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, isolatedF600Jun 15, 2023

  This citation pertains to Intake MI001137443. Based on observation, interview, and record review, the facility failed to protect one vulnerable cognitively impaired female resident (R908) from being touched sexually by one cognitively impaired male resident (R909) who also had a criminal sexual history, for one resident (908) of 10 residents reviewed for abuse resulting in actual harm, mental anguish, and feelings of compromised safety and the likelihood for ongoing sexual and/or physical abuse. The immediate jeopardy began on 5/22/23 at 4:08 p.m. when R909 was observed attempting to force R#908 down on the bed. In addition, after the 5/22/23 incident, the facility failed to implement interventions to protect the health and safety of residents. […]

• Actual harm, isolatedF684Apr 2, 2025

  This citation pertains to intake #MI00150510. Based on observation, interview, and record review the facility failed to assess and monitor one resident (R602) from four residents reviewed for change in condition resulting in lack of monitoring, assessment, and the failure to administer emergency medical care/treatment in a timely manner. The resident subsequently died while in the facility. Findings include: Review of a Facility reported incident revealed the following: Incident Summary: It was reported by Midnight staff cena's (Certified Nurse Assistant/CNA) and resident (R605) who was (Resident 602's) roommate that at approximately 5 am (R605) went to (Registered Nurse A) who was on duty Midnight nurse scheduled 7 pm-7:30 am that patient (R602) was in distress and required assistance. […]

• Actual harm, isolatedF600Sep 20, 2023

  This citation pertains to intake MI00139324. Based on observation, interview, and record review the facility failed to prevent resident to resident abuse for two Residents (R102 and R101) out of five residents reviewed for abuse resulting in R102's fractured mandible (jaw bone). Findings include: Record review of a face sheet revealed R102 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease, seizures, and dementia. Review of the Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 11/15 for T102, which indicated a moderate cognitive impairment and supervision mobility in wheelchair. […]

• Actual harm, isolatedF684May 11, 2021

  This citation pertains to intake MI 9532 Based on observation, interview, and record review the facility failed to provide appropriate assessment, monitoring and treatment after a fall in 1 of 4 residents (R1) reviewed for assessment post fall, resulting in a delay in treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: An observation was conducted on 5/10/21 at 12:50PM in the room of resident (R1). The resident was lying in bed with a piece of foam wrapped around the right upper leg (log roll pillow). The resident was noted to have discoloration and bruising on right and left forearms, and under the right ear. […]

• Actual harm, isolatedF689May 11, 2021

  This citation pertains to M 9532 Based on observation, interview, and record review, the facility failed to provide adequate supervision and ensure care planned footwear (nonskid socks) were implemented in 1 of 4 sampled residents (R1) reviewed for falls, resulting in a fall with a right femur fracture (thigh bone) and a right ear hematoma (bruising). Findings included: An observation was conducted on 5/10/21 at 12:50 PM in the room of R(1). The resident was lying in bed with a piece of foam wrapped around the right upper leg (log roll pillow). The resident was noted to have discoloration and bruising on the right and left forearms, and under the right ear. Review of the allegation revealed, (R1) was transported to the hospital on 4/25/21 via ambulance (EMS) from the nursing home. […]