Five Points Nursing & Rehabilitation of College St

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Dec 22, 2025

  Based on observation, interviews, and record review the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #2) of 3 residents. The facility failed, on 12/08/25, to ensure two staff members assisted Resident #2 off the toilet and onto her wheelchair. Resident #2 fell and hit her knee on the toilet paper dispenser when CNA E transferred her off the toilet alone. Resident complained of pain. On 12/10/25 an x-ray revealed Resident #2 had a broken femur, was sent to the hospital and had surgery. An Immediate Jeopardy (IJ) was identified on 12/21/2025. The IJ template was provided to the facility on [DATE] at 2:07 pm. […]

• Immediate jeopardy, isolatedF600Aug 29, 2025

  Based on observation, interviews and record review the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 out of 8 residents (Resident #1) reviewed for abuse/neglect. The facility failed to ensure Resident #1 was not neglected by not checking on Resident #1 from 2:40pm - 4:40pm on 08/26/2025. Resident #1 was found outside with a temperature of 104 degrees [F] and sent to the hospital due to being unresponsive and tachycardic (your heart is beating too fast, over 100 times a minute at rest). The temperature on 08/26/25 was a high of 97 degrees [F]. An IJ was identified on 08/28/2025 at 4:15 PM. […]

• Immediate jeopardy, isolatedF689Aug 29, 2025

  Based on observation, interviews and record review the facility failed to ensure each resident received adequate supervision for 1 of 8 resident (Resident #1) reviewed for supervision. The facility failed to ensure Resident #1 had adequate supervision or was checked on for over two hours as he was found outside on 08/26/25 with a temperature of 104 degrees [F] and sent to the hospital due to being unresponsive and tachycardic (your heart is beating too fast, over 100 times a minute at rest). The temperature on 08/26/25 was a high of 97 degrees [F]. An IJ was identified on 08/28/2025 at 4:15 PM. […]

• Actual harm, isolatedF689Mar 2, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 6 residents (Resident #1) reviewed for accidents hazards and supervision. The facility failed to ensure Resident #1's fall mat was in place, and the bed was in low position on 02/12/2026 at approximately 7:00 a.m., when he was found lying on the floor. The noncompliance was identified as PNC. The noncompliance began on 02/12/2026 and ended on 02/12/2026. The facility had corrected the noncompliance before the survey began. […]

• Actual harm, isolatedF725Jan 26, 2025

  Based on interviews, and record review, the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with a current accurate facility assessment for 9 of 11 residents ( Residents #1, #2, #3, #4 #5, #6, #7,#8 and #11). 1. […]