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, isolatedF689Jan 14, 2021

  This citation pertains to intake number MI 860 and MI 058. Past Non-compliance was determined appropriate by the state agency for this citation. Plan outlined below. Based on observation, interview, and record review the facility failed to prevent an elopement for 1 of 3 residents (Resident #1) reviewed for elopement. This deficient practice resulted in an Immediate Jeopardy when Resident #1 (R1) who was assessed as an elopement risk, eloped from an outside patio, unbeknownst to staff, through an outside patio gate during a supervised smoke break, allowing R1 to elope from the facility on 12/31/20 at approximately 3:15 PM, staff did not realize R1 was missing until 5:00 PM and he returned to the facility at 7:41 PM when his whereabouts could be located. […]

• Actual harm, isolatedF600Sep 26, 2025

  This citation pertains to intake 2626738Based on observation, interviews and record review, the facility failed to protect the resident's (R4's) right to be free from physical abuse by another resident (R3), resulting in physical and psychosocial harm to R4. Findings:Resident #3 (R3)Review of an admission Record reflected R3 admitted to the facility on [DATE] with diagnoses that included unspecified dementia with behavioral disturbances, anoxic brain damage, chronic obstructive pulmonary disease, anxiety, insomnia, and a personal history of sudden cardiac arrest. Review of a comprehensive Minimum Data Set (MDS) assessment dated [DATE] reflected R3 was moderately cognitively impaired as evidenced by a Brief Interview for Mental Status score of 8/15. […]

• Actual harm, isolatedF684Apr 8, 2024

  This Citation has two Deficient Practice Statements (DPS) DPS #1 This Citation Refers to Intake Number MI00142983 Based on observation, interview, and record review the facility failed to identify, assess, properly monitor, and treat mental and/or physical changes in condition and failed to accurately and timely document changes for two Residents (Resident #85 (R85) and R76) resulting in admission to an Intensive Care Unit in critical condition for R85 and delay in treatment for R76. Findings: R85 Review of the electronic medical record (EMR) reflected R85 originally admitted to the facility 8/26/22 and had diagnoses that included: Pseudobulbar Affect (characterized by uncontrolled outburst of laughter or crying), Manic Depression (Bipolar Disease), Dementia and Anxiety. […]

• Actual harm, isolatedF689Oct 31, 2023

  This citation pertains to intake number MI00140515. Based on observation, interview, and record review, the facility failed to ensure safe transfers with a mechanical lift (per manufactures guidance) and thorough assessment after a fall for 1 of 3 residents (Resident #51) reviewed for falls. This deficient practice resulted in Resident #51 (R51) falling from a mechanical lift with a delay in assessment and treatment for 3 fractures. Findings include: According to the facility investigation report submitted to the state agency on 10/23/23 at 10:50 PM, the facility reported that on 10/14/23 at 12:55 PM, R51 was being transferred from a wheelchair to the bed by 2 staff members that were operating a full body mechanical lift when the left leg strap of the sling became unattached from the lift… […]

• No harm, potential for more than minimal, patternF679Sep 26, 2025

  This citation pertains to intake 2626738Based on observation, interview and record review, the facility failed to ensure it provided a meaningful activity program for cognitively impaired residents living on the locked unit and 2 residents (R3 and R4) out of 7 sampled residents reviewed.Findings:During an observation on 9/24/25 at 10:45 AM, 1 activity assistant was observed in the South 1 dining room on the locked unit at the facility painting the fingernails of a resident. There were 15 other residents in the dining room. None of the other residents were engaged in an activity. No other staff were present in the dining room to engage or assist with the residents. During an observation on 9/24/25 at 10:51 AM, 4 residents were sitting in the South 2 dining room. […]