Majestic Care of Point Place

In the surveyor’s words

From the most serious findings on record at Majestic Care of Point Place, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jun 24, 2026

  Based on observation, record review, review of emergency medical services (EMS) run reports, review of crash cart audit logs, review of cardiopulmonary resuscitation certification documentation, review of a medication administration audit report, review of a vital documentation audit report, review of the American Heart Association (AHA) guidance for adult Cardiopulmonary Resuscitation (CPR), staff interview, EMS staff interviews, and review of facility policy, the facility failed to provide Resident #77, who had a full code status (advance directives), with basic lifesaving interventions on [DATE] by not immediately initiating rescue breathing or ventilations while performing chest compressions. […]

• Immediate jeopardy, isolatedF600Feb 23, 2023

  Based on medical record review, hospital medical record reviews, review of the facility ' s daily staffing review, interviews with facility staff, the physician, the nurse practitioner, the physician, review of the emergency squad run sheet, review of facility self-imposed action plan, review of the Enhanced Information Dissemination and Collection (EIDC) electronic reporting system, review of the facility's policies for Enteral Nutrition Therapy ,Admission Assessment and Follow Up: The Role of the Nurse, and Abuse, Mistreatment, Neglect, Exploitation and Misappropriation of Resident Property, the facility failed to ensure Resident #70 was free from neglect, when the facility staff failed to provide appropriate services to ensure the resident received sufficient nutrition and hydration via… […]

• Immediate jeopardy, isolatedF692Feb 23, 2023

  Based on medical record review, hospital medical records review, review of the facility's daily staffing, interviews with facility staff, the physician, the nurse practitioner, and the fire captain, review of the emergency squad run sheet, review of the facility's policies for Enteral Nutrition Therapy, Admission Assessment and Follow Up: The Role of the Nurse, Weight Policy, Care Plan Policy, Dietary Communication Pathway and review of the job description of the Registered Dietitian, the facility failed to assess a newly admitted resident for nutrition and hydration who required enteral tube feeding for nutrition, failed to obtain dietary orders, failed to provide sufficient fluids to prevent dehydration, failed to facilitate interdisciplinary communication between the Doctor, Registered… […]

• Actual harm, isolatedF689Sep 9, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interviews, review of a self -reported incident, review of facility investigation, review of in-service records, and policy review, the facility failed to ensure supervision and a safe environment was provided to prevent the elopement of a resident.Actual harm occurred on 07/29/25, when Resident #47 eloped from the facility through an unalarmed and unlocked exit door in the dining room. Resident #47 fell, sustaining an acute mildly displaced fracture of the right distal fibula at the ankle. This affected one (Resident #47) of three residents reviewed for elopement. The facility census was 65. […]

• Actual harm, isolatedF684Feb 2, 2023

  Based on record review, staff interview, resident interview, review of hospital records, and review of facility policies, the facility failed to provide ongoing monitoring and assessment for a resident with a change of condition. This resulted in actual harm when Former Resident #73 experienced low blood pressure, with the Certified Nurse Practitioner (CNP) being contacted and providing orders for intravenous (IV) hydration and laboratory tests. There was no evidence of any ongoing monitoring or assessment of Former Resident #73's condition throughout the night until the day shift staff discovered the resident remained hypotensive with lethargy, was transferred to the hospital, and was admitted with a diagnosis of hypotension. […]