Crown Pointe Estates Care Center

In the surveyor’s words

From the most serious findings on record at Crown Pointe Estates Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 10, 2023

  Based on clinical record review, observations, staff interviews, facility policy review and physician interview, the facility failed to assure that staff provided appropriate nursing supervision for one resident who exited the facility unsupervised on two separate occasions,(Resident #1). This failure resulted in exposure to subzero winter elements and a fall that resulted in injury and one visit to an emergency room for treatment for the resident, therefore causing an Immediate Jeopardy to the health, safety, and security of the resident. […]

• No harm, potential for more than minimal, patternF725Aug 6, 2026

  Based on observation, staff interviews, resident interviews, Electronic Health Record (EHR) review and policy review. The facility failed to respond to call lights in a timely manner for 4 of 4 residents reviewed (Resident #12, #64, #76, and #81). The facility reported a census of 92 residents. Findings Include:1. The Minimum Data Set (MDS) dated [DATE] for Resident #12 documented a Brief Interview for Mental Status (BIMS) of 11 indicating moderate cognitive impairment. The MDS further documented Resident #12's functional abilities as substantial/maximal assistance with toileting hygiene. Observation on 8/4/26 at 9:00 AM revealed Resident #12 stated to the Staff D, Certified Nurse Assistant (CNA) that she had to wait a long time to use the bathroom. […]

• No harm, potential for more than minimal, patternF812Aug 6, 2026

  Based on observations, staff interviews, and facility policy reviews the facility failed to ensure food was stored and prepared under sanitary conditions. The facility identified a census of 92 residents.Findings include:Observation on the initial walk through of the kitchen on 8/3/26 at 11:05 a.m., revealed the following: a. The walk in freezer was noted to have white debris on the floor, strips of tape that had been ripped off the bag laying on the floor, a bag of frozen baked cookies open to air and a trail of black dried debris forming a line from the door to the back wall of the freezer. b. The ice machine was noted to have black substance on the inside of the ice shoot. c. […]

• No harm, potential for more than minimal, patternF812Aug 1, 2024

  Based on observation, staff interviews, and policy review, the facility failed to store food in accordance with professional standards for 91 of 91 residents. The facility reported a census of 91 residents. Findings include: A continuous observation on 7/29/24 between 10:40 AM - 11:00 AM during the initial kitchen tour revealed cooked ground beef in a metal steam table container dated 7/22/24. Small fried food freezer with a bag of chicken strips, a bag of chicken patties, and a bag of breaded pork all undated and open. […]

• No harm, potential for more than minimal, patternF732May 11, 2023

  Based on observation, facility policy, and staff interview, the facility failed to post a paper copy of daily staffing in each unit of the facility. The facility reported a census of 82 residents. Findings include: Observation on 5/9/23 at 3:24 PM of each of the 3 facility units, 2 of the units had daily nursing department staffing handwritten written on reusable white boards and not posted on paper. In an interview on 5/9/23 at 3:23 PM, Staff E, Certified Medication Assistant (CMA) reported there was no paper copy of the daily staff posting out for residents to see. In an interview on 5/9/23 at 3:27 PM, Staff F, Licensed Practical Nurse (LPN) reported there was no paper copy of the daily staff posting out for residents to see. […]