Admirals Pointe Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Admirals Pointe Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 13, 2021

  Based on observations, medical record review, facility investigation review, witness statement review, physician and staff interviews, review of the National Institute of Health United States National Library of Medicine/Medline Plus website, review of facility policy, the facility failed to ensure a resident's environment was free from accident hazards to [MEDICAL CONDITION] one (#100) of five residents reviewed for burns. This resulted in Actual Harm for Resident #100, when the resident was found with his leg lying directly on the electric baseboard heater, resulting in first and second [MEDICAL CONDITION] his left lower extremity (LLE). Six residents (#25, #50, #65, #75, #85, #95) electric baseboard heaters with a surface temperature observed to be greater than 120 degrees Fahrenheit. […]

• No harm, potential for more than minimal, widespreadF804Dec 16, 2021

  Based on review of the lunch meal menu, resident and staff interview, and observation, the facility failed to ensure appropriate meals were served at an appetizing temperature. This had the potential to affect all residents in the facility except Resident #31 who the facility identified as receiving no food from the kitchen. The facility census was 83. Findings include: Interview on 12/13/21 with Resident #34, #39, and #67 revealed the meals from the kitchen are cold. Review of the lunch menu for 10/27/21 revealed the main entrée hot foods included ham, au gratin potatoes, and carrots that were substituted for a mixed vegetable. Observation on 12/14/21 at 2:01 P.M. of the test tray revealed meal tempting of the hot foods. The ham tempted at 98 degrees Fahrenheit. […]

• No harm, potential for more than minimal, widespreadF880Feb 4, 2021

  Based on observations, review of Centers for Medicare and Medicaid Services (CMS) guidelines, review of the COVID-19 Nursing Home Data site and staff interview, the facility failed to follow CMS guidelines regarding in facility visitation to prevent the spread of COVID-19. This had the potential to affect 69 of 69 residents. The facility census was 69. Findings include: Observation on 02/02/21 at 9:05 A.M., revealed Resident (#32) was receiving a visitor in the lounge. Further observation revealed the visitor stayed for approximately 30 minutes. Interview with the Director of Nursing on 02/02/21 at 11:50 A.M., revealed a letter was sent from the State Of Ohio revealing the facility was now allowed indoor visitation and that is what the facility is following. […]

• No harm, potential for more than minimal, isolatedF676Jun 27, 2024

  Based on record review, resident and staff interview and observations, the facility failed to ensure Resident #61 was assisted with the specific activity of daily living (ADL) of brushing her teeth. This had the potential to affect 18 residents on the memory care unit who required assistance with ADL. The facility census was 79. Findings include: Review of Resident #61's medical record revealed an admitted [DATE]. Diagnoses included dementia, dysphagia following cerebral infarction, and morbid obesity. Review of the annual Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed she had moderate cognitive impairment. Her functional ability for oral hygiene revealed she required set up or clean up assistance for personal hygiene. […]

• No harm, potential for more than minimal, isolatedF558Dec 16, 2021

  Based on observation, resident and staff interview, and medical record review, the facility failed to ensure a resident's call light was accessible. This affected two Resident's (#186 and #229) of 24 sampled residents. The facility census was 83. Findings include: 1. Review of the medical record revealed Resident #229 was admitted on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) assessment, dated 12/03/21 revealed the resident was moderately cognitively impaired. Resident #229 required extensive one person assistance with bed mobility, transfers, and locomotion on unit. […]