Mission Point Nursing & Physical Rehab Center of D

In the surveyor’s words

From the most serious findings on record at Mission Point Nursing & Physical Rehab Center of D, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 25, 2023

  Based on observation, interview, and record review the facility failed to maintain an environment free of accident hazards as evidenced by a portable space heater located in Resident #901's room. This deficient practice resulted in an immediate jeopardy on 1/19/23 when the facility Administrator observed the portable space heater inR901's room. This deficient practice places all 48 residents at risk for the likelihood of serious injury, harm, and/or death from burns or fire. Findings include: During an observation on 1/24/23 at 9:15 AM of R901's room, a portable space heater was observed in the corner of the room. […]

• Actual harm, isolatedF684Jun 26, 2023

  This citation has two deficient practice statements. Deficient Practice Statement #1. Based on observation, interview, and record review, the facility failed to adequately monitor and implement interventions to prevent constipation for one resident (R109) of four reviewed resulting in fecal impaction. Findings include: On 6/20/2023 at 12:30 PM, Resident #109 (R109) was observed awake and sitting up in the bed. R109 stated, I went to the hospital because of constipation. My stool was like clay. R109 said stool was in her rectum but would not fully evacuate. The bowel movement was scrapping her rectum and it really hurt. R109 stated, I was having sharp pain in my chest, back, and arm and was sent to the hospital. They had to manually remove the stool at first. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2024

  Based on observation, interview, and record review the facility failed to ensure a sanitary physical environment in the Dietary Department, resulting in a potential for contamination of food from soiled ceiling tiles and corroded, rusted vents. This deficient practice had the potential to affect 50 residents that received meals and/or food from the kitchen. Findings include: On 12/11/2024 at 12:00 P.M. during a follow up observation in the kitchen four of five ceiling vents were observed soiled with grease, rust and corroded discolored areas. The tiles around the perimeter of the vent exiting the doorway to the tray line had visible black, greasy, lint spots. During the observation Dietary Manager C was queried concerning who was responsible for cleaning of the vents in the kitchen. […]

• No harm, potential for more than minimal, patternF812Jan 23, 2026

  Based on observation, interview, and record review the facility failed to: 1. Properly store food items in the kitchen; 2. Remove undated, unlabeled food from the kitchen walk-in cooler and resident refrigerators; and 3. Adequately clean kitchen surfaces. These deficient practices had the potential to affect all residents who consumed food from the kitchen and resident refrigerators, resulting in an increased potential for foodborne illness.Findings include:On 1/21/2026 beginning at 9:41 AM, the initial tour of the kitchen was conducted with Kitchen Manager (KM) A. During the tour, the following items were observed:-in the walk-in cooler two containers of chicken soup undated KM A said the soup was for staff and should not be in the cooler.-one box of opened turkey lunch meat undated. […]

• No harm, potential for more than minimal, patternF657Dec 12, 2024

  Based on interview, and record review the facility failed to revise care plans in a timely manner for three residents (R10, R260, and R7) out of 14 residents reviewed for care planning. Findings include: R10 On 12/10/24 at 9:59 AM R10's guardian was interviewed and stated that R10 has had recent falls and was concerned. Record review of R10's electronic health records (EHR) revealed admission into the facility on [DATE] with pertinent diagnoses of epilepsy, and traumatic brain injury. […]