Mission Point Nursing & Physical Rehabilitation Ce

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 05/12/2026 beginning at 8:43 AM a kitchen tour was conducted with [NAME] B.On 05/12/2026 at 8:55 AM observed blue metal storage racks in the walk in cooler with worn paint exposing the rusted metal surfaces of the rack. On 05/13/2026 at 8:50 AM observed blue metal storage racks in the walk in cooler with worn paint exposing the rusted metal surfaces of the rack. In an interview at this time with Dietary Manager (DM) A when asked about cleaning of racks, DM A indicated the storage racks are cleaned weekly and they are slightly rusted. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to properly dispose of waste and maintain the dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility.

Inspectors wroteBased on observation, interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings Include:On 05/12/2026 at 10:29 AM observed a nonfunction hot water faucet on the hand sink in the second floor activities room. On 05/12/2026 at 1:29 PM observed a hopper with no water in the bowl indicating low use in the second floor long hall storage room. Further observation found the hopper inoperable, and the spray hose head removed from the hopper. [...]

Inspectors wroteThis citation pertains to intake 3001301. Based on interview and record review, the facility failed to ensure staff reported the results of an investigation to the State Agency within five working days of an incident for two of four residents (R15 and R56) reviewed for abuse.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate positioning assistance and safety interventions during incontinence care for one resident (R103) out of three residents reviewed for accidents, resulting in a fall.

Inspectors wroteBased on interview and record review, the facility failed to ensure resident's medical record accurately documented the administration of prescribed medications (magnesium oxide, metoprolol tartrate, and Seroquel) for one resident (R101).

Inspectors wroteThis citation pertains to Intake #2617411. Based on observation, interview, and record review, the facility failed to effectively clean and maintain two common resident bathrooms, resulting in unsanitary and unsafe conditions and the potential for dissatisfaction of the residents' living area.

Inspectors wroteBased on interview and record review, the facility failed to ensure a Registered Nurse (RN) was on duty for eight consecutive hours a day, seven days a week; resulting in the potential for inadequate coordination of emergent or routine care that could cause negative outcomes. This deficient practice had the potential to affect all 84 residents in the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Properly clean surfaces in the kitchen that were visibly soiled; 2. Properly seal food in the freezer; 3. Ensure pans were cleaned and air dried before stacking; 4. Properly maintain resident refrigerator; and 5. Ensure reusable resident meal service ware was properly sanitized. These deficient practices had the potential to affect all residents who consumed food from the kitchen, resulting in the increased potential for food borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure equipment used in food service operation was maintained in a safe and sanitary operating condition, resulting in the coffee machine and walk-in cooler not being protected against contamination from sewage or other sources of contamination.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a urinary catheter drainage bag was maintained in a dignified manner for one resident (R4) of two resident reviewed for catheters, resulting in the potential for feelings of diminished self-worth using the reasonable person concept.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure the provision of hygiene and daily care for two residents, (R4 and R8) of two residents reviewed for assistance with Activities of Daily Living (ADL's), resulting in R4 not receiving timely fingernail care and R8 not receiving adequate facial hair care.

Inspectors wroteBased on interview and record review the facility failed to ensure a physician responded to pharmacy recommendations in a timely manner for one resident (R52), out of five residents reviewed for unnecessary medications.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items listed as always available were on hand to ensure resident food preferences were honored for one resident (R6).

Inspectors wroteBased on observation, interview and record review the facility failed to provide timely personal care for one of (R15) four residents reviewed for ADL's resulting in untimely assistance with bathing, dressing, and transferring to their wheelchair and the resident verbalizing feelings of frustration and anger.

Inspectors wroteThis citation pertains to intake MI00145699. Based on interview and record review the facility failed to ensure adequate assistance during a mechanical lift (Hoyer) transfer for one resident (R601) out of four residents reviewed for falls, resulting in a fracture of the right rib and hospitalization.

Inspectors wroteThis citation pertains to Intakes MI00141917. Based on interview and record review, the facility failed to consistently utilize the services of a Registered Nurse (RN) for eight consecutive hours per day (24-hour period), seven days a week, resulting in the potential for inadequate coordination of emergent or routine care that could cause negative outcomes, affecting the 89 residents who resided in the facility.

Inspectors wroteBased on interview and record review the facility failed to ensure that the Medical Director (MD) attended the Quality Assurance and Performance Improvement (QAPI-program aimed on improving processes involved in health care delivery and resident quality of life) meetings quarterly, resulting in the potential for impaired resolution of identified issues or decreased quality of care with the potential to affect all 89 residents that reside in the facility.

Inspectors wroteBased on observation and interview the facility failed to provide a safe, functional, sanitary, and comfortable environment for the facilities census of 89 residents and its staff resulting in an increased chance of harm and the spread of harmful pathogens.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an oxygen cylinder was stored properly

Inspectors wroteThis citation pertains to Intakes MI00141917. Based on observation, interview, and record review, the facility failed to ensure meals were served at palatable temperatures for residents served from a first-floor meal cart and specifically R7 from the third floor, resulting in dissatisfaction with the meal experience. A complainant reported to the State Agency that the facility failed to serve palatable food. During an observation and interview on 1/30/24 at 12:57 PM, the last tray on a first-floor meal cart was obtained and used as a test tray. License Practical Nurse (LPN) D was present during the testing of food temperatures on the lunch tray. The following temperatures were obtained using a metal stem thermometer: - BBQ chicken: 103ºF (Fahrenheit) - Mixed vegetables: 96ºF - Rice: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure meals were delivered in a timely manner and in accordance with the scheduled mealtimes for the residents observed during dining observations, resulting in resident dissatisfaction.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an accommodating call light was provided for one resident (R4) of one resident reviewed for accommodation of needs, resulting in R4's inability to use the call light and the potential for unmet care needs.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide nail care and oral care for one resident (R4) out of four residents reviewed for Activities of Daily Living (ADLs), resulting in unmet ADLs needs. On 1/30/2024at 11:05 a.m., R4 was observed lying in her bed alert and able to be interviewed. Observed R4 with long dirty fingernails, hair appeared not groomed and matted, and teeth with what appeared to be food particles and mouth odor. During an interview, R4 was asked to recall the last time the staff assisted with scheduled showers, oral care, washing and hair grooming. R4 stated, I can't remember. R4 said I would like to get my fingernails cut. On 2/1/2024 at 9:33 a.m., R4 was observed lying in bed with long dirty fingernails, hair appeared not groomed and matted, unable to observe teeth due to a staff assisting R4 with breakfast. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement skin care treatments for one resident (R59) out of three residents reviewed for non-pressure related skin conditions, resulting in the potential for delay in healing.

Inspectors wroteBased on observation, interview, and record review the facility failed to date two opened respiratory inhaler devices of one resident (R30), resulting in the potential to administer outdated medications with incorrect effectiveness.