Gulf Pointe Plaza

In the surveyor’s words

From the most serious findings on record at Gulf Pointe Plaza, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 3 of 10 residents (Resident #18, Resident #57, and Resident #22) reviewed for respiratory care. 1. The facility failed to ensure Resident #18's oxygen was administered at the correct setting on 03/08/2026 as ordered by the physician. 2. The facility failed to ensure Resident #57's oxygen was administered at the correct setting on 03/08/2026 as ordered by the physician. 3. The facility failed to post an oxygen sign outside of the room indicating Resident #57 received oxygen on 03/08/2026 4. […]

• No harm, potential for more than minimal, patternF812Mar 10, 2026

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation.The facility failed to properly label and date open, shelf stable food.The facility failed to dispose of expired shelf stable and refrigerated food.The facility failed to ensure containers and bags of food were sealed appropriately. The facility failed to ensure behind the ice machine and under the sink were clean.The facility failed to ensure all dry and/or shelf stable foods were labeled with received by, opened, and use by dates.The facility failed to ensure pans were free from dents and dings, as well as from having the Teflon scraped off.The facility failed… […]

• No harm, potential for more than minimal, patternF880Sep 27, 2023

  Based on interview, and record review, the facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling Legionella through a program that identifies areas in the water system where Legionella can grow and spread for the facility reviewed for infection control. The facility failed to have a system in place for preventing and controlling Legionella through a program that identifies areas in the water system where Legionella can grow and spread. This deficient practice place the facility residents at risk for airborne infections. The findings included: An interview on 09/27/23 at 10:28 AM with the Maintenance Director revealed he did not know what Legionnaire's was. […]

• No harm, potential for more than minimal, isolatedF921Aug 14, 2026

  Based on observations, record reviews and interviews, the facility failed to provide a safe, sanitary, and comfortable environment for one resident (resident #1) of six residents reviewed for environment. The facility failed to ensure that Resident's #1-bedroom closet was free from mold.This failure could place the resident at risk for illness or hospitalization. Findings Included:A record review of Resident #1 admission Record dated 08/14/26 revealed he was a [AGE] year old male admitted on [DATE] with diagnosis of Peripheral Autonomic Neuropathy (a disorder where the peripheral nerves that control involuntary body functions become damaged); Parkinson's Disease (disorder in which the brain nerve cells die or stop working) and Muscle Weakness (a reduced capacity of your muscles to exert… […]

• No harm, potential for more than minimal, isolatedF552Mar 10, 2026

  Based on interview and record review the facility failed to ensure residents had the right to be fully informed in advance about the risks or benefits of any proposed treatment that may affect the resident's well-being for 2 of 6 (Resident #7 and Resident #10) residents reviewed for psychotropic medication consents. 1. The facility failed to obtain a signed informed consent for Resident #7's Divalproex (a medication used to treat seizures, but could also be used to treat anxiety [intense, excessive and persistent worry and fear about everyday situations], depression [a mood disorder which caused a persistent feeling of sadness and loss of interest], schizophrenia [a severe mental disorder which affects how a person thinks, feels, and behaves, often leading to hallucinations, delusions, and… […]