Oakpointe Senior Care and Rehab Center

In the surveyor’s words

From the most serious findings on record at Oakpointe Senior Care and Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF692Nov 4, 2021

  This citation pertains to MI 525. Based on interview and record review, the facility failed to implement measures to ensure resident received sufficient fluids to prevent dehydration in a timely manner for one resident (#55) of six residents reviewed for dehydration, resulting in a hospital admission with primary diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: A review of the clinical record for Resident #55 (R55) documented an admitted [DATE] and readmitted [DATE]. R55's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Minimum Data Set (MDS) dated [DATE] documented severe cognitive impairment and total dependence upon staff for eating and drinking. […]

• No harm, potential for more than minimal, widespreadF921Aug 27, 2026

  Based on observation, interview, and record review, the facility failed to maintain general cleanliness and repair of the physical environment, affecting all residents in the facility. Findings include:On 08/26/2026 at 9:40 AM, black buildup was observed accumulated around the hand sink basin drain in the second floor north med room. On 08/26/2026 at 11:10 AM, heavy dust was observed accumulated around the internal frame of the door in the second floor bulk linen storage room. Environmental Services Director (EVSD) P acknowledged the buildup, and indicated staff do not come to this area. On 08/26/2026 at 1:13 PM, black buildup was observed accumulated on the air vent register in the first floor north soiled utility room. […]

• No harm, potential for more than minimal, widespreadF919Jul 3, 2023

  Based on observation, interview, and record review the facility failed to utilize essential equipment to ensure a functional call light system resulting in call lights not answered in a timely manner, unmet care needs, and the potential delay in responding to emergency situations. This had the potential to affect all residents in the facility that utilize the call light. Findings include: On 6/28/23 at 10:26 a.m. during the initial pool process, R42 was observed resting in bed. The resident was alert, oriented x3, and able to make all needs known. During the interview, R42 voiced concerns with long call light response time, I have sat in bm (bowel movement) for three hours before. Sometimes I just want a cup of water and have to wait a long time. […]

• No harm, potential for more than minimal, patternF756Jun 13, 2024

  Based upon interview and record review, the facility failed to act upon Pharmacy Recommendations in a timelly manner regarding discontinuing blood sugar checks four times a day for one (R92) of five residents reviewed for unnecessary medication regimen reviews, resulting in unnecesary monitoring and the potential for R92 to experience discomfort during multiple finger sticks. Findings include: According to R92's Electronic Health Record (EHR) the resident had multiple diagnoses that included type 2 diabetes (adult onset diabetes) without complications. […]

• No harm, potential for more than minimal, isolatedF880Jun 11, 2025

  This citation contains two Deficienct Practice Statements Deficient Practice Statement #1. Based on observation, interview, and record review the facility failed to ensure that staff followed enhanced barrier precautions (EBP) and donned appropriate Personal Protective Equipment (PPE) for one resident (R1) out of two residents reviewed for EBP. This failure resulted in the potential for transmission of infectious organisms. Findings include: On 06/10/25 at 11:12 A.M., during an observation of resident care, licensed practical nurse (LPN) B was observed administering a 100 ml (milliliter) water flush through R1's percutaneous endoscopic gastrostomy (PEG) tube. LPN B did not don a gown prior to providing the care. […]