Harrison Pointe Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Harrison Pointe Healthcare and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 4, 2026

  Based on observation, interview, and record review, the facility did not store, prepare and distribute food in accordance with professional standards for food service safety. Specifically, the dish machine washing temperature was not meeting the manufacturer requirements. Findings included: On 3/1/26 at 8:32 AM, an interview was conducted with [NAME] 1. [NAME] 1 stated the dish machine was a low temperature machine. The dish machine had a label which revealed that the wash temperature should reach 120 degrees Fahrenheit minimum and the rinse temperature should reach 120 degrees Fahrenheit minimum. On 3/4/26 at 9:00 AM, the following observations were made of the dish machine: [Note: All temperatures (temps) were in degrees Fahrenheit.]a. […]

• No harm, potential for more than minimal, patternF880Mar 4, 2026

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment. Specifically, for 3 out of 29 sampled residents, a resident with a surgical wound did not have Enhanced Barrier Precautions (EBP) posted or in place; appropriate hand hygiene and glove changes were not performed between dirty and clean tasks or resident contact; and during a dressing change a clean field was not maintained and bandages were contaminated. Resident identifiers: 9, 32, and 59.Findings included: 1. […]

• No harm, potential for more than minimal, patternF761Jan 11, 2024

  Based on observation and interview it was determined, for 1 of 26 sampled residents, that the facility did not ensure that drugs and biologicals were labeled and stored in accordance with currently accepted professional principles. Specifically, a nurse was observed to place an unused portion of a medication back inside the pharmacy dispensed blister pack and tape the back closed. Resident identifier: 40. Findings included: Resident 40 was admitted to the facility on [DATE] with diagnoses which included cerebral infarction, severe sepsis, fracture of right foot, type II diabetes mellitus, acute kidney failure, hyperkalemia, major depressive disorder, hyperlipidemia, myelodysplastic disease, thrombocytosis, and hypertension. On 1/10/24 resident 40's medical records were reviewed. […]

• No harm, potential for more than minimal, patternF812Jan 11, 2024

  Based on observation, it was determined the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, food items in the kitchen, dry storage room, and walk-in freezer were open to air, and food items in the snack cooler and walk-in refrigerator were not labeled and dated. Findings include: On 1/8/24 at 6:59 AM, an initial walk-through of the kitchen was conducted. In the food preparation area within the kitchen a bulk container with oats was uncovered and open to air, a bulk container with brown sugar was uncovered and open to air. In the snack cooler, a container of low fat cottage cheese was not dated as to when it was opened. In the dry storage room, a container of white sugar was open to air. […]

• No harm, potential for more than minimal, patternF842Jan 11, 2024

  Based on observation and interview it was determined that the facility did not ensure that the medical records on each resident were complete and accurately documented. Specifically, the nurse was witnessed to alter the timestamp of blood sugar checks according to approximations of when the task was completed. Findings included: On 1/10/24 at approximately 9:32 AM, an observation was made of Registered Nurse (RN) 2 during morning medication administration. RN 2 was observed filling out the electronic Medication Administration Record (eMAR) and electronic Treatment Administration Record (eTAR) for 2 unidentified residents. RN 2 was heard to say that she completed a task about 30 minutes ago and then was witnessed to enter a prior timestamp into the electronic medical record. […]