ShorePointe Nursing Center

In the surveyor’s words

From the most serious findings on record at ShorePointe Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 15, 2022

  This citation pertains to Intake: MI 080. Based on observation, interview and record review, the facility failed to adequately monitor and supervise one sampled Resident (R700) who was deemed incompetent to make medical decisions by two doctors, had a history of elopement attempts and a fluctuating cognition ranging from a BIMS (Brief Interview for Mental Status) score of ,d+[DATE] to ,d+[DATE] (day of elopement). R700 eloped from the facility for an unknown period of time with staff being unaware of the resident's whereabouts. The staff member assigned as a 1:1 for R700 left the resident unsupervised while they went to the restroom. R700 was located approximately 20 minutes later with a beer and a recyclable bag of undisclosed items on their person, revealing they got out. […]

• Actual harm, isolatedF607Feb 26, 2025

  This citation pertains to Intake: MI00150544. Based on interview, and record review, the facility failed to protect one resident (R901) during an abuse investigation out of four residents reviewed for abuse resulting in fear of retaliation and feeling scared. Findings include: A review of a facility reported incident (FRI) submitted 2/13/25 to the State Agency revealed, It was alleged the facility staff misappropriated resident funds. On 2/25/25 at 10:00 AM, R901 explained back in October (2024) they wanted to open a bank account to deposit their check from social security. They had asked their family to assist but they were taking too long. […]

• Actual harm, isolatedF686Sep 15, 2022

  This citation pertains to intake MI 160. Based on interview and record review, the facility failed to adequately assess and monitor skin and follow up on documented presence of wounds for one sampled Resident (R708) of three reviewed for pressure ulcers, resulting in the development of unstageable pressure ulcers, the lack of treatment and further assessment of noted skin alterations, and the potential for infection, pain, and debility. Findings include: A review of intake MI 160 revealed, [R708] .decompensated physically and cognitively while [at the facility]. She arrived with difficulty walking only. […]

• Actual harm, isolatedF684Oct 21, 2021

  This citation pertains to intakes: MI 636, MI 655, MI 345 and MI 499. Based on interview and record review, the facility 1) Failed to identify and treat an acute change in condition timely for two sampled Residents (R500 and R518) of four residents reviewed for a change in condition and 2) Failed to assess, document, and intervene appropriately and timely for two sampled Residents (R511 and R522) out of two residents reviewed for fall and weight gain and implement interventions in a timely manner resulting decline in health, a delay in appropriate treatment, anxiety, pain/prolonged pain, fluid build-up, re-hospitalization s, and feelings of frustration. […]

• Actual harm, isolatedF686Oct 21, 2021

  This citation pertains to intakes MI 721, MI 655 and MI 968. Based on interview and record review, the facility failed to complete accurate skin/wound assessments, monitor the progress of a wound, and initiate treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Resident #501 (R501) A record review of the Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #501 was admitted to the facility on [DATE] with the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #501 needed extensive assistance with bed mobility and transfers. A record review of the Physician Orders revealed the following for Resident #501: 12/18/2020-Assess heel and sacral area daily for redness or open areas. […]