Waterview Pointe Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Waterview Pointe Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF692Jun 8, 2023

  Based on observation, record review, review of medical nutrition therapy best practice guidance and interview, the facility failed to develop and implement comprehensive, individualized and adequate nutritional interventions and complete accurate weight monitoring to meet the nutritional needs and prevent weight loss for all residents. Actual Harm occurred on 04/24/23, when the facility failed to implement comprehensive and individualized nutritional interventions, failed to ensure discharge orders regarding resident fluid intake were properly addressed, failed to timely implement dietician recommendations for nutritional support/supplements, failed to provide the resident with the correct diet, failed to timely address the resident's reports of mouth pain/thrush and failed to notify the… […]

• No harm, potential for more than minimal, patternF692Jan 24, 2023

  Based on medical record review, resident interview, staff interview, and facility policy review, the facility failed to adequately monitor resident nutritional status and health. This affected four (Residents #7, #39, #41, and #59) of five residents reviewed for nutrition. The census was 71. Findings Include: 1. Record review revealed Resident #7 was admitted to the facility on [DATE]. Her diagnoses were acute of chronic right heart failure, atrial fibrillation, generalized edema, low back pain, disorder of bone density, constipation, enterococcus as the cause of diseases, urinary tract infection, and hypertension. […]

• No harm, potential for more than minimal, isolatedF580Jul 20, 2026

  Based on record review, interviews, and review of facility policy, the facility failed to ensure the physician was notified of medications not being administered as ordered. This affected one (Resident #21) of nine residents reviewed. The facility census was 73.Findings Include: Review of the medical record for Resident #21 was admitted on [DATE] with diagnoses including dementia, restlessness and agitation, depression, anxiety disorder and neurocognitive disorder.Review of the most recent quarterly Minimum Data Set (MDS) 3.0 assessment revealed the resident had severely impaired cognition. […]

• No harm, potential for more than minimal, isolatedF628Jul 20, 2026

  Based on closed record review, staff interview, family interview, provider interview, and policy review, the facility failed to ensure a resident was provided with accurate information regarding home care access for a discharge. This affected one resident (Resident # 84) of four residents reviewed for discharge. The facility census was 73. Findings include: Review of the closed medical record for Resident #84 revealed an admission date of 05/06/26 and a discharge date of 06/20/26 with diagnoses including encounter for other orthopedic aftercare, muscle weakness, difficulty in walking, retention of urine, fracture of right femur, and fracture of base of skull.Review of Resident #84's care plan dated 05/13/26 revealed the resident was planning on discharging from facility. […]

• No harm, potential for more than minimal, isolatedF582Aug 4, 2025

  Based on medical record review, beneficiary notice review, policy review and interview, the facility failed to ensure residents were informed of what type of skilled services were being terminated. This affected three residents (#2, #20 and #83) of three residents reviewed for beneficiary notifications.Findings include:Findings Include: 1. Medical record review revealed Resident #83 was admitted on [DATE] and discharged [DATE]. Review of the Notice of Medicare Non-Coverage dated 04/28/25 for Resident #83 revealed her skilled services were ending on 04/30/25. The facility failed to document what skilled services were ending on 04/30/25. 2. Medical record review revealed Resident #20 was admitted on [DATE]. […]