Home At Taylor's Pointe

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interviews, and policy review, the facility failed to ensure care conferences were held quarterly for residents and their representatives. This affected five (Residents #5, #9, #50, #51, and #63) of five residents reviewed for care conferences. The facility census was 91. Findings include: 1. Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses of chronic ischemic heart disease, hypertension, vascular dementia, diabetes mellitus type II, and morbid obesity. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 had no cognitive impairment and was always incontinent of bowel and bladder. Resident #5 required supervision with eating, moderate assistance with oral hygiene, dependent on staff for toileting, dressing and transfers and maximal assistance with bathing, personal hygiene and bed mobility. Review of the Care Conference Meeting Summary documents, as supplied by 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.

Based on observations, staff interviews, and facility policy review, the facility failed to maintain a sanitary kitchen to prevent cross contamination of food. This affected 81 residents who received food from the kitchen. The facility identified 10 residents who do not receive food from the kitchen. The facility total census was 91. Findings include: 1. Observation and interview on 03/17/25 at 7:53 A.M. of the kitchen with Dietary Manager (DM) #140 revealed there were 15 individually packaged desserts, one opened beef base container, nine opened containers of liquids, and approximately 30 hard boiled eggs stored undated. There was a large tray of cooked sausage patties which were stored uncovered in the refrigerator. There was an opened undated container of jelly stored in the dry storage room with a label to refrigerate after opening. DM #140 verified the undated and uncovered food in the refrigerators and unrefrigerated items. 2. Observation on 03/19/25 from 7:30 A.M. through 8:15 A.M. revealed Dietary Manager (DM) #140 with approximately 20 rope-like strands of hair hanging out…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and record reviews, the facility failed to ensure resident's had a dignified meal experience in the dining room. This affected two (Residents #32 and #191) of 15 residents in the 300 memory care unit dining room. The facility census was 91. Findings Include: Record review of Resident #191 revealed the resident was admitted to the facility on [DATE]. Diagnoses included anxiety, dementia, multiple sclerosis, and psychotic disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #191 had impaired cognition and required supervision with feeding assistance. Record review of Resident #32 revealed the resident was admitted to the facility on [DATE] . Diagnoses included cerebral infarction, aphasia, anxiety, depressive disorder, and dementia with behavioral disturbance. Review of the MDS assessment dated [DATE] revealed Resident #32 had impaired cognition. The resident received a regular, puree consistency diet. Record review of Resident #27…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, and facility policy review, the facility failed to ensure medications were administered according to physician's order, resulting in a medication error rate rate which exceeded five percent (%). 35 opportunities were observed with four medication errors, resulting in a 11.43% error rate. This affected one (Resident #71) of four residents reviewed for medication administration. The facility census was 91. Findings include: Review of the medical record revealed Resident #71 was admitted to the facility on [DATE] with diagnoses of diabetes mellitus type II (DM), chronic obstructive pulmonary disease and hypertension. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #71 had intact cognition. Review of the physician orders revealed Resident #71 had the following orders: an order dated 02/07/25 for Novolog pen-injector 100 unit per milliliter (ml) (Insulin Aspart), inject 10 unit subcutaneously before meals for DM, hold for…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, review of facility policy, and record reviews, the facility failed to ensure hand sanitation was performed during meal service. This affected three residents (#71, #85 and #61) observed during meal service. The facility census was 91. Findings include: 1. Record review of Resident #61 revealed the resident was admitted to the facility on [DATE]. Diagnoses included sepsis and ileostomy. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #61 had severely impaired cognition. The resident had a physician order for contact isolation. Observation on 03/19/25 at 8:40 A.M. revealed there was a sign on a Resident #61's room door. The signage revealed the resident was in contact precautions and everyone must clean their hands, including before entering and when leaving the room. Certified Nursing Assistant (CNA) #117 donned gloves and gown and entered Resident #61's room with the breakfast meal tray. CNA #117 was observed to assist the resident in bed…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, medical record review, review of guidance from the Centers for Disease Control and Prevention (CDC), and review of the policy, the facility failed to implement effective and recommended infection source control practices to prevent the spread of Coronavirus 2019 (COVID-19). This affected four (#75, #77, #81, and #85) of four Residents who tested positive for COVID-19 and had the potential to affect all fourteen (#74, #75, #76, #77, #78, #79, #80, #81, #82, #83, #84, #85, #86, and #88) residents that resided on the unit. The facility census was 87. Findings included: 1. Review of the medical record for Resident #75 revealed an admission date of 11/29/22. Her diagnoses included Alzheimer's disease, anxiety disorder, major depressive disorder, COVID-19, and mood disorder. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #75 had impaired cognition as evidenced by a Brief Interview for Mental Status (BIMS) score of 99. This resident was…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observations, staff and resident interview, and policy review, the facility failed to apply a resting hand splint per the plan of care. This affected one resident (#31) out of two residents reviewed for application of assistive devices. The facility census was 87. Findings included: Review of the medical record for Resident #31 revealed an admission date on 10/02/22. Diagnoses included chronic ischemic hypertension, heart disease, stenosis of carotid artery, iron deficiency anemia, gastroesophageal reflux disease, umbilical hernia, obesity, schizoaffective disorder, major depressive disorder, stroke, anxiety, contracture, osteoarthritis, and urinary tract infections. Review of the minimum data set (MDS) assessment dated [DATE] revealed Resident #31 had intact cognition. Resident #31 was not coded with rejections of care of behaviors. Resident #31 required extensive assistance for bed mobility, toilet use, and personal hygiene. Review of the plan of care for Resident #31 dated…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff, resident, and pharmacist interview, observations, review of the quick reference guide for the fasting glucose monitoring system, and policy review, the facility failed to document a physician's order for a fasting glucose device on the medication administration record and document every fourteen days the need to change to subcutaneous sensor. This affected one resident (#47) out of two residents reviewed for medication administration documentation related to the application and monitoring of a fasting glucose monitoring system. The facility census was 87. Findings include: Medical review for Resident #47 revealed an admission dated on 01/31/22 with diagnoses including chronic obstructive pulmonary disease, depression, chronic bronchitis, iron deficiency anemia, bipolar disorder, osteoarthritis, chronic sinusitis, viral hepatitis C, hypertension, and type two diabetes. Review of the Minimum Data Set (MDS) dated [DATE] for Resident #47 revealed intact cognition. Resident #47…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff and resident interview, and policy review, the facility failed to administer medications under direct supervision. This affected one resident (#31) out of four residents reviewed for medication administration. The facility census was 87. Findings include: Review of the medical record for Resident #31 revealed an admission date on 10/02/22. Diagnoses included chronic ischemic hypertension, heart disease, stenosis of carotid artery, iron deficiency anemia, umbilical hernia, obesity, schizoaffective disorder, major depressive disorder, stroke, anxiety, contracture, osteoarthritis, and urinary tract infections. Review of the minimum data set (MDS) dated [DATE] for Resident #31 revealed intact cognition. Resident #31 required extensive assistance with bed mobility, and toilet use. Resident #31 required total assistance for transfers and supervision for eating. Review of the physician orders for Resident #31 for the month of September 2022 revealed an order for…

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.

Based on observation, interview, and review of the state revised code (that the facility followed) the facility failed to ensure staff wore hairnets while serving meals. This had the potential to affect all the residents in the facility who received food prepared in the kitchen. The facility identified four Residents (#8, #10, #58, and #61) who did not receive food by mouth. The census was 82. Findings include: During the initial tour of the kitchen on 08/05/19 at 8:15 A.M. revealed Dietary [NAME] (DC) #18 did not have a hair net and Dietary Supervisor (DS) #36's ponytail was hanging out of the hair net while serving breakfast on the trayline. Interview on 08/05/19 at 8:30 A.M., revealed staff DC #18 and DS #36 confirmed that they had not had their hair covered while serving breakfast. A follow up observation of the kitchen on 08/06/19 at 7:20 P.M., revealed DS #36 was scooping sherbet into bowls for the next day and DS #36 was not wearing a hairnet. Interview on 08/06/19 at 7:30 P.M., DS #36 indicated she was unaware she did not have a hairnet on while preparing desert for the next…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident interview and staff interview, the facility failed to ensure residents had the opportunity to participate it the care planning process. This affected one (Resident #232) of three residents reviewed for care planning. The facility census was 82. Findings include: Review of Resident #232's medical record revealed an admission date of 07/05/19. Diagnoses included metabolic encephalopathy, urinary tract infection, weakness, malaise, contracture of muscle (multiple sites), end stage renal disease, anemia in chronic kidney disease, type two diabetes, mixed hyperlipidemia, and essential hypertension. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had moderate cognitive impairment and required extensive assistance to total dependence upon staff for activities of daily living. Review of the Social Service progress note dated 07/16/19 at 11:20 A.M. revealed a care conference was held on 07/12/19 and was attended by the resident's spouse…

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.

Based on medical record, observation, staff interview, review of medication product information, review of online drug reference, and review of facility policy, the facility failed to ensure expired eye drops were not available for resident use. This affected one of three medications carts observed for expired medications and two (#29 and #57) of six residents the facility identified with orders for eye drops from the Maple High medication cart. The facility census was 82. Findings include: 1. Review of Resident #29's current physician's orders revealed an order dated 04/16/19 for Brimonidine 0.2%, instill one drop in both eyes three times a day for glaucoma. Observation 08/08/19 at 12:56 P.M. of the Maple High medication cart with Licensed Practical Nurse (LPN) #84 revealed an opened bottle of Brimonidine 0.2% ophthalmic drops labeled for Resident #29. The bottle contained a hand-written open date of 05/07/19 and the manufacturer's expiration date printed on the bottle was 12/2020. Interview at the time of the observation LPN #84 verified the eye drops were opened and had an open…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and resident and staff interviews, the facility failed to ensure a residents diet was followed. This affected one (#27) of one resident reviewed for food preferences. Census was 82. Findings include: Review of the medical record revealed Resident #27 was admitted on [DATE]. Diagnoses included end stage renal disease, dysphagia oral phase, cognitive communication deficit, hypotension of hemodialysis, hyperkalemia, heart failure, and type 2 diabetes mellitus. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] documented the resident had intact cognition for decisions. Further review of the MDS revealed Resident #27 required extensive assistance with one person assist for bed mobility, toileting and transfer. Review of nutrition assessment dated [DATE] revealed Resident #27 was on a low concentrated sweet diet. Interview on 08/06/19 at 10:08 A.M., revealed Resident #27 reported she was a diabetic. Resident #27 reported she received deserts with her meals…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation and staff interview, the facility failed to ensure a dependent resident's call light was functioning. This affected one (#34) of 24 residents reviewed for call light function. The facility census was 82. Findings include: Review of the medical record revealed Resident #34 was admitted on [DATE]. Diagnoses included muscle weakness, cognitive communication deficit, hypertension, hyperlipidemia, vascular dementia with behavioral disturbance, Alzheimer's disease, and chronic kidney disease. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognition. The assessment documented the resident required extensive assistance for activities of daily living including one-person extensive assistance for bed mobility, dressing and toileting. Review of the care plan dated 02/15/19 revealed Resident #34 was to notify nursing of any complaints of pain or discomfort. Resident needed assistance with toileting. Observation 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.