Mission Point Nursing & Physical Rehabilitation of

In the surveyor’s words

From the most serious findings on record at Mission Point Nursing & Physical Rehabilitation of, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Mar 16, 2021

  This Citation pertains to Intake Number MI 421. Based on observation, interview and record review, the facility is placed in Immediate Jeopardy for its failure to use an Automated External Defibrillator (AED) device as part of the Cardio Pulmonary Resuscitation (CPR) process during separate [CONDITION(S)] events for two residents (Resident #4 and Resident #16) in violation of facility CPR Policy and the Basic Life Support (BLS) Standards of Care of the American Heart Association (AHA) as adopted by the facility. Both Resident #4 and Resident #16 expired at the facility. This deficient practice places all residents, who are designated as a Full Code and who suffer [CONDITION(S)] or are found unresponsive, at risk for serious harm and/or death. […]

• Actual harm, patternF686Mar 16, 2021

  This Citation pertains to Intake Number MI 421. Based on observation, interview and record reviews, the facility failed to prevent facility- acquired pressure ulcers (PU) for two residents (Resident #1 & Resident #3), resulting in Resident #1 developing a facility-acquired, Stage IV pressure ulcer that required hospitalization and surgical debridement, Resident #3 developing a facility-acquired, Stage III pressure ulcer to the mid-back, Findings include: Record review of the facility 'Wound Treatment Management and Documentation' policy, dated 12/2020, revealed that to promote wound healing of various types of wounds, it is the policy of this facility to provide evidence-based treatments in accordance with current standards of practice and physician orders. […]

• Actual harm, isolatedF686Jul 7, 2022

  Based on observation, interview and record review, the facility failed to follow physician ordered wound care and provide care to prevent the development of an avoidable unstageable pressure ulcer for 2 residents (Resident #9 and #38) reviewed for alterations in skin integrity, resulting in the development of an avoidable pressure ulcer and the potential for delayed wound healing, infection, and overall deterioration in health status. Findings: Review of the facility policy Wound Treatment Management and Documentation last revised 07/21 revealed, .1. Wound treatments will be provided in accordance with physician orders .c. […]

• No harm, potential for more than minimal, widespreadF880Apr 21, 2022

  This citation refers to MI 967. Based on observation, interview, and record review, the facility failed to implement and operationalize their infection control policies and procedures for personal protection equipment (PPE) usage, potentially affecting all facility residents, resulting in inconsistent/improper mask usage, lack of appropriate PPE usage in an isolation/observation room, and the potential for the spread of infection and illness. Findings include: During an observation on 4/13/22 at 12:30 PM, Physical Therapy Assistant (PTA) F was observed in R18's room as the room door was being opened with full PPE on (gown, gloves, N95 respirator, face shield). However, certified nursing assistant (CNA) E was observed with only a surgical mask on ( no other PPE). […]

• No harm, potential for more than minimal, widespreadF888Apr 21, 2022

  This citation refers to MI 967. Based on observation, interview, and record review, the facility failed to implement and operationalize their COVID-19 vaccination policy for staff, potentially affecting all facility residents, resulting in unvaccinated/partially vaccinated staff providing care and services to facility residents, unvaccinated/partially vaccinated staff not wearing appropriate face masks/respirators, staff not properly wearing face masks/respirators, the facility not being aware of the vaccination and/or exemption status of staff who are providing care and services to facility residents, the facility not having an accurate record of the vaccination/exemption status of staff, and the potential for the spread of illness and disease (COVID-19) among facility residents. […]