Belle Fountain Nursing & Rehabilitation Center

18591 Quarry Rd · Riverview, MI · 48192 · 7342822100

91 certified beds For profit - Corporation Chain: Optalis Health & Rehabilitation

Why this verdict

  • Carries CMS’s abuse warning icon.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

64% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 64
Staffing 20% 68
Federal penalties 15% 80
Trend 10% 65
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.243.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day3.62≈ weekday level
Nursing turnover / year64%median 45%
Fines (3-yr window)1 · $4,194

Inspection citations (24 in the current record)

  • Actual harm · G August 7, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 7, 2025 · found via complaint

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

    Corrected August 21, 2025 · Quality of Life and Care

  • Potential for harm · D March 12, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected April 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 12, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · F March 12, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected April 10, 2025 · Nutrition and Dietary

  • Potential for harm · F March 12, 2025

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

    Corrected April 10, 2025 · Nutrition and Dietary

  • Potential for harm · D March 12, 2025 · found via complaint

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

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · F January 28, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected February 18, 2025 · Nursing and Physician Services

  • Potential for harm · D November 21, 2024 · found via complaint

    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.

    Corrected December 11, 2024 · Pharmacy Service

  • Potential for harm · D September 5, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F June 26, 2024 · found via complaint

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

    Corrected July 31, 2024 · Nutrition and Dietary

  • Potential for harm · E June 7, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 9, 2024 · Resident Rights

  • Potential for harm · D June 7, 2024 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected July 9, 2024 · Resident Rights

  • Potential for harm · D June 7, 2024 · found via complaint

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

    Corrected July 9, 2024 · Quality of Life and Care

  • Potential for harm · D March 6, 2024 · found via complaint

    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.

    Corrected March 20, 2024 · Pharmacy Service

  • Potential for harm · D January 9, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected February 2, 2024 · Pharmacy Service

  • Potential for harm · D January 9, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 9, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 2, 2024 · Pharmacy Service

  • Potential for harm · D March 16, 2023

    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.

    Corrected April 28, 2023 · Resident Rights

  • Potential for harm · D March 16, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 28, 2023 · Resident Rights

  • Potential for harm · E March 16, 2023

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

    Corrected April 28, 2023 · Quality of Life and Care

  • Potential for harm · D March 16, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected April 28, 2023 · Infection Control

  • Potential for harm · D March 16, 2023

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected April 28, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
October 17, 2023Fine$4,194

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235376 · certified since October 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.