Country Pointe

In the surveyor’s words

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

• Actual harm, isolatedF600Nov 29, 2022

  Based on record review, self-reported incident (SRI) review, and interview the facility failed to ensure Resident #33 received adequate supervision to manage his behaviors to prevent resident to resident abuse. This resulted in Actual Harm to Resident #33 when he sustained a posterior [CONDITION(S)] which required transportation to the hospital and five staples to the back of his head. This finding affected two residents (Residents #3 and #33) of four residents reviewed for abuse. The facility census was 42. Findings include: Review of Resident #3's medical record revealed he was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF740Nov 29, 2022

  Based on record review and interview the facility failed to ensure Resident #33 received adequate supervision to manage known aggressive behaviors towards other residents. This finding affected one (Resident #33) and had the potential to affect all 42 residents residing on the secured behavioral health unit. The facility census was 42. Findings include: Review of Resident #33's medical record revealed he was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #33's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed he exhibited memory problems. Review of Resident #33's progress note dated 10/16/22 at 4:01 P.M. indicated he entered a common area and walked up behind a male peer and became physically aggressive. […]

• No harm, potential for more than minimal, isolatedF578Oct 13, 2022

  Based on record review and staff interview the facility failed to ensure advance directives matched in the electronic health record and paper medical record. This affected one resident (#9) of 18 residents reviewed for advance directives. Findings include: Review of Resident #9's medical record revealed an admitted [DATE] with admission diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the electronic health record revealed a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Further review of the EHR also revealed the resident information code status indicated DNRCC-A. Review of the hard chart/paper medical record included a resident face sheet which indicated a code status of Full Code. […]

• No harm, potential for more than minimal, isolatedF756Oct 13, 2022

  Based on record review and interview the facility failed to ensure pharmacy recommendations were complete and provided rationale for the continued use or psychoactive medications (with or without gradual dose reductions) for Resident #19. This affected one resident (#19) of five residents reviewed for unnecessary medication use. Finding include: Record review revealed Resident #19 was admitted to this facility on 08/14/20 with admitting diagnoses including type II diabetes, [CONDITION(S)] of right lower limb, open wound of right great toe, repeated falls, heart failure, post traumatic seizures, depressive disorder and [CONDITION(S)] disorder. […]

• No harm, potential for minimal, widespreadF814Mar 6, 2025

  Based on observation, interview, and review of facility policy, the facility failed to ensure garbage/refuse was contained within the dumpster. This had the potential to affect all 42 residents residing in the facility. Findings include: On 03/03/25 at 12:57 P.M., observation of the outside dumpster, which was in the parking lot approximately 50 feet away from the building, revealed the lid was broken and the trash in the dumpster was uncovered as a result. In addition, refuse including disposable gloves, disposable cups, straws, empty food packages and an incontinence brief were observed scattered about the dumpster. On 03/04/25 at 9:33 A.M., interview with the Administrator confirmed the dumpster lid was broken. […]