Mission Point Nursing & Physical Rehab Center of D

Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Properly store food items in the kitchen; 2. Remove undated, unlabeled food from the kitchen walk-in cooler and resident refrigerators; and 3. Adequately clean kitchen surfaces. These deficient practices had the potential to affect all residents who consumed food from the kitchen and resident refrigerators, resulting in an increased potential for foodborne illness.

Inspectors wroteBased on interview and record review, the facility failed to ensure a preadmission screening and resident review (PASARR) was obtained for one resident (R9) of one resident reviewed for PASARR, resulting in R9 not being screened for mental health services and the potential for care needs being unmet.

Inspectors wroteBased on observation, interview, and record review, the facility failed to apply a wheelchair cushion for one resident (R4) with a stage three Sacro Coccyx (base of spine) pressure injury (Pressure Injury: Full-thickness skin loss Full-thickness loss of skin, in which adipose (fat) is visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present) out of three residents reviewed for pressure ulcers.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure nursing staff verified tube placement prior to administering medication through a PEG tube for one resident (R6) of two residents reviewed for tube placement. This deficient practice had the potential to result in improper medication administration and resident harm.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure nursing staff provided respiratory care in accordance with acceptable standards of clinical practice during deep suctioning for one resident (R6) of one resident reviewed for respiratory care. This deficient practice placed the resident at risk for decreased oxygenation and respiratory compromise.

Inspectors wroteThis citation pertains to intake # 2588852Based on interview and record review, the facility failed to ensure a resident was free of misappropriation of funds for one (R402) of three residents reviewed for misappropriation of funds. A review of the facility's incident report was received by the State Agency via online submission on 8/1/25 revealed the following: Incident Summary Unauthorized charges have been made on (R402) debit card. Card was cancelled and Detroit Police Department was notified. Investigation Summary Analysis: (R402) admitted to (this facility) on 5/10/2024. On 8-01-2025 (Nursing Home Administrator), was notified by the (Business Office Manager) that she received an alert by phone regarding (R402's) (bank) account. The alert showed that someone was attempting to withdrawal $800.00 from the account. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a sanitary physical environment in the Dietary Department, resulting in a potential for contamination of food from soiled ceiling tiles and corroded, rusted vents. This deficient practice had the potential to affect 50 residents that received meals and/or food from the kitchen.

Inspectors wroteBased on interview, and record review the facility failed to revise care plans in a timely manner for three residents (R10, R260, and R7) out of 14 residents reviewed for care planning.

Inspectors wroteBased on interview and record review the facility failed to ensure an Advance Directive was completed for one resident (R210) of fourteen residents reviewed resulting in the potential for inaccurate life sustaining measures or withholding medical treatment.

Inspectors wroteBased on observation, interview and record review the facility failed to provide hair care for one resident (R1) of 14 sampled residents reviewed for activities of daily living (ADL), resulting in poor grooming.

Inspectors wroteBased on interview, and record review the facility failed to consistently provide one resident (R5) out of three residents reviewed for limited range of motion (ROM) a restorative therapy.

Inspectors wroteBased on observation, interview, and record review the facility failed to implement preventative measures for one resident (R210) of one resident reviewed for transmission-based precautions. was free from the potential spread of infectious pathogens.

Inspectors wroteThis citation pertains to MI00145588. Based on interview and record review, the facility failed to thoroughly conduct and document an investigation of a resident to resident altercation for two residents (R103 and R104) out of four residents reviewed for abuse, resulting in missed opportunities to implement corrective measures and interventions.

Inspectors wroteThis citation pertains to intake MI00145046. Based on observation, interview, and record review the facility failed to provide routine floor stock pain gel medication for one (R402) of three residents reviewed for medication administration resulting in R402 not receiving a prescribed pain.

Inspectors wroteThis citation pertains to intake number MI00144395. Based on observation, interview and record review, the facility failed to provide timely incontinence care for one resident (R101) of three residents reviewed for Activities of Daily Living (ADL), resulting in the potential for skin breakdown and infection.

Inspectors wroteBased on observation, interview, and record review the facility failed to follow the standards of infection control (gloves use and hand hygiene), for one residents (R101) out of three residents reviewed for Activities of Daily Living (ADL), resulting in the potential for increased cross-contamination of diseases which place a vulnerable population at high risk for infections.

Inspectors wroteThis citation pertains to intake MI00143185. Based on interview and record review the facility failed to provide a safe environment or supervise one (R801) of three residents reviewed for supervision/accidents when R801 eloped through the front door of the facility unbeknownst to staff to take a bus to his physician's office.

Inspectors wroteThis citation pertains to MI00142402 and MI00142509. Based on interview and record review, the facility failed to administer wound care treatments per physician order for one (R504) of four residents reviewed for pressure ulcers.

Inspectors wroteBased on observation, interview, and record review, the facility failed to perform a wound treatment prior to documenting completion for one (R506) of four residents reviewed for pressure ulcers.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the 2nd floor 'wireless' call light system was effectively utilized by staff or had consistently functioning pagers and centralized monitor screen on the 2nd floor resulting in delayed call light response times and the potential for resident care need to be unmet.

Inspectors wroteThis citation pertains to intake MI00139645. Based on observation, interview, and record review the facility failed to monitor weights in a timely manner for two (R13 and R155) of four residents reviewed for nutrition resulting in the potential for significant weight loss to go undetected and delayed interventions to prevent further weight loss.