Centerburg Pointe

In the surveyor’s words

From the most serious findings on record at Centerburg Pointe, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Oct 12, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and staff interview the facility failed to have eight consecutive hours daily of Registered Nurse (RN) coverage in the facility. This had the potential to affect the 59 residents who resided at the facility. Findings include: Review of the payroll based journal information revealed the facility failed to have eight consecutive hours of Registered Nurse (RN) coverage in the facility on 01/01/23, 01/07/23, 01/21/23, 02/04/23 and 02/05/23. Interview with Assistant Administrator (AA) #131 on 10/10/23 at 4:40 P.M. confirmed there was no RN in the facility on 01/01/23, 01/07/23, 01/21/23, 02/04/23 and 02/05/23. […]

• No harm, potential for more than minimal, widespreadF836Oct 12, 2023

  Based on record review, review of the staffing tool and resident and staff interviews, the facility administration failed to ensure there was sufficient direct care staff at all times in the facility to meet the minimum staffing requirement of two point five (2.5) hours of direct care per resident per day. This had the potential to affect all 59 residents living in the facility. Findings include: Review of the staffing tool completed for 09/24/23 through 09/30/23 revealed on 09/24/23 the facility only provided two point two seven (2.27) hours of direct care per resident per day. Interview with Resident #106 on 10/10/23 at 10:14 A.M. revealed staff are all nice, but when the facility was short staffed it takes a long time to answer the call light. […]

• No harm, potential for more than minimal, patternF883Oct 12, 2023

  Based on interview and record review the facility failed to ensure residents or their responsible parties received education and signed consent for influenza and pneumococcal immunizations. This affected four residents (#17, #6, #106, and #16) of five residents reviewed for immunizations. The facility census was 59. Findings include: 1. Review of the medical record for Resident #17 revealed an admitted [DATE] with diagnoses including depression, type two diabetes, hypertension, chronic obstructive pulmonary disease, and anemia. […]

• No harm, potential for more than minimal, patternF584Aug 24, 2021

  Based on observation, record review and interview the facility failed to maintain comfortable sound levels throughout the facility when Resident #17 frequently played his music too loud and Resident #293 could frequently be heard yelling out. This affected eight residents (#293, #17, #2, #26, #28, #30, #37 and #342) and had the potential to affect 11 additional residents (#41, #294, #194, #33, #3, #242, #343, #35, #34, #7 and #15) who resided on the B and D units of the facility. The facility census was 41. Findings include: 1. […]

• No harm, potential for more than minimal, patternF584Mar 26, 2021

  Based on observation, review of maintenance records, resident interview and staff interview, the facility failed to maintain a homelike environment for Resident #5, Resident #6, Resident #39, and Resident #44. This affected four residents (#5, #6, #39 and #44) of four residents reviewed for physical environment. Findings Include: 1. An observation on 03/24/21 at 10:40 A.M. with Maintenance Director #106 of Resident #5 and Resident #6's shared bathroom revealed between the sink and shower, the plaster was showing/chipping, black scuff marks approximately one foot up the wall and plastic cove base was removed and a hole was showing where the cove base should have been. An interview on 03/24/21 at 10:40 A.M. […]