Deficiency Index

Belle Fountain Nursing & Rehabilitation Center

Riverview, Michigan · CCN 235376

27 surveys since 2010. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
78
Surveys
27
Harm or worse
2
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file16/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
91
Ownership
For profit - Corporation
Chain
OPTALIS HEALTH & REHABILITATION
County
Wayne
Medicare-certified since
1978

CMS ratings

Overall
3
Health inspection
2
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 81 for-profit facilities of 66–99 beds in Michigan.

Last survey on record

Apr 28, 2026

195 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.913.70
Registered-nurse hours per resident day0.51—
Annual nurse turnover60.7%46.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$4,194 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG26.5%H—I—
No harm, potential for more than minimalD1961.3%E412.9%F619.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 31 of the 78 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5782×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F7582×

    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.

In the surveyor’s words

From the most serious findings on record at Belle Fountain Nursing & Rehabilitation Center, in the surveyor’s own words.

  • Actual harm, isolatedF689Apr 28, 2026

    Based on observation, interview and record review the facility failed to ensure staff implemented safe repositioning techniques during incontinence care for one resident (R107) of two residents reviewed for accidents and supervision resulting in R107 falling from the bed and sustaining a dislocated shoulder. Findings include: On 4/26/26 at 10:53 AM, R107 was interviewed and reported they had experienced a fall a few days prior during bed care. R107 said there was only one staff member present providing care when two staff were required. In addition, R107 said that during the attempt to change the pad underneath them, they were rolled onto their left side, which was their weakened side due to a recent stroke, and subsequently fell out of the bed. […]

  • Actual harm, isolatedF600Aug 7, 2025

    This citation pertains to intake 2581458.Based on observation, interview and record review the facility failed to protect the resident's right to be free from verbal abuse from staff for one resident (R906) out of five residents reviewed for abuse, this failure resulted in the resident experiencing feelings of distress and emotional harm.Findings Include:Review of a Facility Reported Incident dated July 28,2025 revealed an allegation of a staff to resident verbal abuse incident.Record review of R906's electronic medical record revealed admission into the facility on 7/18/25 with a pertinent diagnosis of trochanteric fracture of left femur (thigh). Further review of revealed resident scored 15 out of 15 (intact cognition) on a Brief Interview of Mental Status (BIMS) on 8/4/25. […]

  • No harm, potential for more than minimal, widespreadF812Apr 28, 2026

    Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 4/26/2026 at 8:51 AM observed residue on the shelving surface of the food storage racks in walk in cooler. An interview with Dietary Manager (DM) H at this time found the shelves are cleaned. When asked how often, DM H indicated weekly or monthly.On 4/26/2026 at 8:53 AM observed the stand mixer with a plastic cover over it. When asked if the mixer is used, DM H indicated yes. Upon removal of the cover, brown buildup was observed accumulated on the upper portion of the mixer above the mixing bowl. […]

  • No harm, potential for more than minimal, widespreadF880Apr 28, 2026

    Based on observation, interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings Include:On 04/26/2026 at 8:32 AM observed an inoperable water fountain in the front entrance of the building lobby indicating possible stagnant water. The electric plug was observed unplugged and hanging. […]

  • No harm, potential for more than minimal, widespreadF803Mar 12, 2025

    Based on observation, interview, and record review, the facility failed to ensure an adequate supply of emergency food was available. Findings include: On 3/10/25 at 12:00 PM, an observation and interview regarding the facility's emergency food supply was conducted with Dietary Manager (DM) A. A section in the dry food storage room was delineated by a sign that read, EMERGENCY FOOD DO NOT TOUCH!! DM A stated, They (kitchen staff) have been told not to use the emergency food. DM A said emergency food items were obtained from a commercial food supply company and provided a list of emergency foods that should be on hand. […]

Read 20 findings in full →The most serious and the most recent: 20 of 78 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 28, 2026Standard7 findings · 1 harm
  • Aug 7, 2025Complaint2 findings · 1 harm
  • Mar 12, 2025Standard and complaint5 findings
  • Jan 28, 2025Complaint1 finding
  • Nov 21, 2024Complaint1 finding
  • Sep 5, 2024Complaint2 findings
  • Jun 26, 2024Complaint1 finding
  • Jun 7, 2024Complaint3 findings
Show the 19 earlier surveys
  • Mar 6, 2024Complaint1 finding
  • Jan 9, 2024Standard and complaint3 findings
  • Mar 16, 2023Standard and complaint5 findings
  • Mar 2, 2022Standard and complaint5 findings
  • Jul 12, 2021Complaint2 findings
  • Nov 6, 2020Standard3 findings
  • Sep 24, 2020Complaint2 findings
  • Jun 13, 2019Standard4 findings
  • Apr 11, 2019Complaint1 finding
  • Sep 4, 2018Complaint1 finding
  • Aug 15, 2018Standard4 findings
  • Mar 23, 2017Complaint2 findings
  • Sep 7, 2016Standard6 findings
  • Sep 26, 2014Standard9 findings
  • Sep 6, 2013—2 findings
  • Feb 21, 2013—1 finding
  • Sep 9, 2011—3 findings
  • Jan 28, 2011—1 finding
  • Sep 21, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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