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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.
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.
Fountainbleau Lodge is a skilled nursing community in Cape Girardeau, Missouri. Its location on North Kingshighway is moderately walkable and provides convenient access to local services and nearby transit. Fountainbleau of Cape Girardeau, Inc. operates the home under the ownership of Bilkiss Chaudhry. It accepts Medicare, Medicaid, and private pay, so families have flexibility to cover the cost of care. The 89-bed community has served the Cape Girardeau area for 40 years, reflecting a long tenure in the community.
The facility’s current occupancy rate is 34%. Residents stay an average of 199 days, including short-term rehabilitation residents and those receiving longer-term skilled care. Daily nurse staffing averages 4 hours and 31 minutes per resident. Registered nurses, licensed practical nurses, and nurse aides work throughout the day to provide hands-on care.
State inspections identified concerns related to medication security and management, staff compliance, infection control practices, food safety and sanitation, and pest management. Families touring the home should ask how these important operational areas are managed daily to ensure residents’ safety and environmental cleanliness.
The community mainly provides rehabilitation services, health and wellness programs, and transportation services to help with appointments and outings. Dining is heavily focused on nutrition and taste. There’s a Chalet Dining program and regular dining options, and residents have access to a weekly schedule of events and activities. On-site amenities include a beauty and barber shop, an enclosed courtyard for outdoor time, designated smoking areas, and monthly activities.
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.
This home is ranked 47th out of 276 homes in Missouri for nurse hours. 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.
| 49m per day | ▲ 74% State avg: 28m 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 0m per day | ▲ 46% State avg: 41m 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.
| 2h 42m per day | ▲ 17% State avg: 2h 19m per day · National avg: 2h 20m 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 32m per day | ▲ 16% State avg: 3h 3m 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.
| 2m per day | ■ Avg State avg: 2m 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.
| 33m per day | ▲ 66% State avg: 20m per day · National avg: 28m per day |
Lower than the Missouri average: 66.6%Fountainbleau Lodge is legally operated by Fountainbleau Of Cape Girardeau, Inc., and administrated by Regina King.
Key information about the people who lead and staff this community.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 81 | 35 | This facility has 131% more total deficiencies than a typical Missouri nursing home (81 vs. MO avg 35).↑ 131% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 11.6 | 5 | This facility has 132% more deficiencies per year than a typical Missouri nursing home (11.6 vs. MO avg 5).↑ 132% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.5 | 5 | This facility has 10% fewer deficiencies per inspection than a typical Missouri nursing home (4.5 vs. MO avg 5).↓ 10% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 7 | This facility has 157% more total inspections than a typical Missouri nursing home (18 vs. MO avg 7).↑ 157% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Aug 2024
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 22 citations resulted from standard inspections; and 1 of 22 resulted from complaint investigations.
43% worse than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 14 CNA Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,255 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 14 | 0 | 14 | 4,672 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,645 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,506 | 87 | 95% | 8.2 |
| Registered Nurse | 4 | 0 | 4 | 1,643 | 92 | 100% | 9.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 586 | 77 | 84% | 6.1 |
| Speech Language Pathologist | 0 | 5 | 5 | 517 | 67 | 73% | 4.4 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 234 | 56 | 61% | 4.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 198 | 41 | 45% | 4.8 |
| Qualified Social Worker | 0 | 2 | 2 | 183 | 64 | 70% | 2.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 88 | 27 | 29% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 26 | 3 | 3% | 8.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 2 | 2% | 4.5 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
88% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 18, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 18, 2024Last updated: Jan 2026
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.
14.8
35% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
In line with Missouri averageMissouri average: 19.5
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
13.6%
31% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
28.0%
36% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.8%
18% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.5%
110% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
6.5%
29% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.9%
42% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
17.2%
210% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.0%
92% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
17.0%
23% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.3%
11% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.64
21% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.37
In line with Missouri averageMissouri average: 2.35
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
75.3%
13% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
182% worse than Missouri averageMissouri average: 2.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.5%
In line with Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.7%
32% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
3.6%
364% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.8%
11% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
30.6%
39% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
14% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29Residents 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 Fountainbleau Lodge based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #191 / 286Payroll — State benchmarkedThis home is ranked 191st out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Cape Girardeau's city center to Fountainbleau Lodge's address, calculated via Google Maps.
Add your location
Fountainbleau Lodge is located in CAPE GIRARDEAU, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Heartland Care and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cape Girardeau | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
61.8%
Facility
61.8%
MO AVG
66.6%
Rank
#250 / 428 | -7% | 3.26
Facility
3.26
MO AVG
3.74
Rank
#203 / 276 | +8% | -13% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 5.3
Facility
5.3
MO AVG
5.7
Rank
#149 / 281 | - | 66 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Melissa Bollinger | $7.7M
Facility
$7.7M
MO AVG
$8.4M
Rank
#108 / 286 | $3.0M
Facility
$3.0M
MO AVG
$3.3M
Rank
#179 / 286 | 38.7%
Facility
38.7%
MO AVG
45.6%
Rank
#262 / 286 | 265503 | ||||
| Fountainbleau Lodge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cape Girardeau | 89
Facility
89
MO AVG
97
Rank
#245 / 454 |
33.7%
Facility
33.7%
MO AVG
66.6%
Rank
#395 / 428 | -49% | 4.52
Facility
4.52
MO AVG
3.74
Rank
#47 / 276 | +7% | +21% | $8.8k
Facility
$8.8k
MO AVG
$76.9k
Rank
#156 / 283 | 22
Facility
22
MO AVG
36.5
Rank
#88 / 281 | 5.5
Facility
5.5
MO AVG
5.7
Rank
#163 / 281 | 1 | 29 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Bilkiss Chaudhry | $6.0M
Facility
$6.0M
MO AVG
$8.4M
Rank
#150 / 286 | $2.8M
Facility
$2.8M
MO AVG
$3.3M
Rank
#191 / 286 | 46.5%
Facility
46.5%
MO AVG
45.6%
Rank
#210 / 286 | 265383 | ||||
| Life Care Center of Cape Girardeau |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cape Girardeau | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
65.8%
Facility
65.8%
MO AVG
66.6%
Rank
#222 / 428 | -1% | 3.88
Facility
3.88
MO AVG
3.74
Rank
#111 / 276 | -45% | +4% | $149.6k
Facility
$149.6k
MO AVG
$76.9k
Rank
#262 / 283 | 44
Facility
44
MO AVG
36.5
Rank
#199 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 7 | 86 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Derick Cummins | $16.5M
Facility
$16.5M
MO AVG
$8.4M
Rank
#24 / 286 | $7.4M
Facility
$7.4M
MO AVG
$3.3M
Rank
#34 / 286 | 44.6%
Facility
44.6%
MO AVG
45.6%
Rank
#226 / 286 | 265185 |
The legal owner and operator of Fountainbleau Lodge is Fountainbleau Of Cape Girardeau, Inc..
Fountainbleau Lodge has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Fountainbleau Lodge's license number is 052365, 053164.
According to MO state health department records, Fountainbleau Lodge's license expires on December 15, 2026.
Fountainbleau Lodge's occupancy is 34%.
Regina King is the administrator of Fountainbleau Lodge.
Fountainbleau Lodge has 89 beds.
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