Facility profile · CCN 235552
Mission Point Nursing & Physical Rehabilitation Ce
52 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $180,775.
Record summary
Federal record · Q1 202652
Total citations
52
Last 3 years
2
Actual harm+
2
Federal penalties
$180,775
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
52 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 25, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 25, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | Complaint |
| Jul 25, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Jul 25, 2025 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Jul 25, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Jul 25, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jul 25, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Jul 25, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard |
| Jul 25, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Jul 25, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 25, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Jul 25, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Jul 25, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 25, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 25, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Dec 6, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Dec 6, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Dec 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 6, 2024 | F572 | Give residents a notice of rights, rules, services and charges. | D | Complaint |
| Aug 12, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| Aug 12, 2024 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard |
| Aug 12, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard |
| Aug 12, 2024 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard |
| Aug 12, 2024 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | Standard |
| Aug 12, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard |
| Aug 12, 2024 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Aug 12, 2024 | F880 | Provide and implement an infection prevention and control program. | L | Standard |
| Aug 12, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Aug 12, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Aug 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 12, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard |
| Aug 12, 2024 | F732 | Post nurse staffing information every day. | F | Standard |
| Aug 12, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | F | Standard |
| Aug 12, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard |
| Aug 12, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Aug 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 12, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 12, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 12, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Standard |
| May 1, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| May 1, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | G | Complaint |
| May 1, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Apr 3, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 3, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 14, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Jul 14, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Jul 14, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jul 14, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard |
| Jul 14, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 14, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jul 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jul 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $180,775 and 1 payment-denial actions spanning 13 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 12, 2024 | Fine | $180,775 | — |
| Aug 12, 2024 | Payment Denial | — | Sep 6, 2024 · 13 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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