Crown Point Health Campus

In the surveyor’s words

From the most serious findings on record at Crown Point Health Campus, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 24, 2025

  Based on observation, record review and interview, the facility failed to ensure adequate supervision was in place to prevent elopement of a resident with diagnoses of dementia and bipolar in a manic state with psychotic features. The resident had indicators of being an elopement risk and behaviors of wanting to exit the facility. The facility was unaware of the resident's where abouts and the resident was found by a Good Samaritan standing in the road, approximately 0.15 miles from the facility, on a highly traveled road. The resident was returned to the facility by the Good Samaritan. (Resident E) The Immediate Jeopardy began on 6/24/25, when the facility was unaware the resident had exited the facility without supervision. […]

• No harm, potential for more than minimal, widespreadF880Aug 14, 2024

  Based on observation, record review, and interview, the facility failed to provide a safe and sanitary environment to help prevent the potential of transmission of communicable diseases and infections, related to glucometers (blood sugar monitor) used for multiple residents not sanitized before and after each resident use (RN 8) and failed to sanitize an oximeter (oxygen saturation monitor) used for multiple residents after it was used on a resident. (Resident B, LPN 4) This had the potential to affect the 26 residents in the facility who receive glucometer testing and the 25 residents who reside on [NAME] C Hall. […]

• No harm, potential for more than minimal, widespreadF812Mar 22, 2024

  Based on observation and interview, the facility failed to ensure food was stored under sanitary conditions, related to unlabeled and undated food and beverages, and a scoop stored in the dry food storage bin, for 2 of 4 refrigerators reviewed (Main Kitchen), as well as unlabeled and undated staff beverages in 1 of 2 unit refrigerators (Grace Point 2 Unit) observed. This had the potential to affect 103 residents who received food from the kitchen. Findings include: 1. During the initial tour of the kitchen, with Chef 1 on 3/18/24 at 9:12 a.m., the following observations were made: a. There was an unlabeled and undated beverage in the dessert refrigerator. b. There was an unlabeled and undated pan of rice in the cook's refrigerator. c. […]

• No harm, potential for more than minimal, widespreadF865Apr 24, 2023

  Based on record review and interview, the facility failed to ensure a complete Quality Assurance and Performance Improvement (QAPI) program that addresses the full range of services the facility provides was in place related to lack of a QAPI plan and lack of an ongoing Performance Improvement Project (PIP). This had the potential to affect all residents in the facility. Finding includes: The Quality Assessment and Assurance (QAA) and QAPI program was reviewed on 4/21/23 at 10:30 a.m. The QAA and QAPI policies were available for review. Interview with the Assistant Director of Nursing (ADON) on 4/21/23 at 10:40 a.m. indicated she ran the monthly QAA and QAPI meetings. She indicated each department would present reports and review any concerns. […]

• No harm, potential for more than minimal, widespreadF868Apr 24, 2023

  Based on record review and interview, the facility failed to ensure the required staff were present at the monthly Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement (QAPI) meetings related to the Administrator not being present. This had the potential to affect all residents in the facility. Finding includes: The QAA and QAPI Minutes sign in sheets were reviewed on 4/21/23. January, February and March, 2023 lacked indication the Administrator was present at the meetings. Interview with the Assistant Director of Nursing, on 4/21/23 at 10:51 a.m., indicated she ran the monthly meetings. […]