Cedar Pointe Health and Wellness Center

In the surveyor’s words

From the most serious findings on record at Cedar Pointe Health and Wellness Center, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 4, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure 1 (Resident #1) of 5 residents received necessary treatment and services, consistent with professional standards of practice reviewed for pressure ulcers. A facility staff failed to ensure Resident #1's orders for a low air loss mattress (LAL) to treat an unavoidable pressure ulcer was placed in the resident's electronic health records, and for the mattress to be ordered. Resident #1's pressure ulcers increased in size. This failure could place residents at risk of improper pressure ulcer management, deterioration of existing pressure injuries, infection, and pain. […]

• No harm, potential for more than minimal, patternF677Jan 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services timely to maintain good grooming and personal hygiene for 5 of 10 residents (Resident #35, and Resident #48, Resident #107, Resident #114, and Resident #117) reviewed for ADLs. The facility failed to ensure Resident #35, Resident #48, Resident #107, Resident #114, and Resident #117 briefs were changed timely. […]

• No harm, potential for more than minimal, patternF812Jan 8, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for nutrition services. 1.The facility failed to ensure sanitation practices (cleaning the ice machine).2. The facility failed to label and date all food items in the kitchen. These failures could place residents at risk of foodborne illness. Findings included: Observation on 1/6/26 at 9:09 am of the facility kitchen revealed the ice machine had black and brown mold appearing substance growing on the inside of the ice machine. […]

• No harm, potential for more than minimal, patternF880Jan 20, 2022

  Based on observation, interview and record review, the facility failed to maintain an infection control program designed to provide a safe, comfortable, and sanitary environment to help prevent the development and transmission of diseases for three of five residents (#1, #2, and #3) reviewed for infection control. HA A failed to use clean cups for 3 residents while emptying and refilling water cups from ice chest and perform hand hygiene during use of scooping ice and touching water pitchers. These failures placed residents at an increased risk of exposure to infections to include COVID- 19, decreased quality of life, or hospitalization s. […]

• No harm, potential for more than minimal, patternF689May 27, 2021

  Based on observation, interview, record review and review of facility policy, the facility failed to assure that three (Resident (R)3, R6, and R12) of 10 sampled residents reviewed for falls received the supervision and/or assistive devices needed to prevent accidents. The residents, who were at risk for accidents and sustained multiple falls, failed to receive interventions such as fall mats, low beds, call lights in reach, toileting programs/timely incontinence assistance, and/or material in their wheelchairs to prevent sliding from the chair. Findings include: 1. […]