Fountain Circle Care & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF559Apr 30, 2026

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure residents were permitted to share a room with their spouse when both residents resided in the facility and both consented, for 2 of 2 sampled residents reviewed for roommate change, Resident (R)2 and R77.Although R2 and R77 had been married for 66 years and expressed the desire to reside together, there was no documented evidence the facility made reasonable efforts to accommodate the married couple's request prior to the Surveyor's intervention. This failure resulted in prolonged separation and psychosocial distress for both residents. […]

• Actual harm, isolatedF697Apr 30, 2026

  Based on interview, record review, and review of facility's policy, the facility failed to ensure pain management was provided consistently with professional standards of practice for 1 of 4 sampled residents reviewed for pain management, Resident (R)152.The facility failed to assess, monitor, and timely intervene for uncontrolled post-surgical pain following R152's admission to the facility on [DATE] after surgical repair of a right distal femur fracture. These failures resulted in R152 experiencing uncontrolled pain requiring Emergency Medical Services (EMS) transfer to the hospital Emergency Department (ED) for further evaluation and treatment.Additionally, R152 sustained a fall on 02/16/2026 and the Nurse Practitioner (NP) ordered an MRI of the lumbar and thoracic area due to increased… […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2026

  Based on observation, interview, and review of the facility's policy, the facility failed to prepare and serve food in accordance with professional standards for food service safety. This had the potential to affect all residents who consume food from the kitchen. The findings include:Review of the facility's policy untitled and undated revealed all aprons were to be worn in kitchens while prepping food. Further review of the untitled and undated policy revealed aprons were not to be worn in halls, outside, and/or bathrooms at any time.Observation on 04/28/2026 at 3:40 PM, revealed [NAME] 1 was exiting the restroom wearing an apron. Observation of the same restroom in which Cook1 had exited, on 04/28/2026 to 3:42 PM, revealed there was no hanger on the back of the restroom door. […]

• No harm, potential for more than minimal, widespreadF867Apr 30, 2026

  Based on observation, interview, record review, review of the facility's policies, review of the Quality Assurance/Quality Assurance and Performance Improvement (QA/QAPI) Committee minutes, and review of the facility's Plan of Correction (PoC), the facility failed to maintain a QA/QAPI Program that developed and implemented appropriate plans of action to correct quality deficiencies. This was evidenced by repeat deficiencies related to the facility's failure to ensure there was an effective pain management program and infection control program. The facility failed to thoroughly perform an audit process, and the QAPI Committee failed to provide effective oversight and follow-up of identified concerns. […]

• No harm, potential for more than minimal, widespreadF880Apr 30, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 8 sampled residents reviewed for infection control, Resident (R)71. The findings include:Review of the facility policy titled Enhanced Barrier Precautions, revised 03/25/2024, revealed This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections. […]