Stoney Point Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF600Oct 18, 2021

  Based on interview, and record review, the facility failed to ensure four of five sampled residents (Resident 2, 3, 4, and 5) were free of neglect (fail to care for) by: 1. Failing to ensure the facility did not limit the residents to primarily cold foods such as salads and sandwiches for a period of two (2) months after the range/stove was deemed inoperable due to a fire on 7/22/2021. 2. Failing to ensure the facility attempted to provide other sources of food items that included but were not limited to hot foods items after residents verbalized that they were tired of being served primarily salads and sandwiches for two months starting from 7/22/2021. 3. […]

• Immediate jeopardy, patternF692Oct 18, 2021

  Based on interview and record review, the facility failed to ensure that four of five sampled residents (Resident 2, 3, 4, and 5) maintained acceptable parameters of nutritional status (desirable body weight range) and did not experience unplanned severe weight loss (a loss of greater than 5% of weight in one months' time) by: 1. Failing to ensure the facility did not limit the residents to primarily cold foods such as salads and sandwiches for a period of two (2) months after the range/stove was deemed inoperable due to a fire on 7/22/2021. 2. […]

• Immediate jeopardy, isolatedF600Jul 25, 2022

  Based on interview and record review, the facility failed to: 1. Develop and implement a policy and procedure to evaluate a resident ' s capacity to consent and engage in sexual acts prior to them having sexual contact for one of three sampled residents (Resident 1). 2. Ensure ability to consent to engage in a sexual act was established for one of three sampled residents (Resident 1) prior to Resident 1 and Resident 2 partaking in oral sex (sexual activity in which the sexual organ of one partner is stimulated by the mouth). […]

• Actual harm, isolatedF687Jul 16, 2026

  Based on observation, interview, and record review, the facility failed to provide proper foot care and treatment to maintain good foot health for one of two sampled residents (Resident 10) by failing to: 1. Inspect Resident 10's skin during daily provisions (everyday care, services, and basic necessities provided to the resident to keep them safe, comfortable, and health) on 6/15/2026 to 6/28/2026 and on 7/1/2026 to 7/15/2026 as indicated in Resident 10's care plan (a document that summarizes a person's health conditions, specific care needs, and current treatments) titled, At Risk for Skin Breakdown related to Braden Risk (a scoring tool used to predict resident's risk of developing a pressure ulcer, total score ranges from zero to 18) score (Resident 10's Braden Risk score is 13 -… […]

• Actual harm, isolatedF600Jul 19, 2024

  Based on interview and record review, the facility failed to protect the resident's right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of five sampled residents (Resident 2) when on 7/3/2024 Resident 1 hit Resident 2's face. This deficient practice resulted in Resident 2 being subjected to physical abuse by Resident 1 while under the care of the facility. Resident 2 sustained a cut (a break in skin due to injury) on the left eye area of Resident 2's face, redness (red discoloration [a change in natural skin tone] to the skin) on the left eye area of Resident 2's face and swelling (accumulation of fluid in the skin tissues due to injury) on the left eye area of Resident 2's face. […]