Mission Point Nursing & Physical Rehabilitation Ce

In the surveyor’s words

From the most serious findings on record at Mission Point Nursing & Physical Rehabilitation Ce, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 21, 2024

  This citation pertains to intake #MI00145456. Based on observation, interview, and record review, the facility failed to prevent an elopement resulting in an immediate jeopardy when 1 resident (Resident #106) of 5 residents reviewed for elopement risk, exited the facility unbeknownst to staff. This deficient practice resulted in the elopement and risk for serious harm, injury, impairment, and/or death of Resident #106 and all other residents assessed as an elopement risk. Findings include: The Immediate Jeopardy (a situation in which entity noncompliance has placed the health and safety of residents in its care at risk for serious injury, serious harm, serious impairment or death) began on 6/21/2024 at approximately 5:15 AM when Resident #106 (R106) eloped from the facility. […]

• Actual harm, patternF679Feb 6, 2024

  This Citation refers to Intake Numbers MI00141976, MI00142052, MI00142152, and MI00142213. Based on observations, interviews, and record review, the facility failed to provide an adequate Activities Program for seven residents (R7, R9, R10, R11, R15, R16, R17), resulting in boredom and feelings of anger, frustration, and depression. Findings include: Review of a facility policy Activities last reviewed [DATE] reflected It is the policy of this facility to provide an ongoing program to support residents in their choice of activities based on their comprehensive assessment, care plan, and preferences. […]

• Actual harm, isolatedF600Aug 11, 2023

  This citation pertains to intake M100138599. Based on interviews and record review, the facility failed to protect the resident's right to be free from neglect by not following the care plan when providing care for 1 (Resident #8), resulting in the resident falling out of bed and obtaining fractures. Findings include: Resident #8 (R8) Review of a Face Sheet revealed R8 admitted to the facility on [DATE] with pertinent diagnoses of hemiplegia and hemiparesis (one sided weakness) affecting the left non dominant side, symptoms involving cognitive function and awareness, and anxiety disorders. Review of the Minimum Data Set (MDS) dated [DATE] revealed R8 is cognitively intact and requires extensive assistance of 2 staff for bed mobility, transfers, and toileting. […]

• Actual harm, isolatedF686Mar 10, 2023

  This citation pertains to intake MI00133904, MI000129511 Based on observations, interview, and record review, the facility failed to prevent and heal one pressure ulcer for 1 Resident (R26) of 3 Residents reviewed for pressure ulcers ), resulting in R26 developing a stage 4 pressure ulcer. Findings include: Review of R26's face sheet revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included: multiple sclerosis, acute osteomyelitis (onset 2/9/23), pressure ulcer of right buttock, stage 4, dependence on wheelchair, and chronic pain. […]

• No harm, potential for more than minimal, widespreadF880May 22, 2025

  Based on observation, interview, and record review the facility failed to 1) effectively administer their water management program, 2) ensure appropriate hand hygiene during wound care for 1 resident (R6) of 2 residents reviewed for pressure ulcers, and 3) ensure adequate cleaning of a Continuous Positive Airway Pressure (CPAP) device (a common treatment for obstructive sleep apnea that involves wearing a mask while sleeping that delivers steady air pressure to keep the upper airway open and prevent breathing from stopping and starting) for 1 resident (R8) of 2 residents reviewed for respiratory concerns. […]