Home / Missouri / Cape Girardeau
2001 North Kingshighway, Cape Girardeau, MO 63701 · Cape Girardeau County · (573) 335-1999
33 certified beds, about 28 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265383 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 4, 2025, inspectors cited 3 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 20 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,827 in the last three years; the largest was $8,827, and the latest is dated June 18, 2024.
Nurses and nurse aides worked 4.99 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
48.7% of nursing staff left within the year CMS measured (Missouri average 56.0%).
CMS links it to Shafiq Malik, an affiliated group of 9 nursing homes.
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.
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 20 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide palatable, attractive food at safe and appetizing temperatures. This deficient practice had the potential to affect all residents in the facility. The facility's census was 30. Review of the facility's policy titled, Food Preparation and Service, revised November 2022, showed:- Food and nutrition services employees prepare, distribute, and serve food in a manner that complies with safe food handling practices;- Danger zone means temperatures above 41 degrees Fahrenheit ( F) and below 135 F that allow the rapid growth of pathogenic microorganisms that can cause foodborne illness;- Did not address holding/serving temperatures of food. During an interview on 09//02/25 at 2:40 P.M, Resident #8 said the food could be better and it was often served cold. [...]
Inspectors wroteBased on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, for three residents (Residents #3, #14, and #23) out of 12 sampled residents. The facility census was 30. Review of the facility's policy titled, Resident Assessment, revised October 2023, showed: - Assessments are completed by staff members who have the skills and qualifications to assess relevant care areas and who are knowledgeable about the resident's strengths and areas of decline; - Information in the MDS assessments will consistently reflect information in the progress notes, plans of care, and resident observations/interviews. Review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, dated 10/2024, showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility staff failed to maintain appropriate infection control practices for two residents (Residents #6 and #35) out of five sampled residents. The facility census was 30. Review of the facility's policy titled, Enhanced Barrier Precautions, dated August 2022, showed: - Enhanced barrier precautions (EBPs) are used as an infection prevention and control intervention to reduce the spread of multidrug-resistant organisms (MDROs) to residents; - EBPs employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise apply; - Examples of high-contact resident care activities are dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs or assisting with toileting, device care or use, and wound care; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross contamination and food-borne illnesses. This deficient practice had the potential to affect all residents. The facility's census was 29. Review of the facility's policy, Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices, revised November 2022, showed: - Food and nutrition service employees follow appropriate hand hygiene and sanitary procedures to prevent the spread of food borne illnesses; - All employees who handle, prepare or serve food are trained in the practices of safe food handling and preventing food-borne illnesses; - Employees must wash their hands whenever entering or re-entering the kitchen; - Before coming in contact with any food surfaces; - After handling soiled equipment or utensils; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that Nurse Aide (NA) Registry checks were completed prior to the employment start date for seven employees out of a sample of ten employees and failed to ensure their policy addressed checking the NA Registry for all employees prior to employment. The facility also failed to follow their policy to ensure the Criminal Background Check (CBC), Employee Disqualification List (EDL) or Family Care Safety Registry (FCSR) were completed prior to the employment date for one employee out of a sample of ten employees. The facility's census was 29. Review of the facility's Compliance and Ethics-Screening Employees, Contractors and Volunteers policy, dated December 2020, showed: - Employees, contracted individuals and volunteers are screened for violations of fraud, abuse and/or ethics violations prior to employment or engagement; [...]
Inspectors wroteBased on interview and record review, the facility failed to notify the resident and/or the resident's representative in writing of a transfer to the hospital, including the reason for transfer, and failed to notify the Office of the State Long-Term Care Ombudsman for two residents (Resident #1 and Resident #15) out of 12 sampled residents and one resident (Resident #13) outside the sample. The facility's census was 29. Review of the facility's Transfer/Discharge policy, dated October 2022, showed: - Residents who are sent emergently to an acute care setting, such as a hospital, are permitted to return to the facility; [...]
Inspectors wroteBased on interview and record review, the facility failed to inform the resident and/or resident's representative, in writing, of the facility's bed hold policy at the time of transfer to the hospital for one resident (Resident #1) out of 12 sampled residents and one resident (Resident #13) outside the sample. The facility's census was 29. Review of the facility's Bed-Hold and Return policy, dated October 2022, showed: - Residents/Representatives are provided written information regarding the facility and state bed-hold policies, which address holding or reserving a resident's bed during periods of absence; - Residents are provided written notices about these policies in advance of any transfer (admission) and at the time of transfer (if an emergency, within 24 hours); [...]
Inspectors wroteBased on interview and record review, the facility failed to implement a care plan with specific interventions to meet individual needs for one resident (Resident #26) out of 12 sampled residents. The facility's census was 29. Review of the facility's policy, Comprehensive Person-Centered Care Plans, revised March 2022, showed: - The interdisciplinary team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident; - The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain infection control practices to prevent the development and transmission of infection during incontinent care for two residents (Resident #22 and #24) out of two sampled residents. The facility failed to develop and implement a risk management process specific to Legionnaires disease (a type of pneumonia caused by Legionella bacteria), which had the potential to affect all residents, staff and visitors. The facility's census was 29. Review of the facility's policy, Standard Precautions, revised September 2022, showed: - Standard precautions apply to the care of all residents in all situations regardless of suspected or confirmed presence of infectious disease; - Hand hygiene is performed with alcohol-based hand rub (ABHR) or soap and water before and after contact with resident; [...]
Inspectors wroteBased on observation and interview, the facility failed to maintain an effective pest control program. This practice affected three residents (Resident #10, #17 and #19) out of 12 sampled residents and had the potential to affect all residents in the facility. The facility's census was 29. Review of the facility's policy, Pest Control, revised May 2008, showed: - The facility shall maintain an effective pest control program; - The facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents; - Only approved insecticides are permitted in facility and stored in areas away from food storage; - Maintenance services assist, when appropriate and necessary, in providing pest control services. Observation on 08/06/24 at 10:50 A.M. of Resident #17's room showed a fly landed on the resident's hand, bedspread, and nose. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide protective oversight for one (Resident #1) of four sampled residents, when facility staff left the facility's medication overflow cart unlocked and unattended. Resident #1 gained access to the cart and took two medication cards of gabapentin (a medication used to treat seizures disorder and used for nerve pain) and one card of Metoprolol (a medication used to treat high blood pressure) to his/her room. He/She reported taking 6 pills of Gabapentin and 6 pills of Gabapentin were missing which placed the resident in danger of potential overdose. The facility census was 27. The administrator was notified on 06/11/24 at 10:30 A.M. of an Immediate Jeopardy (IJ) past non-compliance which began on 06/09/24. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the Quality Assurance/Quality Assurance Performance Improvement (QAA/QAPI) committee developed and implemented an appropriate plan of action to correct identified quality deficiencies. This had the potential to affect all residents in the facility. The facility census was 30. Record review of the facility's QAPI Plan, effective 7/19/17, showed: - The QA&A Committee reports to the executive leadership and governing body and is responsible for meeting, at a minimum, on a quarterly basis, more frequently if necessary; coordinating and evaluating QAPI program activities; developing and implementing appropriate plans of action to correct identified quality deficiencies; [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain quarterly quality assurance assessment (QAA) committee meetings with the required members. The facility's census was 30. Record review of the facility's QAPI Plan, effective 7/19/17, showed: - The QA&A Committee reports to the executive leadership and governing body and is responsible for meeting, at a minimum, on a quarterly basis, more frequently if necessary; coordinating and evaluating QAPI program activities; developing and implementing appropriate plans of action to correct identified quality deficiencies; regularly reviewing and analyzing data collected under the QAPI program and data resulting from drug regimen review and acting on available data to make improvements; and analyzing the QAPI program performance to identify and follow up on areas of concern and/or opportunities for improvement. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow their policy to complete a Criminal Background Check (CBC) and Employee Disqualification List (EDL - a listing of individuals who have been determined to have abused or neglected a resident) check for nine out of ten sampled staff prior to hire. The facility census was 30. Record review of the facility's Background Screening Investigations policy, revised November 2015, showed: - Our facility conducts employment background screening checks, reference checks and criminal conviction investigation checks on direct access employees. [...]
Inspectors wroteBased on interview and record review, the facility failed to notify the resident and/or the resident's representative in writing of a transfer or discharge to a hospital, including the reasons for transfer for one resident (Resident #11) out of 12 sampled residents. The facility census was 30. 1. Record review of Resident #11's medical record showed: - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; - No documentation that the resident's representative was informed in writing of the transfer/discharge to a hospital at the time of transfer. [...]
Inspectors wroteBased on interview, and record review, the facility failed to inform the resident and family or legal representative of their bed hold policy at the time of transfer to the hospital for two residents (Resident #11 and #14) out of 12 sampled residents. The facility census was 30. Record review of the facility's Bed Hold policy, undated, showed: - It shall be the policy of Fountainbleau Lodge to hold a resident's room while they are in the hospital upon request of the family. 1. Record review of Resident #11's medical record showed: - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; - Transferred and admitted to the hospital on [DATE] and readmitted to the facility on [DATE]; - No documentation that the resident's representative was informed in writing of the facility bed hold policy at the time of transfer. 2. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to implement a care plan with specific interventions to meet individual needs for four residents (Resident #11, #26, #31, and #134) out of 12 sampled residents. The facility census was 30. Record review of the facility's Care Planning - Interdisciplinary Team policy, revised September 2013, showed: - Our facility's care planning/interdisciplinary team is responsible for the development of an individualized comprehensive care plan for each resident; - A comprehensive care plan for each resident is developed within seven days of completion of the Minimum Data Set (MDS, a federally mandated clinical assessment). Record review of the facility's Comprehensive Person-Centered Care Plans policy, revised December 2016, showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the physician responded to the pharmacist's recommendations in regard to the resident's medications for three residents (Resident #5, #14 and #19) out of 12 sampled residents. The facility's census was 30. Record review of the facility's Antipsychotic Medication Use policy, last revised December 2016, showed: - Residents will only receive antipsychotic medications when necessary to treat specific conditions for which they are indicated and effective; - The attending physician will identify, evaluate and document, with input from other disciplines and consultants as needed, symptoms that may warrant the use of antipsychotic medications; [...]
Inspectors wroteBased on interview and record review, the facility failed to attempt a Gradual Dose Reduction (GDR) for three residents (Resident #5, #14, and #19) out of 12 sampled residents. The facility's census was 30. The facility did not provide a GDR policy. Record review of the facility's Antipsychotic Medication Use policy, last revised December 2016, showed: - Residents will only receive antipsychotic medications when necessary to treat specific conditions for which they are indicated and effective; - The attending physician will identify, evaluate and document, with input from other disciplines and consultants as needed, symptoms that may warrant the use of antipsychotic medications; [...]
Inspectors wroteBased on interview and record review, the facility failed to provide and document that residents received or declined appropriate immunizations. This affected two residents (Resident #5 and #14) out of 12 sampled residents. The facility's census was 30. Record review of the facility's Pneumococcal Vaccine policy, last revised October 2019, showed: - Prior to or upon admission, residents will be assessed for eligibility to receive the Pneumococcal vaccine series and when indicated, be offered the vaccine series within 30 days of admission; - Assessments of pneumococcal vaccination status will be conducted within five working days of the resident's admission not conducted prior to admission; - Pneumococcal vaccines will be administered to residents (unless medically contraindicated, already given or refused), per the facility's physician-approved pneumococcal vaccination protocol. 1. [...]
10 fire safety citations on file: 4 on September 4, 2025, 2 on August 8, 2024, 4 on March 10, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| June 18, 2024 | Fine | $8,827 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.99 | 3.43 | 3.86 |
| Registered nurses | 1.01 | 0.46 | 0.69 |
| All nursing staff on weekends | 4.07 | 3.01 | 3.42 |
| Nurse aides | 3.16 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 48.7% | 56.0% | 45.8% |
| Registered nurse turnover | 0.0% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 5.37 on weekdays and 4.07 on weekends, 24% 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 4.59 in April to June 2025 to 4.99 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 | 4.99 | 1.01 | 5.37 | 4.07 | 0.0% | 0 of 90 | 28 |
| Oct to Dec 2025 | 4.51 | 0.81 | 4.90 | 3.53 | 0.0% | 0 of 92 | 29 |
| Jul to Sep 2025 | 4.78 | 0.73 | 5.23 | 3.64 | 0.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 4.59 | 0.69 | 5.10 | 3.30 | 0.0% | 0 of 91 | 30 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% 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
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. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| 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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.1 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.4 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.8 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.6 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Fountainbleau Lodge's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (30.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
30.6% this home
Worse than the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 39 eligible stays.
10.6% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 54 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.
38.1% this home
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
0.0% this home
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 23 residents counted.
3.3% this home
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 23 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FOUNTAINBLEAU OF CAPE GIRARDEAU INC. CMS links this home to Shafiq Malik, a group of 9 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Chaudhry, Bilkess | 5% or greater direct ownership interest | Individual | 12% | 11/25/1985 |
| Malik, Ali | 5% or greater direct ownership interest | Individual | 13% | 11/25/1985 |
| Malik, Muhammad Tariq | 5% or greater direct ownership interest | Individual | 12% | 11/25/1985 |
| Naeem, Tahira | 5% or greater direct ownership interest | Individual | 12% | 11/25/1985 |
| Malik, Ali | Corporate officer | Individual | 11/25/1985 | |
| Malik, Shafiq | Corporate officer | Individual | 11/25/1985 | |
| King, Regina | Operational/managerial control | Individual | 07/16/2024 | |
| Malik, Shafiq | Operational/managerial control | Individual | 09/29/1989 | |
| Sahai, Madhu | Operational/managerial control | Individual | 01/13/2025 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 03/10/2020 | |
| Chaudhry, Bilkess | Adp of the SNF | Individual | 11/25/1985 | |
| King, Regina | Adp of the SNF | Individual | 06/03/2025 | |
| Malik, Shafiq | Adp of the SNF | Individual | 11/25/1985 | |
| Sahai, Madhu | Adp of the SNF | Individual | 06/03/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.