5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owned by Dr. Melissa Ake, Fountain View of Monroe is a 119-bed nursing home in Monroe, Michigan, in the Frenchtown Charter Township area, not far from a nearby hospital. The community offers skilled nursing, hospice, palliative, and respite care. It combines long-term nursing care with rehabilitation for residents recovering from an illness, surgery, or hospital stay.
Residents receive an average of about 3 hours and 44 minutes of total nursing care each day from registered nurses, licensed practical nurses, and certified nursing assistants. Nursing staff also provide support 24 hours a day. The facility is close to full occupancy. The average length of stay is about 58 days, which is a mix of short-term rehabilitation and longer-term nursing care. Fountain View of Monroe accepts Medicare and private pay.
Residents have access to on-site dental care, laboratory and radiology services, pharmacy services, podiatry, pain management, and advanced wound care. Hospice and palliative care are also available. The community has shared dining areas, an ice cream parlor, a library, and a salon and barbershop. A resident council meets regularly to provide feedback on community policies and daily life.
The area has a Walk Score of 32 out of 100. A handful of nearby destinations may be within walking distance, but most errands and appointments require a car. Families considering Fountain View of Monroe should ask how rehabilitation and therapy schedules are tailored to each resident’s care needs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 46m per day | ■ Avg State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 3m per day | ▲ 18% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 49m per day | ▼ 24% State avg: 2h 23m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day | ▼ 7% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 61% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 5% State avg: 29m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% more staff per resident than Michigan average
6% worse than Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 23 RN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursAssists with medical care and medications.
All 34 LPN Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 65 CNA Staff are full-time employees. No contractors work on this role.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,071 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 17,867 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 34 | 0 | 34 | 10,135 | 92 | 100% | 8.7 |
| Registered Nurse | 23 | 0 | 23 | 5,807 | 92 | 100% | 9 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,500 | 92 | 100% | 7.1 |
| Clinical Nurse Specialist | 3 | 2 | 5 | 1,614 | 72 | 78% | 8.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,362 | 71 | 77% | 7.4 |
| Physical Therapy Assistant | 0 | 7 | 7 | 1,127 | 82 | 89% | 6.5 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 1,100 | 85 | 92% | 7.2 |
| Nurse Aide in Training | 4 | 0 | 4 | 833 | 61 | 66% | 7.6 |
| Physical Therapy Aide | 0 | 4 | 4 | 785 | 82 | 89% | 6.4 |
| Mental Health Service Worker | 3 | 0 | 3 | 634 | 59 | 64% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 577 | 66 | 72% | 8.5 |
| Qualified Social Worker | 0 | 3 | 3 | 543 | 79 | 86% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 466 | 55 | 60% | 8.5 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 295 | 38 | 41% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 92 | 48 | 52% | 1.9 |
| Medical Director | 0 | 1 | 1 | 30 | 14 | 15% | 2.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
16% better than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.0
11% worse than Michigan averageMichigan average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.1%
13% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
11.6%
24% better than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
35% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.3%
90% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.3%
7% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
4.1%
28% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.8%
79% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
14.3%
In line with Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Michigan averageMichigan average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
3.21
84% worse than Michigan averageMichigan average: 1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.63
6% worse than Michigan averageMichigan average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
20% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
25% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
18% better than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.7%
31% worse than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
8% worse than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.7%
9% worse than Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.8%
In line with Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
28% of new residents, usually for short-term rehab.
72% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Fountain View of Monroe from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (72% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.9 miles from city center
Estimated distance in miles from Monroe's city center to Fountain View of Monroe's address, calculated via Google Maps.
— 14.96 miles to nearest hospital (Oakwood Southshore Medical Center Pth)
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Info below is compiled from CMS reports & the MI Licensing & Regulatory Affairs (LARA), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Medilodge of Monroe | NH PC RC SNF | Monroe | 103
Facility
103
MI AVG
74
Rank
#112 / 430 |
88.3%
Facility
88.3%
MI AVG
74
Rank
#45 / 119 | +19% | 3.61 | -34% | -16% | $0 | 7 | 1.8 | 1 | 91 | A+ |
72
Facility
72
MI AVG
39
Rank
#63 / 703 | - | $11.0MFiscal year ending 12/2023 | $5.7MFiscal year ending 12/2023 | 52.2%Fiscal year ending 12/2023 | 235563 | ||||
| Fountain View of Monroe | NH HOS PC RC SNF | Monroe (Frenchtown Charter Township) | 119
Facility
119
MI AVG
74
Rank
#78 / 430 |
93.8%
Facility
93.8%
MI AVG
74
Rank
#22 / 119 | +27% | 3.74 | +28% | -13% | $0 | 6 | 2.0 | - | 112 | - |
32
Facility
32
MI AVG
39
Rank
#417 / 703 | Dr. Melissa Ake | $16.2MFiscal year ending 12/2023 | $7.6MFiscal year ending 12/2023 | 47.1%Fiscal year ending 12/2023 | 235225 | ||||
| Monroe Springs Rehab and Nursing Center | NH SNF | Monroe (Frenchtown Charter Township) | 89
Facility
89
MI AVG
74
Rank
#162 / 430 |
89.7%
Facility
89.7%
MI AVG
74
Rank
#40 / 119 | +21% | 3.95 | -15% | -8% | $0 | 11 | 3.7 | - | 80 | - |
32
Facility
32
MI AVG
39
Rank
#417 / 703 | Gail Saba | $9.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $5.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 53.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 235520 | ||||
| Seacrest Rehabilitation and Nursing Center | NH HOS MC RC SNF | Monroe (Frenchtown Charter Township) | 131
Facility
131
MI AVG
74
Rank
#54 / 430 |
69.9%
Facility
69.9%
MI AVG
74
Rank
#77 / 119 | -6% | 3.68 | -49% | -14% | $0 | 17 | 4.3 | - | 92 | - |
53
Facility
53
MI AVG
39
Rank
#190 / 703 | Renewal Healthcare LLC | $6.6MFiscal year ending 12/2023 | $4.3MFiscal year ending 12/2023 | 65.7%Fiscal year ending 12/2023 | 235232 |
Fountain View of Monroe is located in Monroe, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Fountain View of Monroe is in the Frenchtown Charter Township neighborhood.
Fountain View of Monroe has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Fountain View of Monroe's occupancy is 90.9%.
No, Fountain View of Monroe has a no-pet policy.
Fountain View of Monroe is registered as a for-profit.
Yes — there are 3 photos of Fountain View of Monroe in the photo gallery on this page.
Fountain View of Monroe is located at 1971 N Monroe St, Monroe, MI 48162.
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