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, isolatedF578Nov 3, 2022

  This citation pertains to Intake number MI00126045. Based on interview and record review, the facility failed to adhere to one resident's (R74) Do Not Resuscitate (DNR) code status and failed to verify one resident's (R221) documented evidence (such as a medical power of attorney, patient advocate, legal guardianship, or living will) that a family member was authorized to designate a DNR directive of six residents reviewed for advance directives, resulting in unwanted and unmet end of life wishes where CPR was performed on R74 and no CPR was performed on R221. […]

• Actual harm, isolatedF689Aug 1, 2024

  This citation pertains to intake MI00145699. Based on interview and record review the facility failed to ensure adequate assistance during a mechanical lift (Hoyer) transfer for one resident (R601) out of four residents reviewed for falls, resulting in a fracture of the right rib and hospitalization . Findings include: Review of an Admission Record revealed, R601 originally admitted to the facility on [DATE] with pertinent diagnosis which included hemiplegia and hemiparesis following a cerebral infraction. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 05/12/2026 beginning at 8:43 AM a kitchen tour was conducted with [NAME] B.On 05/12/2026 at 8:55 AM observed blue metal storage racks in the walk in cooler with worn paint exposing the rusted metal surfaces of the rack. On 05/13/2026 at 8:50 AM observed blue metal storage racks in the walk in cooler with worn paint exposing the rusted metal surfaces of the rack. […]

• No harm, potential for more than minimal, widespreadF814May 15, 2026

  Based on observation, interview, and record review the facility failed to properly dispose of waste and maintain the dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility. Findings include:On 05/12/2026 at 9:40 AM observed two outdoor waste receptacles adjacent to each other with their lids in the open position. One receptacle had multiple trash bags overflowing from the bin and resting on top of the lid. Birds were observed landing on the mound of trash and flying away. The second receptacle was also observed with its lids in the open position and trash piled over the rim of the receptacle. […]

• No harm, potential for more than minimal, widespreadF880May 15, 2026

  Based on observation, interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings Include:On 05/12/2026 at 10:29 AM observed a nonfunction hot water faucet on the hand sink in the second floor activities room. On 05/12/2026 at 1:29 PM observed a hopper with no water in the bowl indicating low use in the second floor long hall storage room. […]