Cypress Pointe Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF692Feb 22, 2024

  Based on observations, record review, staff, Physician Assistant, Registered Dietician, and Physician interviews the facility failed to maintain a system to identify weight loss by not obtaining monthly weights on residents at risk for nutritional decline including weight loss for 3 of 7 residents ( Resident #77, 71, 37) and failed to obtain a weight and verify the accuracy of a weight for a 1 of 7 residents (Resident #13) reviewed for nutrition. Findings included: 1. Resident #77 was admitted to the facility on [DATE]. Diagnoses included above the knee amputation to left leg, congestive heart failure (CHF), chronic respiratory failure, and protein calorie malnutrition. […]

• No harm, potential for more than minimal, isolatedF698May 7, 2026

  Based on observations, record review, and resident, staff, and Physician interviews, the facility failed to remove a dressing and visually assess a resident's dialysis fistula (an arteriovenous (AV) fistula is a surgical connection between an artery and a vein, usually in the forearm or upper arm created to provide reliable access for dialysis) as ordered by the physician for 1 of 2 residents reviewed for dialysis (Resident #5).The findings included:Resident #5 was admitted to the facility 11/16/2023. […]

• No harm, potential for more than minimal, isolatedF842Mar 20, 2025

  Based on record review, and staff and Physician interviews, the facility failed to maintain complete medical records by not documenting a reweight following a significant increase in the weekly weights that were obtained for a resident admitted with acute congestive heart failure. Resident #72 experienced no significant outcome. This occurred for 1 of 1 resident reviewed for weight management (Resident #72). Findings included. Resident #72 was admitted to the facility on [DATE] with diagnoses including congestive heart failure and fluid overload. A physician's order dated 2/27/25 for Resident #72 revealed to obtain weekly weights. Review of Resident #72's electronic medical record revealed the following weights: 2/25/25 at 5:28 PM the admission weight was 154.0 lbs. […]

• No harm, potential for more than minimal, isolatedF693Sep 15, 2022

  Based on record review, staff interview and Nurse Practitioner interview the facility failed to provide tube feeding management by failing to check for tube placement prior to the administration of a water flush for 1 of 1 residents observed for tube feeding management (Resident #14). Findings included: Resident #14 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A quarterly Minimum Data Set assessment dated [DATE] documented Resident #14 was rarely or never understood with short and long term memory problems. He was dependent for all activities of daily living including eating. […]

• No harm, potential for more than minimal, isolatedF727Sep 15, 2022

  Based on record review, and staff interviews the facility failed to prevent the Director of Nursing (DON) from serving as a charge nurse and having a resident care assignment including working on the medication cart with a facility census of greater than 60 residents on 2 of 2 occasions (08/22/22 and 08/25/22). Findings included. During an interview with the DON on 09/15/22 at 12:45 PM she stated the facility was actively hiring nursing staff. She stated on a few occasions during the month of August 2022 she had to take an assignment because there were no nurses available to pick up the shift and stated the facility was not currently utilizing agency staff. […]