Cypress Point Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Cypress Point Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 26, 2026

  Based on observations, interviews, and policy review, the facility failed to ensure infection control measures were practiced to prevent the development and transmission of communicable diseases and infections by failing to ensure appropriate PPE was available and utilized by staff while handling soiled linens and laundry in the laundry facility. This deficient practice had the likelihood to affect all of the 138 residents in the facility who had laundry services available for laundering of personal clothing and/or linens. Findings:Review of the facility's Soiled Laundry and Linen Pick Up Operational Procedures policy (undated) revealed in part: Policy:a. to maintain a clean and safe environment for resident, staff and visitors, b. […]

• No harm, potential for more than minimal, widespreadF575Jul 30, 2025

  Based on observations and interviews, the facility failed to post address and telephone numbers of pertinent state agencies in a form and manner accessible and understandable to residents/resident representatives. Findings:Observation on 07/29/2025 at 9:55 a.m. revealed a framed document with state agency complaint address and phone number posted outside of the business office, at the end of a hallway, off of the facility's main hallway. The posting was on a letter size document and framed, with the bottom of the frame being 64 inches up from the floor. Observation further revealed the posting was not in a location easily noticeable from the main hallway. Further observation revealed only the business office and two staff bathrooms were on the hallway. […]

• No harm, potential for more than minimal, patternF636Aug 26, 2026

  Based on record review and interview, the facility failed to conduct a comprehensive assessment of a resident within 14 days after admission for 1 (#58) of 9 residents reviewed for falls. Findings:Review of Resident #58's medical record revealed a facility admission date of 08/04/2026 and diagnoses including but not limited to Alzheimer's disease, anxiety disorder, restlessness and agitation, and encounter for palliative care. Review of Resident #58's MDS assessments revealed an admission MDS assessment dated [DATE] with a status of in progress. Further review revealed all applicable sections had a status of in progress. During an interview on 08/26/2026 at 10:20 a.m., S3 MDS Nurse confirmed Resident #58's admission MDS assessment was not completed and should be.

• No harm, potential for more than minimal, patternF640Aug 26, 2026

  Based on record review and interviews, the facility failed to ensure resident assessments were transmitted within the required timeframe for 3 (#4, #55, #150) of 4 (#4, #15, #55, #150) residents investigated for Resident Assessment. Findings: Resident #4 Review of Resident #4's medical records revealed an admit date of 09/08/2025. Review of Resident #4's MDS submissions revealed a 02/26/2026 Quarterly MDS was completed on 03/12/2026 and was not accepted/transmitted until 04/06/2026. Further review of Resident #4's MDS submissions revealed a 04/23/2026 Quarterly MDS was completed on 05/07/2026 and was not accepted/transmitted until 06/03/2026. […]

• No harm, potential for more than minimal, patternF628Jul 30, 2025

  Based on record reviews and interview, the facility failed to provide to the resident and/or the resident representative (RP) written notice which specified the reason for transfer, effective date, location and statement of the resident's appeal rights, and duration of the bed hold policy for 4 (#10, #52, #116 and #147) of 4 (#10, #52, #116 and #147) residents reviewed for transfer/discharge. Findings: Review of the facility’s “Bed-Hold and Readmission” undated policy revealed in part: Purpose: To explain and give written information to the resident and family member or legal representative of our bed-hold and readmission policy. […]