Fountain View of Monroe

In the surveyor’s words

From the most serious findings on record at Fountain View of Monroe, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 3, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, pulled pork. This deficient practice had the potential to affect all the residents who consumed food from the kitchen, resulting in the potential for food borne illness. Findings include.On 12/3/25 at 10:45 AM, during observations of the kitchen with Certified Dietary Manager (CDM) A, a container with approximately one pound of previously cooked pulled pork cooked on 12/1/25 was stored with the active food stock in the walk-in cooler. CDM A said cooling logs were used to ensure cooked food was cooled properly and safely. CDM A was unable to produce the cooling log for the pulled pork. […]

• No harm, potential for more than minimal, widespreadF925Aug 16, 2023

  Based on observation, interview, and record review the facility failed to maintain an effective pest control program to ensure that the facility is free of pests resulting in an increased potential for contamination of food, both food and non-food contact surfaces, and foodborne illness potentially affecting staff, visitors and all 109 residents. Findings include: On 8/16/23 at 9:00 AM, three live flies were observed in the kitchen's dishwashing area. On 8/16/23 at 9:19 AM, two live flies were observed near the kitchen's janitors closet area. Upon observation the surveyor inquired with Dietary Manager staff A on the current state of the insects in this area to which they responded, We've had an issue with gnats and are in the process of starting with a new pest company. […]

• No harm, potential for more than minimal, patternF812Sep 12, 2024

  Based on observation, interview, and record review, the facility failed to properly date-label food stored in resident refrigerators affecting all the residents who consumed food from the unit refrigerators resulting in unidentifiable resident items and the potential for food-borne illness. Findings include: On 9/11/24 at 8:53 AM unit refrigerators were observed with the Nursing Home Administrator (NHA, the following were noted: Pleasant View Unit -One 16-ounce opened used jar of Betty's dressing expiration date unknown. Evergreen Unit -One box of unlabeled opened [NAME] Dean breakfast sandwiches in freezer. -One box of unlabeled opened ice cream Drumsticks in freezer. -Two 20-ounce bottles of diet mountain dew unlabeled in refrigerator. […]

• No harm, potential for more than minimal, isolatedF684Dec 3, 2025

  Based on observation, interview, and record review, the facility failed to identify, assess, and implement potential issues related to skin care for one resident (R104). Findings include:On 12/1/25 at 3:19 PM, R104 was observed alert and sitting up in his room. R104's scalp was observed to what appeared to be raised, crusted scabs. R104 said he keeps his hands off his scalp and denied getting cream or treatment for his scalp. On 12/3/25 at 9:10 AM, R104's scalp was observed with Registered Nurse/Unit Manager (RN/UM) C. R104 said the areas on his scalp do not bother him. RN/UM C stated even though the areas on his scalp do not bother him, It definitely looks like (R104) needs to see a dermatologist. […]

• No harm, potential for more than minimal, isolatedF550Sep 12, 2024

  This citation pertains to intake MI100145407. Based on interview and record review, the facility failed to ensure dignified and respectful treatment for three residents (R3, R5, and R69) of 28 residents reviewed for dignity, resulting in residents verbalization of feelings of helplessness, frustration, and discontentment when staff respond rudely when answering the call lights, repeatedly talk on their phones during care while ignoring the residents, and sit in resident's rooms when the resident is not present. Findings include: R3: On 9/10/24 at 9:40 AM, R3 said they felt ignored and disrespected by staff because, The CNAs (certified nursing assistants) sit on that [NAME] (sofa) right there (resident pointed to a sofa in the hallway) and play on their phones. […]