Cypress Pointe Health Campus

In the surveyor’s words

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

• Actual harm, isolatedF760Dec 11, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on closed medical record review, review of facility investigation, review of facility's timeline of events, review of the incident log, staff interviews, and policy review, the facility failed to ensure residents were free from significant medication errors when one (Resident #87) who was moderately cognitively impaired and dependent on staff for medication administration, received another resident's (Resident #102) morning medications. This resulted in Actual Harm for Resident #87 when the resident was administered medications in error on 11/11/25 at 6:15 A.M. and at 6:40 A.M., the resident became acutely symptomatic with dizziness and low blood pressure. […]

• No harm, potential for more than minimal, patternF657Oct 13, 2022

  Based on medical record review, staff and resident interviews, and review of facility policy, the facility failed to have care conferences for residents. The facility also failed to ensure interdisciplinary team members (IDT) were present at care conferences. This affected four (#12, #18, #20, and #30) of four reviewed for care plans. The census was 60. Findings include: 1. Review of Resident #12's medical record revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Minimum Data Set (MDS) assessments revealed an annual assessment was completed on 07/13/22. […]

• No harm, potential for more than minimal, patternF812Oct 13, 2022

  Based on observations, review of the facility census, review of a list of diet orders, staff interview and policy review, the facility failed to ensure the legacy kitchen was free from expired food items and a food item was stored in a sanitary manner in the 200 unit nutritional freezer. This had the potential to affect 10 (#14, #15, #25, #33, #35, #36, #37, #38, #45, and #55) out of ten residents that resided on the Legacy unit and 13 (#1, #2, #3, #5, #6, #8, #9, #13, #16, #17, #46, #48, and #57) out of 13 residents that resided on the 200 unit. The facility census was 60. Findings include: 1. Observation of the Legacy kitchen on [DATE] at 7:55 A.M. […]

• No harm, potential for more than minimal, isolatedF580Dec 11, 2025

  Based on interview, record review, review of internal investigation log, and policy review, the facility failed to notify a resident's power-of-attorney (POA) following a significant medication error. This affected one (Resident #87) of four residents reviewed for notification after a change in condition. The facility census was 66.Findings include:Review of the closed medical record for Resident #87 revealed an admission date of 11/03/25 and discharged on 11/13/25. Diagnoses included fractured left femur, acute post hemorrhagic anemia, dementia, type two diabetes, hypertension, heart failure, and atherosclerotic heart disease. Review of the Incident log from 09/01/25 through 12/11/25 revealed a medication error on 11/11/25 at 6:55 A.M. involving Resident #87. […]

• No harm, potential for more than minimal, isolatedF880Jul 23, 2024

  Based on medical record review, observation, staff interview, review of the facility policy, the facility failed to ensure proper hygiene was completed during wound care. This affected one (Resident #24) of three residents reviewed for pressure sores. The facility census was 66 residents. Findings include: Review of the medical record for Resident #24 revealed an admitted [DATE] with diagnoses including type two diabetes mellitus, chronic kidney disease, and congestive heart failure. Review of the physician's orders for Resident #24 revealed an order dated 07/10/24 to cleanse the wound to the right foot/ankle with wound cleanser or normal saline, apply calcium alginate, and cover with dressing every day or as needed. […]