Addison Pointe Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Addison Pointe Health & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 21, 2025

  Based on interview and record review, the facility failed to ensure a resident, dependent on staff for transferring from the chair to bed, had received adequate assistance and supervision to prevent accidents related to staff not following the manufacture's manual regarding keeping the legs of the lift at their maximum opened position before lifting a resident during a mechanical lift transfer for 1 of 2 residents reviewed for accidents. (Resident 21) This deficient practice resulted in the resident falling and receiving a fracture to her left upper arm. The deficient practice was corrected on 10/16/24, prior to the start of the survey, and was therefore past noncompliance. […]

• No harm, potential for more than minimal, patternF684May 7, 2026

  Based on observation, record review, and interview, the facility failed to ensure bruises were assessed and monitored for 2 of 3 residents reviewed for non-pressure related skin conditions, blood pressure medications were administered within parameters for 2 of 3 residents reviewed for medications with parameters, and an assessment was documented prior to and after an outpatient procedure for 1 of 3 residents reviewed for falls. (Residents 77, 48, 42, and 11)Findings include:1. The record for Resident 77 was reviewed on 5/4/26 at 1:34 p.m. […]

• No harm, potential for more than minimal, patternF761May 7, 2026

  Based on observation, record review, and interview, the facility failed to ensure medications were stored appropriately related to nystatin powder, insulin pens were not used past the expiration date, and over the counter medications were labeled correctly for 2 of 2 residents observed with medications in their rooms and for 2 of 4 medication carts observed. (Residents 42 and 9, the 100 hall and 400 hall medication carts)Findings include:1. During a random observation on [DATE] at 9:30 a.m., Resident 42 was observed in bed. […]

• No harm, potential for more than minimal, patternF812Mar 21, 2025

  Based on observation, record review, and interview, the facility failed to maintain the kitchen in a sanitary manner and in good repair related to lack of monitoring of freezer, refrigerator, and dishwasher temperatures and food not labeled and dated, for 1 of 1 kitchen. This had the potential to affect 86 of 87 residents who resided in the facility and received food from the kitchen. Findings include: During the Initial Kitchen Sanitation Tour on 3/17/25 at 8:47 a.m., with the Kitchen Manager, the following was observed: 1. There was no thermometer in the walk-in freezer. 2. There was no thermometer in the reach-in cooler. 3. The dishwasher temperature log was already filled out for breakfast, lunch and dinner time temperature checks for 3/17/25. 4. […]

• No harm, potential for more than minimal, patternF679Aug 29, 2023

  Based on observation, record review, and interview the facility failed to ensure activities were provided as scheduled and failed to provide routine outings as scheduled which had the potential to effect all residents who wanted to participate in activities. The facility also failed to ensure an annual activity assessment was completed for 1 of 3 residents reviewed for activities. (Resident C) Findings include: 1. On 8/29/23, between 9:33 a.m. and 9:52 a.m., the facility was observed for the scheduled activity of exercise. The main lobby and activity room was empty, the main dining room was empty. A staff member indicated SDR was the Satellite Dining Room, and was located between the 300 and 400 halls and that was where the exercise took place. The SDR was also empty upon observation. […]