Fountains Rehabilitation at Mill Cove

In the surveyor’s words

From the most serious findings on record at Fountains Rehabilitation at Mill Cove, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observations, interviews and record review, the facility failed to store and label food items in a manner to prevent foodborne illness and maintain sanitary conditions, by failing to appropriately date mark food items in the dry storage area and nourishment rooms. This deficient practice had the potential to affect all residents who receive food and nourishment items prepared and/or stored by the facility.The findings include:During the initial kitchen tour on 2/8/26 at 11:30 AM, the following was observed: A dessert was plated on the walk-in refrigerator's shelving unit, which was wrapped but was not date marked. […]

• No harm, potential for more than minimal, patternF582Feb 12, 2026

  Based on interview and record review, the facility failed to provide documentation to confirm that each resident was informed before, or at the time of admission, and periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare/ Medicaid or by the facility's per diem rate for three (Residents #49, #998 and #999) of three residents whose Beneficiary Notices were reviewed. The findings include:On [DATE] at 11:57 AM, an entrance conference was conducted with the Administrator. […]

• No harm, potential for more than minimal, patternF880Feb 12, 2026

  Based on record review, interviews and a review of facility policies and procedures, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections, by failing to monitor and track infections properly between August 2025 and February 2026. This failure can contribute to preventable diseases spreading rapidly, resulting in widespread resident illness with potentially fatal outcomes.The findings include:A review of the facility's infection control tracking information on 2/11/26 with the Director of Nursing (DON) revealed that no tracking was available for August 2025 through November 2025 or for January 2026. […]

• No harm, potential for more than minimal, isolatedF620Feb 12, 2026

  Based on interview and record review, the facility failed to implement its admissions policy for one (Resident #5) of six residents reviewed for admission agreements.The findings include:A review of Resident #5's record revealed no admission agreement present for his admission on [DATE] or his readmission following hospitalization on 11/21/25.Further review of the record verified an initial admission date of 9/26/25 with the most recent admission on [DATE]. During an interview on 2/11/26 at 9:10 AM, the Admissions Director (AD) stated, I didn't start until November [2025], but I did talk to him [Resident #5] one time about it. […]

• No harm, potential for more than minimal, isolatedF656Feb 12, 2026

  Based on observation, interviews and record review, the facility failed to develop and implement a comprehensive, person-centered care plan that reflected the resident's individualized needs for one of (Resident #10) of 21 residents whose care plans were reviewed. Resident #10 had no care plan addressing his vision problems and although he had been referred to an ophthalmologist more than once in 2024 (January and May) for cataract surgery, the facility did not follow through until February of 2025. An interview with the resident revealed this negatively affected his mood and he felt trapped. The findings include: An interview was conducted on 2/09/2026 at 11:23 AM with Resident #10. […]