Deficiency Index

Mission Point Nursing & Physical Rehabilitation Ce

Hancock, Michigan · CCN 235552

42 surveys since 2010, 14 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
201
Surveys
42
Harm or worse
14
Immediate jeopardy
7
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy7

Findings at the most serious level CMS records.

Beyond CMS’s monthly file36/42

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
39
Ownership
For profit - Corporation
Chain
MISSION POINT HEALTHCARE SERVICES
County
Houghton · rural
Medicare-certified since
1994

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 71 for-profit facilities with fewer than 66 beds in Michigan.

Last survey on record

Jul 25, 2025

472 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.993.86
Registered-nurse hours per resident day1.51—
Annual nurse turnover62.7%45.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$180,775 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L11.9%
Actual harmG11.9%H—I—
No harm, potential for more than minimalD2344.2%E47.7%F2344.2%
No harm, potential for minimalA—B—C—
CMS’s current file: 52 of the 201 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6232×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8802×

    Provide and implement an infection prevention and control program.

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, widespreadF880Aug 12, 2024

    This citation has two deficient practice statements: Based on observation, interview, and record review, the facility failed to implement a comprehensive infection control program, as evidenced by the failure to complete the following during a COVID-19 outbreak: 1. Implement measures to contain the outbreak. 2. Complete infection surveillance, tracking, trending, and monthly summaries, 3. Implement effective Transmission Based Precautions (TBP) and ensure appropriate donning and doffing of personal protective equipment (PPE). This deficient practice resulted in immediate jeopardy when 40 Residents out of a total facility census of 45 residents contacted COVID-19, including one death (R102), 4 Resident (R102, R14, R11 and R45) hospitalization s, and sustained outbreak transmission. […]

  • Immediate jeopardy, widespreadF600Sep 14, 2022

    This deficient practice pertains to the following Intakes: #MI 890, #MI 578, #MI 567, #MI 451, #MI 427, #MI 213, #MI 738, #MI 110, AND #MI 016. This citation has two deficient practice statements (DPS's): DPS A and DPS B. Deficient Practice Statement A: Based on observation, interview, and record review the facility failed to provide necessary structures to provide goods and services to meet the needs of all residents as evidenced by: 1. Insufficient nursing staff to meet resident needs. 2. Failure to follow protocols related to turning and repositioning, checking and changing of briefs, showers, and basic supervision and care needs. 3. Failure to timely pay facility vendors to ensure supply chain fluidity. 4. […]

  • Immediate jeopardy, widespreadF880Dec 16, 2021

    Based on observation, interview, and record review, the facility failed to properly prevent a facility-wide outbreak of COVID-19. This deficient practice resulted in the transmission of COVID-19, which had the potential to affect all 47 facility residents. This deficient practice has eight noted deficiencies: 1. Failure to ensure staff used Personal Protective Equipment appropriately during and following a COVID-19 outbreak. 2. Failure to complete timely infection control surveillance, infection mapping and analysis. 3. Failure to complete a thorough Outbreak Investigation, outbreak timeline, accurate contact tracing, and staff education related to a COVID-19 outbreak. 4. Failure to accurately monitor employee illness to prevent COVID-19 transmission. 5. […]

  • Immediate jeopardy, isolatedF678Jan 4, 2022

    Based on interview and record review, the facility failed to provide emergency medical care, including CPR (cardiopulmonary resuscitation), for one Resident (#1) of three residents reviewed for emergency care consistent with physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The Immediate Jeopardy began on [DATE] at approximately 6:55 a.m., when Full Code Resident #1 stopped breathing, was without a pulse (heartbeat), and CPR was not performed. The Nursing Home Administrator (NHA), Director of Nursing (DON), and Assistant Director of Nursing (ADON A) were notified at 3:35 p.m. on [DATE] that the [DATE] incident was determined as IJ. […]

  • Actual harm, isolatedF624May 1, 2024

    Based on interview and record review, the facility failed to provide and document a safe and orderly involuntary discharge for one Resident (R1) of three residents reviewed for facility discharge. This deficient practice resulted in harm, based on a reasonable person standard, when R1 was discharged to home without notice to family members living in the home, no provision of home health services upon discharge from the facility, emotional distress due to lack of care, and return to the hospital resulting from unaddressed care needs. Findings include: This deficiency pertains to Complaint Intake #MI00143858 which alleged the facility failed to complete a thorough discharge plan for R1. The complaint was received from an advocacy agency and included the following information, in part: . […]

Read 33 findings in full →The most serious and the most recent: 33 of 201 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 25, 2025Standard and complaint15 findings
  • Dec 6, 2024Complaint4 findings
  • Aug 12, 2024Standard20 findings · 1 harm
  • May 1, 2024Complaint3 findings · 1 harm
  • Apr 3, 2024Complaint2 findings
  • Jul 14, 2023Standard and complaint8 findings
  • Sep 14, 2022Complaint15 findings · 2 harm
  • Jun 2, 2022Standard and complaint14 findings · 1 harm
Show the 34 earlier surveys
  • Jan 4, 2022Complaint1 finding · 1 harm
  • Dec 16, 2021Infection control4 findings · 2 harm
  • Feb 8, 2021Standard13 findings
  • Jul 31, 2020Complaint2 findings
  • Jun 19, 2020Infection control1 finding
  • Mar 4, 2020Complaint1 finding
  • Apr 2, 2019Standard23 findings · 2 harm
  • Jan 9, 2019Complaint1 finding
  • Oct 11, 2018Complaint1 finding
  • Jun 12, 2018Standard and complaint12 findings
  • Jan 31, 2018Complaint2 findings
  • Sep 22, 2017Complaint1 finding
  • May 11, 2017Complaint1 finding
  • Mar 23, 2017Standard6 findings
  • Feb 1, 2017Complaint1 finding
  • Jan 19, 2017Complaint1 finding
  • Mar 10, 2016Standard4 findings
  • Nov 13, 2015Complaint3 findings
  • Sep 11, 2015Complaint4 findings · 1 harm
  • Jul 24, 2015Complaint1 finding
  • Apr 9, 2015Standard and complaint7 findings
  • Jan 14, 2015Complaint1 finding
  • Nov 20, 2014Complaint2 findings
  • Jun 25, 2014Complaint2 findings
  • May 21, 2014Complaint1 finding
  • Mar 6, 2014Standard6 findings
  • Feb 14, 2013—8 findings
  • May 15, 2012—1 finding · 1 harm
  • Mar 29, 2012—1 finding
  • Mar 8, 2012—1 finding · 1 harm
  • Jan 12, 2012—2 findings · 1 harm
  • Dec 15, 2011—3 findings
  • Feb 9, 2011—1 finding
  • Sep 2, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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