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.

• Actual harm, isolatedF689Jul 30, 2026

  This citation pertains to intake #3073173 & #3071679.Based on observation, interview, and record review, the facility failed to ensure transfers and toileting were completed per the care plan, and ensure staff implement facility policies and procedures for falls in 1 resident (Resident #101) of 4 residents reviewed for accidents/falls, resulting in harm when Resident #101 sustained multiple fractures to her left lower extremity after an unsafe transfer.Findings include:Resident #101Review of an admission Record revealed Resident #101 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: fractures to right fibula (bone on the outside of the lower leg) and left calcaneus (heel bone). […]

• Actual harm, isolatedF600Mar 5, 2025

  This citation pertains to intake MI00150276 Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from resident-to-resident mental and psychosocial abuse for 1 (Resident #106) of 4 residents reviewed for abuse, resulting in Resident #106 experiencing mental anguish, intimidation, and fear. Findings include: Review of Signs and Symptoms of Mental Abuse, Sanjana [NAME], 5/8/23, www.verywellmind.com revealed Mental abuse, also known as psychological or emotional abuse, involves deliberately . causing .emotional pain, or trying to control or manipulate them through verbal or non-verbal communication. […]

• Actual harm, isolatedF689Mar 5, 2025

  This citation pertains to intake #MI00150233 Based on observation, interview and record review, the facility failed to provide adequate supervision and implement effective interventions to prevent falls with injury for a resident with a history of multiple falls in 1 (Resident #100) of 3 residents reviewed for falls, resulting in Resident #100 falling and sustaining a humerus (bone of the upper arm) fracture and significant pain. Findings include: Review of an Admission Record revealed Resident #100 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: unsteadiness on feet, repeated falls, cognitive communication deficit, weakness, and need for assistance with personal care. […]

• Actual harm, isolatedF600Dec 10, 2024

  This citation pertains to intake #MI00148287 Based on interview andrecord review, the facility failed to protect the residents right to be free from resident to resident sexual abuse in 1 of 1 residents (Resident #30) by Resident #58 Findings include: Review of Incident Report dated 11/3/24 revealed Reported resident (Resident #30) was outside the south cafe door when another male resident (Resident #58) was seen with his hand in her pants. It is reported by witness resident (Former Resident (FR) VV) that resident (Resident #30) tried to roll away and male resident (Resident #58) grabbed her (Resident #30) hair and pulled her back. Resident #30 Review of an Admission Record revealed Resident #30 had pertinent diagnoses which included: dementia and anxiety. […]

• Actual harm, isolatedF689Nov 3, 2022

  Based on observation, interview, and record review, the facility failed to implement interventions to prevent falls, in one of four residents reviewed for accidents (Resident #57), resulting in an additional fall with fracture. Findings include: Resident #57 (R57) In an observation and interview on 11/01/22 at 2:13 PM, R57 was observed sitting in her wheelchair in her room. R57 stated she fell at the facility and sustained a back fracture that required surgery. Review of R57's Minimum Data Set (MDS) assessment dated [DATE] indicated she admitted to the facility on [DATE], and had the diagnoses of [CONDITION(S)], anxiety, depression, and pulmonary disease. […]