Divine Rehabilitation and Nursing at Canal Pointe

In the surveyor’s words

From the most serious findings on record at Divine Rehabilitation and Nursing at Canal Pointe, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 20, 2021

  Based on observations, interviews, record review, elopement investigation review, police report review, facility policy review and review of weather information from accuweather.com, the facility failed to provide adequate supervision to prevent the elopement of one resident (Resident #7) who had diagnoses including [CONDITION(S)], [CONDITION(S)] disorder, mild cognitive impairment, unspecified cataract, major depressive disorder and type two diabetes. This resulted in Actual Harm that was Immediate Jeopardy when Resident #7 left the second-floor secured unit without staff knowledge on 04/24/21 following a fire alarm. Staff realized Resident #7 was missing at approximately 6:00 A.M. […]

• No harm, potential for more than minimal, widespreadF804Sep 12, 2025

  Based on observation, interview, and policy review the facility failed to provide food at appetizing temperatures. This had the potential to affect 108 residents receiving meals from the kitchen. The facility identified three residents (#31, #51, and #108) who received nothing by mouth (NPO). The facility census was 111.Findings include:An interview on 09/09/25 at 10:06 A.M. with Dietary Supervisor (DS) #100 revealed there had been residents complaining about hot foods being served cold. An observation was conducted on 09/09/25 at 10:46 A.M. of the kitchen tray line being set-up for the lunch meal service. The lunch meal consisted of corn, Spanish rice, chicken enchilada, and enchilada sauce. […]

• No harm, potential for more than minimal, widespreadF812Sep 12, 2025

  Based on observation, interview, record review and policy review the facility failed to ensure food was stored, prepared and served under sanitary conditions. This had the potential to affect 108 residents receiving meals from the kitchen. The facility identified three residents (#31, #51, and #108) as receiving nothing by mouth (NPO). The facility census was 111. Findings include: Review of pest control invoices dated 07/15/25 to 08/27/25 revealed pest control serviced for kitchen insects and existing rodent bait stations on 07/15/25, and on 08/27/25 extra service was provided for rodents. An interview on 09/09/25 at 10:06 A.M. […]

• No harm, potential for more than minimal, widespreadF761Jun 9, 2025

  Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure medications were securely stored. This affected one resident (Resident #212) and had the potential to affect all residents residing at the facility. The facility also failed to discard expired medications. This had the potential to affect all of the residents residing in the facility. The facility census was 111 residents. Findings include: 1. Review of the medical record for Resident #212 revealed an admission date of 05/02/25 and a readmission date of 05/16/25 with diagnoses including anxiety disorder, depression, post-traumatic stress disorder, and borderline personality disorder. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2025

  Based on observation, interview, review of the facility policy and record review the facility failed to ensure foods in unit refrigerators were labeled, dated and not retained when expired and stored in a clean environment. This had the potential to affect 108 residents receiving meals from the kitchen as three residents (#63, #104 and #106) were ordered nothing-by-mouth (NPO). Facility census was 111. Findings include: Observation on 06/02/25 with Dietary Manager (DM) #425 starting at 9:58 A.M. […]