Five Points Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Five Points Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF693Feb 23, 2023

  Based on observation, interview and record review, the facility failed to ensure that a resident who was fed by enteral feeding received the appropriate treatment and services to prevent complications for one (Residents #30) of two residents reviewed for tube feedings. Observed at the bedside of Resident #30 was a de-clogger tool, it appeared to have residue on it. The de-cloggers were available in three locations on the medication cart, central supply room and treatment room; the de-cloggers were ordered to be restocked in January 2023. […]

• Immediate jeopardy, isolatedF689Aug 17, 2023

  Based on interviews and record reviews, the facility failed to ensure the residents received adequate supervision to prevent accidents for one (Resident #1) of seven residents reviewed for elopements. The facility failed to provide adequate supervision for Resident #1 for one hour and 20 minutes. He was last seen on 06/01/23 at 6:30 am and after that, the resident eloped from the facility and was observed by a concerned citizen who called Law Enforcement because Resident #1 was at a car wash located along a busy six lane street and four way cross intersection and 0.4 miles away from the facility. Resident #1 was returned to the facility on [DATE] at 7:52 am by Law Enforcement. […]

• Immediate jeopardy, isolatedF689Dec 23, 2021

  Based on interviews and record reviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (Resident #1) of two residents reviewed for elopements. The facility failed to provide adequate supervision to Resident #1. As a result, she eloped from the facility and was located at the nearby police station on 12/07/21. It was determined a past non-compliance Immediate Jeopardy existed from 12/07/21 to 12/08/21. The Immediate Jeopardy was determined to have been removed on 12/08/21 due to the facility's implemented actions that corrected the non-compliance prior to the beginning of the investigation on 12/22/21. This failure could place residents at risk for injury related harm, accidents, falls, and lack of proper supervision. […]

• No harm, potential for more than minimal, widespreadF812May 29, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen observed for sanitization and storage: 1. The facility failed to clean dishes and eating utensils in accordance with proper sanitization standards when the facility's only chemical dishwasher was broken. 2. The facility failed to ensure food items, stored facility's only dry storage room, were sealed and dented cans discarded. These failures could affect residents by placing them at risk for cross-contamination and/or food-borne illness. […]

• No harm, potential for more than minimal, patternF550Mar 5, 2026

  Based on interviews and record reviews the facility failed to ensure each resident was treated with respect, dignity, and care for four (Residents #1, #3, #4 and #8) of 10 reviewed for resident rights. The facility failed to ensure all residents #1, #3 #4 and #8's call lights were answered in a timely manner. This failure could affect residents who needed assistance with activities of daily living and could result in needs not being met.Findings included: Record review of Resident #1's MDS dated [DATE] reflected the resident was a [AGE] year-old female admitted to the facility on [DATE]. Her cognitive skills for daily decision making are severely impaired. Her diagnoses include Dementia, Senile Degeneration of Brain, Stroke, Paralysis of her left side, and Protein-Calorie Malnutrition. […]