Cypress Pointe Health & Wellness

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, and record review, the facility failed to provide pain management consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 8 residents (Resident #121) reviewed for pain management. - RN B failed to administer Resident #121's Tramadol when she reported pain at 04 out of 10 and she requested the medication on 03/04/26.- RN B failed to complete a follow-up pain assessment after administering the resident 2 tablets of Acetaminophen 500 mg on 03/04/26. This failure could place residents at risk for decreased quality of life, uncontrolled, irretractable pain, and hospitalization.

Inspectors wroteBased on interview, observation and record review, the facility failed to ensure that assessments accurately reflected residents' status for 2 of 22 residents (Resident #2 and Resident #12) reviewed for accuracy of assessments. - The facility failed to ensure Section E of Resident #12's admission MDS completed on 02/27/26 accurately reflected her behaviors and rejection of care. - The facility failed to ensure Section I of Resident #2's Quarterly MDS completed on 01/13/26, Quarterly MDS completed on 10/13/2025, Annual MDS completed on 08/20/2025 accurately reflected her active diagnoses. These failures could place residents at risk of not having accurate assessments, which could compromise their plan of care.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preference for 3 of residents (Resident #7, Resident #111, and Resident #121) reviewed for respiratory and tracheostomy care. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services to meet the needs of each resident for 5 of 5 medical supplies, (including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals,) reviewed for medication storage and labeling. The facility failed to ensure the medication room was free from expired medical supplies on [DATE]. This failure could place residents at risk of using items that were less effective or risky due to a change in their chemical composition (change of a substance into something else, often making it weaker, useless, or harmful), and could cause infections due to compromised sterile equipment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. -The facility failed to ensure food items were labeled and dated. This failure could place residents at risk of foodborne illness and disease. Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. - The facility failed to ensure food items were labeled and dated. This failure could place residents at risk of foodborne illness and disease.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, and record review the facility failed to administer parenteral fluids consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1of 3 (Resident #70) residents reviewed for parenteral fluids. - The facility failed to ensure the dressing of Resident #70's IV line was changed weekly as ordered. This failure could place residents at risk for unwanted infections and further decrease in quality of life.

Inspectors wroteBased on observations, interview and record review the facility failed to ensure the medication error rate was not 5% or greater. The facility had a medication error rate of 6.0%, based on two errors out of 29 opportunities, which involved 2 of 4 residents (Residents #3 and #64) and 2 of 2 (RN B and MA C) staff observed during medication administration reviewed for medication errors. -The facility's staff failed to administer scheduled medications to Residents #3 and #64.-This failure could place residents at risk of receiving less than optimal results from their medication regimen.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview and record review the facility failed to ensure each resident received and the facility provided food prepared in a form designed to meet individual needs for 1 of 22 Residents (Resident #65) reviewed for food prepared in a form designed to meet individual needs. The facility failed to ensure Resident #65's dietary orders and preference of a mechanical soft diet when were followed when the resident was served dry lightly toasted toast for breakfast and boiled potatoes with the skin for lunch on 03/05/2026. This failure could place residents at risk of difficulty chewing, choking and weight loss.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview and record review the facility failed to establish and 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 for 2 of 5 residents (Residents #7 and Resident #57) reviewed for infection control practices.1. ADON C failed to follow infection control practices when she cleaned Resident #7's trach with a towel that sat on the resident's chest on 03/04/26.2. RN B failed to follow infection control practices and did not use aseptic (sterile) technique when she suctioned Resident #7's Trach on 03/04/26 and 03/05/26.3. [...]

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, and record review, the facility failed to ensure that the daily staffing was posted and readily accessible for review for 1 of 1 facility reviewed for required postings. - The facility failed to post the Daily Staffing Hours in a location visible to all by posting it on the wall on the left side of the building between the 100 and 200 Hall from 03/04/26 to 03/06/26.- The facility failed to include the resident census and the total number and actual hours worked by direct care per shift on the Nursing Staffing information from 03/04/26 to 03/06/26. These failures could affect residents, facility visitors, vendors, and emergency personnel by placing them at risk of not having access to information regarding daily nursing staffing in a timely manner. Findings Include: [...]

Inspectors wroteBased on observation, record reviews and interviews, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area to each resident's bedside;abd /toilet and bathing facilities for 1 of 5 residents (Resident #1) reviewed for call lights. The facility failed to ensure Resident #1's call light was within reach on 02/06/2026, while he was lying bed. This failure could place residents at risk of not receiving immediate assistance when needed.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide necessary treatment and services to promote healing and prevent worsening pressure sores for 1 of 6 resident (Resident #1) reviewed for pressure ulcers. -The facility failed prevent development a pressure ulcer which was not identified or treated for Resident #1. This failure placed residents at risk of delayed identification/treatment of injuries, worsening of injuries, pain and infection. Findings Include: Record review of Resident #1's Face Sheet dated 6/13/2024 revealed, an [AGE] year-old male who admitted to the facility originally on 3/17/2021 and most recently on 2/29/2024 with the following diagnoses which included: [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who needed respiratory care was provided with such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for 1 of 20 residents (Resident #85) reviewed for respiratory care. The facility failed to set the flow rate at 2 liters of oxygen per the order for Resident #85. This deficient practice could place residents at risk of incorrect or inadequate respiratory support and could result in a decline in health.

Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services, which included procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 of 23 residents (Residents #42) reviewed for pharmacy services. The facility failed to ensure Midodrine (a low blood pressure medication) given to elevate hypotension (low blood pressure) was administered to Resident #42 as ordered by the physician. This failure could place residents at risk of not receiving desired therapeutic outcomes, increased side effects, or a decline in health.