Rocky Point Care Center

In the surveyor’s words

From the most serious findings on record at Rocky Point Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600May 2, 2025

  Based on observation, interview, and record review, the facility failed to protect one resident (Resident 1) of three sampled residents from physical abuse by Resident 2, when Resident 2 deliberately placed his hands on Resident 1 ' s chest and pushed him which caused Resident 1 to fall during an argument over a television (TV) channel inside their room. This failure resulted in a skin tear (a wound caused by direct force which separates the skin ' s layers) and an abrasion (a scrape) on Resident 1 ' s left forearm. […]

• No harm, potential for more than minimal, widespreadF912Mar 13, 2026

  Based on observation, measurement and interview, the facility failed to ensure resident bedrooms met the minimum required 80 square feet of living space per resident for 23 out of 31 resident rooms. This failure decreased the facility's potential to ensure residents' were provided a comfortable living environment to support the dignity, privacy and safe mobility within the room.Findings: In an interview on 3/10/25 at 11:06 a.m., Resident 51 stated, the room is small for 3 people.In a concurrent observation and interview on 3/10/26 at 11:28 a.m., the Maintenance Director (MD) measured room [ROOM NUMBER] and confirmed each residents' living space was 7 feet by 8 feet. The MD stated, Is there a minimum [room] size for residents? I don't know. […]

• No harm, potential for more than minimal, widespreadF812Aug 27, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a safe and sanitary manner when:1. Muffins with mold (mold is a type of fungus that can grow on food) were served on breakfast trays, and six residents consumed them.2. Dry goods were improperly stored when expired cocoa powder was in the storage area, a gravy packet had leaked, chocolate chips were in an open plastic bag without a date when it was opened.3. Deli meat in a refrigerator was ten days past its use by date.4. Frozen pancakes and frozen egg rolls did not have a date when they were received.5. Trash cans were uncovered during tray line (name of process where food was served on resident's plates). […]

• No harm, potential for more than minimal, widespreadF812Jul 17, 2025

  Based on observation, interview and record review, the facility failed to ensure food was stored, prepared and served safely in accordance with professional standards of food service when:1. Soiled equipment was observed in a food prep area;2. The floor was noted to have solid food debris, built up dust, and dirt underneath the sink and behind the oven;3. Kitchen staff did not monitor the tray line food temperatures; and,4. Kitchen staff did not use facial hair nets.These failures posed the risk for food borne illnesses for 57 of 57 residents who resided in the facility and consumed food prepared in the kitchen.Findings:1. […]

• No harm, potential for more than minimal, widespreadF880May 29, 2023

  Based on observation, interview, and record review, the facility failed to establish and implement an ongoing infection prevention and control program designed to provide a safe and sanitary and to help prevent the development and transmission of communicable diseases and infections when: 1) An Unlicensed Staff A, (Laundry Personnel) reused the long rubber gloves and a rubber apron to sort dirty linen. After use of the rubber glove and dirty apron, Unlicensed Staff A hang them near the entrance of the clean linen room. Unlicensed Staff A washed her hands in the sink located away from the entrance of the clean linen and then walked across the barrel with dirty linens, passed the dirty long rubber gloves and dirty apron as she entered the clean linen room. […]