Ocean Pointe Healthcare Center

In the surveyor’s words

From the most serious findings on record at Ocean Pointe Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF919Mar 15, 2024

  Based on interview and record review, the facility failed to provide alternate call system for nine of 62 residents from 3/9/2024 to 3/12/2024 when the facility's call system was nonfunctional. As a result: 1. Resident 58 continued to suffer burning pain to his left leg at a level 9 out of 10 (9/10 - zero is no pain and 10 is severe pain) because the call light system was not working, and staff were not responding to the Resident 58 calling for help/pain medication. 2. Residents 26, 49, 51, 58, 64, 119, 120, and 219 banged on the tables, yelled, and screamed for staff to get help. Residents 49, 64, 119, and 120 waited for 30 minutes to 1 hour for staff assistance. Residents 119 needed help to go to the rest room. Resident 120 needed to be turned and repositioned. […]

• Immediate jeopardy, isolatedF678Sep 2, 2023

  Based on interview and record review the facility failed to ensure Licensed Vocational Nurse 3 (LVN 3), performed cardio pulmonary resuscitation (CPR, is an emergency lifesaving procedure performed when the heart stops beating) for one of three sampled residents (Resident 1) in accordance with the facility's undated policy and procedures (P&P) titled Manual Ventilation and undated document titled Chest Compressions, and the American Heart Association (AHA - organization in the United States that funds cardiovascular medical research, educates consumers on healthy living and fosters appropriate cardiac care in an effort to reduce disability and deaths) Algorithm (a process or set of rules to be followed in calculations or other problem-solving operations) titled Adult Basic Life Support… […]

• No harm, potential for more than minimal, patternF812Jun 5, 2026

  Based on observation, interview, and record review, the facility failed to prepare, store, and serve food in a sanitary manner and environment. This failure had the potential to increase the risk of foodborne illness for the residents who consumed food from the facility's kitchen.Findings: During a concurrent observation and interview in the facility's kitchen on 6/1/2026 at 7:37 A.M. with the Food Services Director (FSD), a metal pot filled with white liquid was in the refrigerator with a use by date of 5/29/2026. The FSD stated the white liquid was a prepared protein shake mixture. The FSD stated that the current date was 6/1/26, therefore the shake mixture should be thrown away. During an observation on 6/1/2026 at 7:55 A.M. […]

• No harm, potential for more than minimal, patternF732Mar 20, 2025

  Based on interview and record review the facility failed to: 1) Ensure staffing information on the Direct Hours Patient Day (DHPPD - a list of staff hours of direct daily care) form was completed and posted in a prominent place readily accessible to residents and visitors daily. 2) Ensure daily staffing (DHPPD) form was completed and available to the public for review upon request. 3) Maintain/Retain records of the posted daily nurse staffing (DHPPD) data for a minimum of 18 months. These deficient practices misinformed all 63 residents, families, and visitors about the facility's daily nurse staffing data. […]

• No harm, potential for more than minimal, patternF812Mar 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and preparation practices when the facility failed to: 1. Ensure all opened food items stored in one out of three reach-in refrigerators were labeled with the name of the food item, open date, and expiration date. 2. Have a room thermometer in the dry storage area. These deficient practices placed all sixty three facility residents at risk for foodborne illness which could lead to serious infections and death. Findings: During a concurrent observation and interview on 3/18/2025 at 7:50 AM with the Dietary Supervisor (DS), the facility's Reach-In Refrigerator #3 had 3 halved avocados wrapped in saran wrap. […]