Pointe Meadows Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pointe Meadows Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 16, 2023

  Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, food items in the walk-in refrigerator and the walk-in freezer were open to air. Additionally, the dish machine was not reaching appropriate temperatures for sanitizing and staff were not using alternate methods of sanitizing dishware. Findings included: On 11/13/23 at 9:38 AM, an initial walk-through of the kitchen was conducted. […]

• No harm, potential for more than minimal, patternF880Aug 7, 2025

  Based on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, for 4 out of 49 sampled residents, Enhanced Barrier Precautions (EBP) were not implemented for a resident with a peripherally inserted central catheter (PICC) line and the glucose monitor was not disinfected between resident usage. Resident identifiers: 6, 29, 119, and 121.Findings included:1. On 8/6/25 at 7:25 AM, Licensed Practical Nurse (LPN) 1 was observed to return to the medication cart after obtaining resident 29’s blood sugar. LPN 1 was observed to gather supplies for the next resident. […]

• No harm, potential for more than minimal, patternF584Nov 16, 2023

  Based on observation and interview, the facility failed to maintain a safe, clean, comfortable and homelike environment. Specifically, walls with large white patches and missing paint were observed. Findings included: On 11/13/23 at 12:05 PM, an observation was made of resident room A19. The wall opposite from the A bed had white patches across the dark colored wall. The resident stated it had been there since she moved in, and it looked terrible. On 11/13/23 at 1:40 PM, an observation was made of resident room A13. The wall just inside the entrance to the room was observed to be scuffed and had areas with white patches near the bottom of the wall and behind a wheelchair that was parked there. On 11/14/23 at 8:30 AM, an observation was made of resident room B18. […]

• No harm, potential for more than minimal, patternF684Nov 16, 2023

  Based on interview and record review, it was determined, the facility failed to ensure all residents received treatment and care in accordance with professional standards of practice. Specifically, for 1 out of 34 sampled residents, the facility did not administer medication to provide for the physical, mental, and psychosocial needs of a terminally ill resident on hospice services. Resident identifier: 38. Findings include: Resident 38 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus, chronic obstructive pulmonary disease, encephalopathy, dysphagia, congestive heart failure, atrial fibrillation, bipolar disorder, and opioid dependence. On 11/16/23, resident 38's medical record was reviewed. […]

• No harm, potential for more than minimal, patternF755Nov 16, 2023

  Based on interview and record review, it was determined, that the facility did not provide routine and emergency drugs and biological's to its residents. Specifically, for 3 out of 34 sampled residents, medications were not administered as ordered by the physician due to the medications not being available by the pharmacy. Resident identifiers: 8, 43, and 58. Findings included: 1. Resident 8 was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, acute respiratory failure with hypoxia, gastrointestinal hemorrhage, dysphagia, mild cognitive impairment, moderate protein-calorie malnutrition, diabetes mellitus, chronic diastolic congestive heart failure, anxiety disorder, acute kidney failure, opioid dependence, chronic pain, and major depressive… […]