and medication.
Fire safety inspections
18 fire safety citations on file: 4 on September 10, 2025, 9 on August 15, 2024, 5 on July 12, 2023.
Every fire safety citation18 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Provide a written emergency evacuation plan.
- E Ensure proper usage of power strips and extension cords.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have elevators that firefighters can control in the event of a fire.
- F Provide a written emergency evacuation plan.
- F Have restrictions on the use of portable space heaters.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have horizontal exits used in accordance with safety requirements.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of flammable curtains.
- 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.
- 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.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 15, 2024 | Fine | $8,985 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.69 | 3.99 | 3.86 |
| Registered nurses | 0.57 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.50 | 3.42 |
| Nurse aides | 1.84 | ||
| Licensed practical nurses | 1.29 | ||
| Nursing staff turnover (share who left in a year) | 48.5% | 44.1% | 45.8% |
| Registered nurse turnover | 30.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.24 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.69 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.69 | 0.57 | 3.87 | 3.24 | 0.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.81 | 0.58 | 3.97 | 3.41 | 0.0% | 0 of 92 | 97 |
| Jul to Sep 2025 | 3.82 | 0.43 | 4.01 | 3.34 | 0.2% | 0 of 92 | 93 |
| Apr to Jun 2025 | 3.94 | 0.44 | 4.14 | 3.45 | 0.6% | 0 of 91 | 93 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Michigan
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.6 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.3 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.9 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.9 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.8 |
Owners and operators
Legal business name: FOUNTAIN BLEU HEALTH AND REHABILITATION CENTER INC. CMS links this home to Optalis Health & Rehabilitation, a group of 36 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dunn, Charles | 5% or greater direct ownership interest | Individual | 50% | 01/01/2020 |
| Patel, Pinal | 5% or greater direct ownership interest | Individual | 25% | 01/01/2020 |
| Shah, Nayana | 5% or greater direct ownership interest | Individual | 25% | 01/01/2020 |
| Patel, Rajan | Managing control - governing body | Individual | 10/01/2018 | |
| Sharon, Robert | Managing control - governing body | Individual | 05/13/2024 | |
| Cassidy, Bruce | Operational/managerial control | Individual | 01/01/2025 | |
| Cervi-Jonski, Laura | Operational/managerial control | Individual | 05/21/2019 | |
| McFaddin, Maria | Operational/managerial control | Individual | 01/01/2015 | |
| Patel, Rajan | Operational/managerial control | Individual | 10/01/2018 | |
| Sharon, Robert | Operational/managerial control | Individual | 05/13/2024 | |
| Shah, Hemant | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/03/2025 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Organization | 01/01/2025 | |
| Hemant Shah 2018 Irrevocable Trust | Adp of the SNF | Organization | 10/01/2018 | |
| Metro Man IV LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Optum Management Solutions. Inc | Adp of the SNF | Organization | 12/03/2025 | |
| Paar 108 LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Aarna R. Patel | Adp of the SNF | Organization | 10/01/2018 | |
| Pinal R. Patel 2017 Irrevocable Trust F/B/O Ansh R. Patel | Adp of the SNF | Organization | 10/01/2018 | |
| Pinal R. Patel 2020 Irrevocable Family Trust Uad 10-6-2020 | Adp of the SNF | Organization | 10/01/2018 | |
| Rajan G Patel 2020 Irr Fam Tr Uad 12-3-2020 | Adp of the SNF | Organization | 10/01/2018 | |
| Schlaupitz Madhavan | Adp of the SNF | Organization | 01/01/2025 | |
| Snw LLC | Adp of the SNF | Organization | 10/01/2018 | |
| Cassidy, Bruce | Adp of the SNF | Individual | 12/19/2025 | |
| Cervi-Jonski, Laura | Adp of the SNF | Individual | 12/03/2025 | |
| Conner, Marianne | Adp of the SNF | Individual | 01/01/2025 | |
| Dunn, Charles | Adp of the SNF | Individual | 10/01/2018 | |
| Sharon, Robert | Adp of the SNF | Individual | 05/13/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on December 3, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on September 10, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 15, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 12, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- Four Chaplains Nursing Care Center Westland, 1.1 mi · 4 of 5 stars · 20 citations
- Regency at Livonia Livonia, 1.7 mi · 3 of 5 stars · 32 citations
- Majestic Care of Livonia Livonia, 2.7 mi · 3 of 5 stars · 45 citations
- Optalis Health and Rehabilitation of Dearborn Heig Dearborn Heights, 3.4 mi · 2 of 5 stars · 34 citations
- The Orchards at Redford Redford, 4 mi · 1 of 5 stars · 37 citations
- Westland, a Villa Center Westland, 4.2 mi · 2 of 5 stars · 56 citations
- Four Seasons Nursing Center of Westland Westland, 4.4 mi · 3 of 5 stars · 42 citations
- Marywood Nursing Care Center Livonia, 4.7 mi · 5 of 5 stars · 21 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is Fountain Bleu Health and Rehabilitation Center's Medicare star rating?
- CMS rates Fountain Bleu Health and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fountain Bleu Health and Rehabilitation Center get at its last inspection?
- 2 health deficiencies at the standard inspection on September 10, 2025. The Michigan average is 9.9.
- Has Fountain Bleu Health and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $8,985 in the last three years.
- Does Fountain Bleu Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fountain Bleu Health and Rehabilitation Center?
- CMS lists 27 owners and managers, and links the home to Optalis Health & Rehabilitation. Legal business name: FOUNTAIN BLEU HEALTH AND REHABILITATION CENTER INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.