Mission Point Nursing & Physical Rehab Center Of L

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 17, 2023

  This citation pertains to intake M100137229 Based on interview and record review, the facility failed to operationalize policies and procedures and implement measures for a wandering resident to prevent falls, thoroughly investigate for root causes of falls, and implement meaningful interventions for 1 (Resident #2), resulting in a fracture of unknown origin. Findings Include: Review of a policy titled Fall Reduction last revised 4/23 revealed: Our residents have the right to be free from falls, or to sustain no or minimal injury from falls. 4. When any resident experiences a fall, the facility will: a. Assess the resident. B. Complete a Post-Fall Assessment. C. Complete a Risk Management Incident Report. E. Review the event and an interdisciplinary team. F. […]

• No harm, potential for more than minimal, widespreadF880Dec 16, 2025

  Based on observation, interview, and record review, the facility failed to implement its Infection Control and Prevention policies and procedures during resident care and medication administration and have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility. Findings include: During an observation of medication administration beginning at 8:15 AM on 12/15/2025, Registered Nurse (RN) D was met at the medication cart on the east hall of the facility. An uncovered plastic cup of yellow carbonated liquid was observed to the right of the computer. […]

• No harm, potential for more than minimal, widespreadF921Dec 16, 2025

  Based on observation and interview, the facility failed to maintain general cleanliness and repair of staff access only areas and residents living areas. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living, among all the residents in the facility.Findings include: On 12/14/2025 at 10:58 AM, observed, in the Resident Care Supply room, the condenser cover of ice machine had a buildup of debris on the surface. On 12/15/2025 at 8:25AM, walkthrough of building with Environmental Manager (EM) L, during discussion regarding cleaning schedule EM L stated that their TELLs system automatically reminds his department of continuous cleaning and maintenance schedules, ice machine is scheduled to be wiped down monthly by housekeeping personnel. […]

• No harm, potential for more than minimal, widespreadF921Oct 23, 2024

  Based on observation and interview, the facility failed to maintain cleanliness and general repair of equipment, plumbing, the onsite waste water system, and other aspects of the physical environment. This deficient practice has the potential to affect all residents in the facility. Findings Include: During a tour of the dry storage room, at 10:22 AM on 10/21/24, it was found that an odor resembling sewer gas was present upon entering the room. When asked if they knew what the odor was, Dietary Manager R and Regional Dietitian U were unsure. Upon further evaluation of the room, it was found that a slowly leaking sewer pipe was observed in the back left corner with totes underneath it to catch the leak. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2024

  Based on observation, interview, and record review the facility failed to: 1. Ensure sufficient hot water at the hand sink; 2. Properly datemark food product; 3. Properly store food product; and 4. Ensure cleanliness of food and non-food contact surfaces. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 30 residents who consume food from the kitchen. Findings Include: 1. During the initial tour of the kitchen, starting at 9:05 AM on 1/8/24, it was observed that the hand sink, located to the right of the dish machine, was not providing hot water to achieve the required 100F. At this time, the hot water was checked with a rapid read digital thermometer and found to only reach 61F. […]