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Facility profile · CCN 235259

Mission Point Nursing & Physical Rehabilitation Ce

67 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $103,274.

Abuse Icon 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
67
Total citations
49
Last 3 years
3
Actual harm+
4
Federal penalties
$103,274
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

67 on record
SurveyF-TagViolationSeveritySource
May 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 7, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
May 7, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 7, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 7, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 7, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 7, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 7, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Apr 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 8, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 14, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Sep 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 13, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 3, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Jul 3, 2024F584Honor 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.DComplaint
Mar 28, 2024F887Educate 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.EComplaint
Mar 28, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint
Mar 28, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Mar 28, 2024F881Implement a program that monitors antibiotic use.FComplaint
Mar 28, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint
Mar 28, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.EComplaint
Mar 28, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Mar 28, 2024F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DComplaint
Mar 28, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.CComplaint
Mar 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 28, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 28, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Mar 28, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 28, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
Mar 28, 2024F584Honor 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.EComplaint
Mar 28, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Mar 28, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Mar 28, 2024F880Provide and implement an infection prevention and control program.DStandard
Mar 28, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Mar 28, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Mar 28, 2024F610Respond appropriately to all alleged violations.DStandard
Mar 28, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jan 19, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Jan 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jan 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 19, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 10, 2024F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Jan 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 20, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 21, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Dec 21, 2022F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Dec 21, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 21, 2022F791Provide or obtain dental services for each resident.DStandard
Dec 21, 2022F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Dec 21, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 21, 2022F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 21, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 21, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Dec 21, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Dec 21, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 21, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 21, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 21, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 21, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Dec 21, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Dec 21, 2022F576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard
Dec 21, 2022F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.FStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $103,274 and 1 payment-denial actions spanning 11 days.

DateTypeFinePayment denial
Apr 8, 2025Fine$83,899
Jan 10, 2024Fine$15,879
Jan 10, 2024Payment DenialFeb 13, 2024 · 11 days
Dec 11, 2023Fine$3,496
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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