Center Point Health Care and Rehab

In the surveyor’s words

From the most serious findings on record at Center Point Health Care and Rehab, in the surveyor’s own words.

• Immediate jeopardy, patternF684May 6, 2022

  Based on observations, interviews, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan by failing to ensure 1. Capillary blood glucose levels were administered in accordance with professional standards of practice and residents' person centered plans of care for 1 (#9) of 13 (1#, #2, #3, #6, #8, #9, #12, R1, R4, R5, R6, R7, R8) residents reviewed; and 2. […]

• Immediate jeopardy, patternF760May 6, 2022

  Based on observations, interviews and record reviews the facility failed to ensure residents were free of significant medication errors for 2 (#1, #9) of 13 (1#, #2, #3, #6, #8, #9, #12, R1, R4, R5, R6, R7, R8) residents observed during medication pass. The facility failed to ensure: 1. Resident #1 received cardiac medications as ordered by the physician; and 2. Resident #9 received blood glucose monitoring and insulins as ordered by the physician. This deficient practice resulted in an Immediate Jeopardy situation for Resident #1 beginning on 04/06/2022 at 08:00 p.m. when nursing staff failed to administer her second scheduled daily dose of [MEDICATION(S)] 24/26 mg, which was prescribed to treat a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, patternF835May 6, 2022

  Based on observations, interviews, and record review, the facility failed to be administered in a manner that enables it to use it resources effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 8 (#1, #6, #8, #9, #12, R4, R5, R7) of 20 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, R1, R2, R3, R4, R5, R6, R7, and R8) sampled residents reviewed. The facility failed to have effective systems in place to: 1. Ensure the facility accurately and safely provided or obtained pharmaceutical services to ensure medications were acquired, available, and administered in a timely manner to meet the needs of the residents; 2. […]

• Actual harm, patternF697May 6, 2022

  Based on observations, interviews, and record reviews, the facility failed to ensure pain management was provided to residents who required such services, consistent with the comprehensive person-centered care plan and professional standards of practice for 3 (#6, #12 and R7) of 5 (#6, #9, #12, R5, and R7) residents reviewed for pain. This deficient practice resulted in actual harm for R7 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Interviews with R7 and staff revealed R7 experienced severe, unrelieved pain on 04/30/2022 and 05/01/2022. R7 required an increase in her [MEDICATION(S)] dose on 05/04/2022. Findings: Review of the policy titled, Medication Orders revealed the following, in part: 1. Documentation of medication orders a. […]

• No harm, potential for more than minimal, widespreadF801May 7, 2025

  Based on observations and interviews, the facility failed to ensure dietary support personnel had the appropriate competencies and skill sets to safely and effectively carry out the functions of the food and nutrition service. The facility failed to ensure S18DW was competent to effectively and sanitarily perform the functions of the facility's dishwasher. This deficient practice had the potential to affect any of the 140 residents who received meals from the facility's kitchen. Findings: An observation was made of S18DW performing the dish washing process in the facility's kitchen on 05/05/2025 at 10:10 a.m. S18DW was observed to place 18 meal trays upright with two stacked together with no spacing between them in one washing tray. […]