Marina Pointe Healthcare & Subacute

In the surveyor’s words

From the most serious findings on record at Marina Pointe Healthcare & Subacute, in the surveyor’s own words.

• Actual harm, isolatedF580Aug 18, 2023

  Based on interview and record review the facility failed to notify the physician regarding one of five sampled resident's (Resident 1) skin integrity. Resident 1 had an increase in moisture associated skin damage ([MASD] skin damage due to prolonged exposure to different sources of moisture such as feces, urine, sweat, or saliva), underneath both breasts and groin areas. As a result, there was a two-month delay in treatment to Resident 1's MASD. Resident 1 endured constant skin irritation under her right and left beast and groin area and was transferred to a general acute care hospital (GACH) on 7/25/2023. […]

• Actual harm, isolatedF692Jan 12, 2023

  Based on observation, interview, and record review, the facility failed to provide nutrition to prevent weight loss for one of two sampled resident (Resident 87) by failing to: 1. Ensure Resident 87 received bolus feeding (a type of feeding where a syringe is used to send formula through your feeding tube) as ordered by physician and as recommended by the Registered Dietitian (RD, food, and nutrition expert) to meet the recommended daily nutritional intake and prevent severe weight loss (a loss of greater than [>] 7.5 percent [%] in 3 months). 2. Revise the care plan to reflect current diet orders or to develop a care plan to modify nutritional interventions. 3. Monitor the Resident 87's calorie (a unit of energy) intake as ordered by the physician dated 11/1/2022. 4. […]

• No harm, potential for more than minimal, widespreadF880Feb 21, 2025

  Based on observation, interview, and record review, the facility failed to: 1. Ensure two out of six sampled residents (Resident 67 and 147) nasal cannulas (a small plastic tube, which fits into the person's nostrils for providing supplemental oxygen) were not dated and labeled. This deficient practice of not dating and labeling the nasal cannulas placed Residents 67 and 147 at risk for respiratory infection (an infection affecting the nose, throat, sinuses, airways, and lungs). 2. Ensure there were not two bags of opened and emptied bottles of water, sparkling water, iced coffee, fruit juice, and energy drinks in the laundry room next to a washing machine. This deficient practice had the potential for attracting pests to the laundry room. a. […]

• No harm, potential for more than minimal, patternF689Jan 2, 2026

  Based on interview and record review, the facility to follow its policy and procedure (P&P) titled, Resident Going Out On Pass (OOP-short term leave from the facility) Policy, for three of three sampled residents (Resident 1, 2 and 3) by failing to:1.Ensure Residents 1, 2 and 3's OOP orders indicated whether the Residents may leave OOP without a responsible person and/or indicated the length of time the Resident may be OOP. 2.Ensure Resident 3 was assessed before and after the Resident went OOP. 3.Ensure Residents 1 and 3 had a responsible person to accompany the Residents while OOP when the physician did not specify whether the Residents may leave OOP without a responsible person. These failures had the potential to negatively affect Resident 1, 2, and 3's safety and well-being while OOP. […]

• No harm, potential for more than minimal, patternF628May 28, 2025

  Based on interview and record review, the facility failed to follow its policy and procedure (P&P), titled Bed-Holds and Returns and the Transfer/Discharge Documentation, by not providing the written Notice of Discharge and the written Notice of Bed-hold (to save the bed for 7 days) upon the residents' transfer to a general acute care hospital (GACH 1), for three of four residents (Residents 1, 2 and 3) or their family representatives. This failure had the potential to result in Resident 1, Resident 2, and Resident 3 and their representatives not knowing their rights. Findings: 1). During a review of Resident 1's Admission Record, the Admission Record indicated Resident 1 was admitted to the facility on [DATE] and discharged to General Acute Care Hospital (GACH 1) on 4/28/2025. […]