Harbor Point Skilled Nursing

Inspectors wroteBased on interviews, and record review the facility failed to ensure residents had the right to exercise his or her rights as a resident of the facility and as a citizen or resident of the United States for 12 of 12 anonymous residents reviewed for resident rights. The facility failed to provide residents the rights to update their personal information and the opportunity to exercise their rights as citizens of the United States. This failure could place residents at risk of isolation and low self-worth.

Inspectors wroteBased on interviews and record review the facility failed to provide, Comprehensive assessment, care plan and preferences of each resident, an ongoing program to support resident in their choice of activities both facility's sponsored group and individual activities design to meet the interest and support the physical, mental, and psychosocial well-being of each resident, encourage both independent and interaction in the community for 12 of 12 confidential residents reviewed for activities The facility failed to provide activities to meet the residents' needs and interests on Saturdays and Sundays. This failure could place residents at risk for a decline in quality of life, social and mental psychosocial well-being.

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 for 1 of 1 kitchen reviewed for food safety. 1. The facility failed to ensure the stove area was cleaned and free of food particles. 2. The facility failed to ensure one deep fryer in the kitchen was kept clean. 3. The facility failed to ensure one of 2 refrigerators in the kitchen was free from expired food products. 4. The facility failed to ensure hot food products were at recommended food temperature These failures could place residents at risk of food-borne illnesses and compromised health conditionsFindings include:Kitchen observation and interviews on 04/14/26 at 8:15AM, revealed- the deep fryers in the kitchen had dark looking grease and brown substances around the deep fryer. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure based on the comprehensive assessment of a resident, a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 1 resident (Resident #61) reviewed for pressure ulcer. LVN A failed to cleanse the peri-wound area of stage 4 pressure ulcers for Resident #61. This failure could place residents at risk for infections, delayed healing, and further decrease in quality of life.

Inspectors wroteBased on interview and record review, the facility failed to coordinate the PASRR assessment for specialized services for 1 of 3 residents (Resident #1) reviewed for PASRR coordination and assessment. The facility failed to submit a NFSS request for nursing facility specialized services in the LTC Online Portal for Resident #1's specialized services by a specific deadline. This failure could place residents with intellectual and developmental disabilities at risk for not receiving specialized PASRR services which could contribute to a decline in physical, mental, psychosocial well-being and quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services to include procedures that assured the accurate administration of all drugs to meet the needs of each resident for 15 of 44 residents ( CR # 1, CR # 2, Resident # 3, Resident # 4, Resident # 5, Resident # 6, Resident # 7, Resident# 8, Resident # 9, Resident # 10, Resident # 11, Resident # 12, Resident # 13, Resident # 14, and Resident # 15) reviewed for pharmacy services. [...]

Inspectors wroteBased on observation, interviews, 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 kitchen sanitation. The facility failed to ensure that expired food products were discarded. The facility failed to ensure that the oven vent above the cooking stove was free of grease buildup. These failures could place residents at risk for food-borne illness. Findings Included: Observation and interview of the kitchen on 12/12/23 at 9:00AM, revealed the oven vent hood above one of one cooking stove had grease buildup on the vent hood. The Dietary Manager said she would call the servicing company for cleaning. She looked at the vent hood and said the last time it was clean was June of 2023. [...]

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that a resident who needed respiratory care was provided with such care, consistent with professional standards of practice for 1 (Resident #23) of 2 residents reviewed for respiratory care, in that: The facility failed to ensure Resident #23 had a physician's order for oxygen (O2). This deficient practice could place residents who used oxygen incorrect or inadequate respiratory support and could result in a decline in health. Findings Included: Record review of Resident #23's Face Sheet (undated) revealed she was a [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for 23 (100- hall) of 59 residents reviewed for environmental concerns in that: The facility failed to provide a clean shower on 100-hall for the residents. This failure placed residents at risk of living in an unsafe, unsanitary, and uncomfortable environment.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation was made for 1 (Resident #1) of 5 residents reviewed for reporting of alleged violations. The facility failed to report to the state agency, incidents of neglect regarding a possible injury and fracture to the Resident #1's left elbow, after a fall in her room that occurred on 10/14/2023. The possible fracture to the left elbow was not reported to the state until 10/16/2023 which was two days after the incident occurred. This failure could place facility residents at risk of injury of unknown origin, abuse, and neglect.