Mission Point Nursing & Physical Rehabilitation Ce

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

62.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 46 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 42 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 100 beds and averages 92.5 residents a day — about 92% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.46 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.91 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.08 hrs/resident/day on weekends vs 4.61 on weekdays — 12% thinner on weekends. RN hours go from 0.98 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

36 citations, most serious first. The 14 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #MI00145456. Based on observation, interview, and record review, the facility failed to prevent an elopement resulting in an immediate jeopardy when 1 resident (Resident #106) of 5 residents reviewed for elopement risk, exited the facility unbeknownst to staff. This deficient practice resulted in the elopement and risk for serious harm, injury, impairment, and/or death of Resident #106 and all other residents assessed as an elopement risk. Findings include: The Immediate Jeopardy (a situation in which entity noncompliance has placed the health and safety of residents in its care at risk for serious injury, serious harm, serious impairment or death) began on 6/21/2024 at approximately 5:15 AM when Resident #106 (R106) eloped from the facility. The Nursing Home Administrator was notified of the Immediate Jeopardy on 8/20/2024 at 12:37 PM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 6/21/2024 and the deficient…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · H2024-02-06 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation refers to Intake Numbers MI00141976, MI00142052, MI00142152, and MI00142213. Based on observations, interviews, and record review, the facility failed to provide an adequate Activities Program for seven residents (R7, R9, R10, R11, R15, R16, R17), resulting in boredom and feelings of anger, frustration, and depression. Findings include: Review of a facility policy Activities last reviewed [DATE] reflected It is the policy of this facility to provide an ongoing program to support residents in their choice of activities based on their comprehensive assessment, care plan, and preferences. Facility-sponsored group and individual, and independent activities will be designed to meet the interests of each resident, as well as support their physical, mental, and psychosocial well-being. Activities will encourage both independence and interaction within the community. R10: During an interview on [DATE] at 11:11 AM, R10 stated the following, I'm upset about activities. We used to have activities from the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-08-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake M100138599. Based on interviews and record review, the facility failed to protect the resident's right to be free from neglect by not following the care plan when providing care for 1 (Resident #8), resulting in the resident falling out of bed and obtaining fractures. Findings include: Resident #8 (R8) Review of a Face Sheet revealed R8 admitted to the facility on [DATE] with pertinent diagnoses of hemiplegia and hemiparesis (one sided weakness) affecting the left non dominant side, symptoms involving cognitive function and awareness, and anxiety disorders. Review of the Minimum Data Set (MDS) dated [DATE] revealed R8 is cognitively intact and requires extensive assistance of 2 staff for bed mobility, transfers, and toileting. She has limited range of motion (ROM) on one side involving her upper and lower extremities. Review of an Incident Report dated 7/24/23 at 7:20 PM revealed R8 fell out of bed and observed sitting on the floor on her knees holding on to the enabler bars. She…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · G2023-03-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00133904, MI000129511 Based on observations, interview, and record review, the facility failed to prevent and heal one pressure ulcer for 1 Resident (R26) of 3 Residents reviewed for pressure ulcers ), resulting in R26 developing a stage 4 pressure ulcer. Findings include: Review of R26's face sheet revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included: multiple sclerosis, acute osteomyelitis (onset 2/9/23), pressure ulcer of right buttock, stage 4, dependence on wheelchair, and chronic pain. R26 was not her own responsible party. Review of R26's Weekly Skin Sweep dated 3/6/22 at 9:46 AM revealed R26 had no skin concerns. Review of R26's Physician Assessment, dated 3/10/22 at 12:07 PM revealed R26's appetite was good, and her weight was stable. No pressure ulcer or skin concerns were noted. Review of R26's wound care note dated 3/22/22, no time, revealed R26 had a wound evaluation completed. R26 had 2 wounds on her buttock.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #2645718 and 2619157. Based on interview and record review the facility failed to implement ordered wound treatments for 1 resident (R5) of 3 residents reviewed for wound care. Findings include:Review of an admission Record revealed R5 admitted to the facility on [DATE] with pertinent diagnoses which included diabetes, a pressure ulcer, and muscle weakness. Review of a Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) assessment for R5, with a reference date of 10/20/2025 revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 15, out of a total possible score of 15, which indicated R5 was cognitively intact. In an interview on 12/10/2025 at 9:35 AM, R5 reported staff do not always complete her dressing changes. Review of R5's Treatment Administration Record (TAR) revealed the following dressings not marked as completed by nursing staff- September 2025-Right Lower Anterior Leg- incomplete on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review the facility failed to implement care plan interventions, standards of care for safety with transfers, and positioning and wheelchair equipment for 1 Resident (R6) of 3 residents sampled for accident hazards.This citation pertains to intake 2619157Review of R6's admission record dated 12/9/25 revealed he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included dementia, chronic pain syndrome, left hip prosthesis, intracranial injury (brain injury), and muscle weakness. R6 was not his own responsible party.Review of R6's care plan revealed a care plan for alteration in musculoskeletal status r/t (related to) left hip dislocation (most recent 11/29/25, 12/3/25 and 12/6/25) with knee immobilizer brace in place at all times per ER (emergency room) doctor. I see an orthopedic provider on 12/10 who is going to see if I am a candidate for surgery dated revision on 12/09/25. Interventions added 12/9/25 included, L (left) posterior hip…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 2576436Based on interview and record review, the facility failed to ensure the safety and well-being of one Resident (R101) of three residents reviewed for supervision.Findings include: Review of the admission Record reflected R101 originally admitted to the facility 8/5/2019. The Electronic Medical Record (EMR) reflected pertinent diagnoses that included severe morbid obesity, dependance on wheelchair, heart failure, cardiomyopathy, and diabetes mellitus. The medical record reflected the Resident was his own responsible party.On 8/21/2025 at 10:01 AM an interview was conducted with R101 in his room. R101 reported that on the night of 7/28/2025 at about 11:00 PM Licensed Practical Nurse (LPN) H let him outside to the facility interior courtyard in his power wheelchair so he could water his tomatoes. R101 reported LPN H was to come out shortly to help him but never came outside. R101 reported he attempted to turn off the water and return to the building, but his power wheelchair…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-05-22 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to 1) effectively administer their water management program, 2) ensure appropriate hand hygiene during wound care for 1 resident (R6) of 2 residents reviewed for pressure ulcers, and 3) ensure adequate cleaning of a Continuous Positive Airway Pressure (CPAP) device (a common treatment for obstructive sleep apnea that involves wearing a mask while sleeping that delivers steady air pressure to keep the upper airway open and prevent breathing from stopping and starting) for 1 resident (R8) of 2 residents reviewed for respiratory concerns. Findings include: Water Management Program In an interview on 5/21/2025 at 11:16 AM, Environmental Services Director (ESD) B reported he had been working at the facility since February of 2025 and had not been educated regarding the administration of the water management program at the facility. ESD B reported that he and Regional Maintenance Director (RMD) C were the only staff currently reviewing water…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-22 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to keep 1 resident (R36) apprised of progress toward grievance resolution, of 1 resident reviewed for grievances. Findings include: Review of an admission Record revealed R36 admitted to the facility on [DATE] with pertinent diagnoses which included congestive heart failure and chronic obstructive pulmonary disorder. Review of a Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) assessment for R36, with a reference date of 3/31/2025 revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 15, out of a total possible score of 15, which indicated R36 was cognitively intact. In an interview on 5/20/2025 at 10:56 AM, R36 reported she had filled out grievances regarding various complaints and missing items and was still waiting for responses from the facility regarding the status of her grievances. Review of R36's recent grievances revealed- Grievance filed by R36 on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide care in a dignified manner for 2 residents (R16 and R82) of 3 residents reviewed for dignity. Findings include: Resident #16 (R16) Review of an admission Record revealed R16 admitted to the facility on [DATE] with pertinent diagnoses which included epilepsy and a history of falling. Review of a Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) assessment for R16, with a reference date of 2/24/2025 revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 15, out of a total possible score of 15, which indicated R16 was cognitively intact. Further review of the same MDS assessment revealed R16 required assistance with toileting. Review of the current activities of daily living Care Plan for R16, initiated 3/3/2023, revealed R16 required extensive staff assisting for toileting every two hours. In an interview on 5/21/2025 at 8:00 AM, R16 reported call lights took…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure one Resident (R81) was safe to self-administer his medications of twenty sampled residents. Findings included: Review of the facility, Resident Self-Administration of Medication policy dated 06/23 revealed, 1. Each resident who self-administers medication will have and assessment completed. Review of R81's Administration Record revealed he was admitted to the facility on [DATE] and had diagnoses that included: vascular dementia, dysphagia (swallowing difficulty), repeated falls, and cognitive communication deficit. R81 was not his own responsible party. During an observation on 5/20/25 at 1:11 PM, R81 was observed to be eating lunch with no staff in the room and had a cup with several medications in it on his bedside table. The cup had his name on it. R81 said they were his vitamins. During and interview with Registered Nurse (RN) I on 5/20/25 at 1:15 PM, RN I confirmed she left R81's medication in a cup on his bedside table. RN I…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a safe discharge for one Resident (R70) of three closed records reviewed. Finding included: Review of R70's admission record revealed she was [AGE] years old and was admitted to the facility on [DATE] and had diagnoses that included: epilepsy, fall, end stage renal disease, morbid (severe obesity due to excess calories), pain in left hip, diabetes mellitus 2, unsteady on feet, lack of coordination, occlusion and stenosis of bilateral carotid arteries, muscle weakness and acquired absence of kidney. She was her own responsible party. Review of R70's progress note dated 5/15/25 at 10:29 AM revealed, APS (adult protective services) called facility and stated they received a phone call from resident stating that she is not safe to go home. No further documentation of investigation into this allegation was recorded. Review of R70's Social Services progress note dated 5/16/25 at 1:59 PM revealed, Patient was notified that her request for a third…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide skin care as ordered and do ongoing assessments of skin condition for one Resident (R63) of 20 sampled residents. Findings included: Review of R63's admission record dated May 22, 2025 revealed that he was [AGE] years old and had diagnoses that included: paraplegia (spinal cord injury causing lower extremities to nerve damage with loss of movement and sensation), morbid obesity, and lumbar spina bifida with hydrocephalus (birth defect where the spine doesn't close properly in the lower back area and buildup of fluid in the brain occurs). R63 was observed in bed on 5/20/25 at 11:16 AM. R63's legs were fully covered by compression sleeves that were connected to a lymphedema pump (device used to push fluid out of the legs). R63 was very concerned about the condition of the skin on his legs. He said nursing had not been applying his medicated cream to his legs consistently for two months and he was worried that the skin would break…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, and record review, the facility failed to do respiratory monitoring and maintain respiratory equipment in a clean sanitary condition for 1 Resident (R8) reviewed for CPAP Continuous Positive Airway Pressure (CPAP) Findings include: Continuous Positive Airway Pressure (CPAP). CPAP is a machine that is used to keep air pressure in the airway open when sleeping generally use to prevent sleep apnea (stopping breathing while sleeping). Resident #8 (R8) Review of R8's admission Review revealed she was [AGE] years old and was admitted on [DATE] and had diagnoses that included: dementia, bipolar disorder, anxiety, chest pain, insomnia, traumatic brain injury, epilepsy, obstructive sleep apnea, chronic obstructive pulmonary disease (COPD), and asthma. She was not her own responsible party. R8 was observed in her room sitting on her bed on 5/21/25 at 1040 AM. She had a CPAP machine on her nightstand next to her bed. Her mask was connected to the tubing. The mask was in bag that was placed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$10,220 in federal fines across 1 penalty.

• $10,220 — penalty dated 2024-08-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to MISSION POINT HEALTHCARE SERVICES — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

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