Scenic Pointe Nursing And Rehab Ctr

Based on interview and record review the facility failed to ensure Resident #4 received an updated Preadmission Screening and Resident Review (PASRR) after mental health diagnoses was identified. This affected one (Resident #4) of two residents reviewed for PASRR. The facility census was 131.Findings include: Review of the medical record for Resident #4 revealed an admission date of 02/15/19. Diagnoses included unspecified psychosis not due to a substance or known physiological condition, dementia with behavioral disturbance, and cognitive communication disorder. On 04/18/25 recurrent major depression was added to the resident diagnoses list.Review of Resident #4's physician orders dated 05/2026 revealed the resident was receiving Depakote Extended Release 500 milligram (mg) with instructions to give three tablets in the evening for unspecified psychosis not due to a substance or known physiological condition and Sertraline 200 mg with instructions to take one capsule by mouth one time a day related to major depressive disorder.Review of Resident #4's PASRR Identification Screen…

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 interview, record review and policy review the facility failed to ensure pressure ulcer treatments were completed as ordered by the wound practitioner for Resident #109. This affected one resident (#109) of one resident reviewed for pressure ulcers. The facility census was 131.Findings include: Review of Resident #109's medical record revealed an admission date of 09/26/22 with diagnoses including type two diabetes mellitus, moderate intellectual disabilities, vascular dementia, bipolar disorder, psoriasis, repeated falls, and venous insufficiency. Review of Resident #109's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had moderately impaired cognition. Review of Resident #109's plan of care dated 03/09/26 revealed the resident had a pressure ulcer on his sacrum. Interventions included assessing the area weekly and as needed, assessing for pain and treatment as ordered, bariatric air mattress with bolsters, body check weekly, and providing treatment as ordered.Review…

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, interview, policy review, the facility failed to ensure home health services were arranged prior to resident discharge from the facility. This affected one resident (#139) of three resident records reviewed. The census was 136. Findings include: Review of Resident #139's medical record revealed he was admitted to the facility on [DATE] and discharged on 03/20/25. Diagnoses included cerebral infarction, hemiplegia and hemiparesis, vascular dementia, dysphagia, impulse disorder, major depression, and intermittent explosive disorder. Review of the annual minimum data set (MDS) assessment dated [DATE] revealed his cognition was intact. He required supervision or touching assistance with eating, oral hygiene, dependent on toileting, dressing, personal hygiene and turning and repositioning. He was frequently incontinent of urine and always incontinent of bowel. Review of the physician's orders revealed an order on 03/20/25 to discharge home. Review of the progress notes dated 03/18/25…

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 and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect all residents. The census was 136. Findings Include: Observation of the kitchen on 09/19/24 from 11:00 A.M. through 11:30 A.M. revealed there was a five-pound bucket of pickle spears (half full), in the cooler, with no lid and the bucket was not dated when opened. The walk-in freezer floor had food and dirt buildup on the floor and the floor was sticky. The three sugar bins and one flour bin were not dated, and the outside of the bins were soiled with food and dirt buildup. Interview on 09/19/24 at 11:08 A.M. with [NAME] #307 verified the pickles were not dated or covered. [NAME] #307 verified the walk in-freezer was not clean and the floor was sticky. Interview on 09/19/24 at 11:15 A.M. with the Dietary Manager (DM) #308 verified all above findings. This deficiency is an incidental finding discovered during the investigation of Complaint Number OH00156585.

Based on observation and interview the facility failed to ensure residents were provided a dignified dining experience. This affected two residents (Resident #50 and #137) but had the potential to affect 16 residents (Resident #37, #46, #47, #52, #53, #55, #69, #80, #93, #94, #108, #109, #112, #120, #123 and #137) of 24 residents who ate meals in the 100 hall and 200 hall dining room and do not use adaptive cups. The census was 136. Findings include: Observation of dining room on the 100-Hall and 200-Hall on 09/18/24 at 5:00 P.M. revealed Resident #37, #46, #47, #52, #53, #55, #69, #80, #93, #94, #108, #109, #112, #120, #123 and #137) had styrofoam cups with water, coffee and/or hot chocolate. Interview on 09/18/24 at 5:10 P.M. with State Tested Nurses Assistant (STNA) #321 verified that styrofoam cups were being used for water, coffee and hot chocolate for residents that did not require adaptive cups. STNA #321 stated the silverware, and drinks are brought to the dining room prior to the delivery of the meal trays and there are not enough cups for coffee/hot chocolate, so they use…

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 review of staffing timecards, interviews, and the facility submitted Payroll Based Journal (PBJ) tracking information, the facility failed to ensure there were sufficient staff on the weekends. This had the potential to affect all 131 residents residing in the facility. Findings include: Review of the facility staffing schedule, timecards, and completion of the staffing tool for several weekends on 03/27/24 from 9:00 A.M. through 11:00 A.M. with Administrator and Director of Nursing (DON) revealed that the facility did not meet the required minimum direct care daily average of 2.50 hours on the following dates: • The staffing tool noted 2.25 hours of direct resident care hours on 04/08/23. • The staffing tool noted 1.75 hours of direct resident care hours on 04/09/23. • The staffing tool noted 1.85 hours of direct resident care hours on 05/27/23. • The staffing tool noted 2.28 hours of direct resident care hours on 05/28/23. • The staffing tool noted 2.36 hours of direct resident care hours on 06/17/23.…

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 staffing schedules the facility failed to ensure they had sufficient dietary staff to maintain a clean dining room and kitchen. This had the potential to affect all residents who consumed food from the kitchen. The facility indicated all residents consumed food from the kitchen. The facility census was 131. Findings include: Observation of the kitchen on 03/25/24 at 8:40 A.M. and on 03/27/24 from 9:40 A.M. to 10:00 A.M. revealed the kitchen floor had an overall muddy appearance, as if wet dirt had been pushed around. This appearance worsened the closer it got to the dish room. Additional observation revealed the floor underneath equipment and tables had a thicker buildup of dirt and food splatter. The corners and edges of the room had a buildup of dirt extending from the baseboard. Additionally, the floor under equipment and tables had several pieces of food, lids, and condiment containers. Interview on 03/27/24 between 9:40 A.M. and 10:00 A.M. with Head [NAME] #389 verified the observation. She reported they deep cleaned the floor and…

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 cleaning schedules, the facility failed to ensure resident dining areas and the kitchen were maintained in a sanitary manner. Additionally, the facility failed to ensure 26 residents (#6, #10, #13, #14, #17, #33, #35, #41, #42, #45, #47, #51, #52, #71, #84, #88, #93, #95, #97, #102, #105, #120, #122, #123, #125, and #131) in the 300 and 400 hall dining rooms were served food in a sanitary manner. This had the potential to affect all residents who consumed food from the kitchen. The facility indicated all residents consumed food from the kitchen. The facility census was 131. Findings include: 1. Observation of the kitchen on 03/25/24 at 8:40 A.M. and on 03/27/24 from 9:40 A.M. to 10:00 A.M. revealed the kitchen floor had an overall muddy appearance, as if wet dirt had been pushed around. This appearance worsened the closer it got to the dish room. Additional observation revealed the floor underneath equipment and tables had a thicker buildup of dirt and food splatter. The corners and edges of the room had a buildup of dirt extending from…

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, U.S. Department of Agriculture/U.S. Food and Drug Administration guidelines, and maintenance records the facility failed to ensure kitchen equipment was properly functioning and the facility did not properly store food. This had the potential to affect all 153 residents residing in the facility and consuming food/meals from the kitchen. Findings include: 1. Observation on 05/16/22 at 8:35 A.M. of the facility's kitchen revealed a pan covered with aluminum foil with writing on top of the foil identifying it as pork roast. The writing indicated the pork roast was made 05/11/22 and the use by date was 05/18/22. There was a pan covered with aluminum foil and labeled as country fried steak (poultry) with the date made as 05/11/22 and the use by date as 05/18/22. Interview on 05/16/22 at 8:35 A.M. with Dietary Aide #128 revealed all leftovers, including meats, are kept for seven days before they are discarded. Interview on 05/16/22 at 2:22 P.M. with Dietary Manager #218 revealed all leftovers are kept for seven days except for produce, which is kept 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 observations and interview, the facility failed to maintain a sanitary laundry room. This had the potential to affect all 153 residents residing in the facility at the time of survey. Findings included: Observation on 05/17/22 at 10:15 A.M. of the laundry room revealed four fans located on the clean side of the laundry room. The fans were visibly dirty with a heavy build-up of dirt and dust particles. Laundry staff were present in the laundry area folding residents' clothes and facility bed linens for all residents. Interview immediately after this observation with Laundry Staff #16 and Laundry Staff #101 verified the four fans on in the clean area of the laundry were covered in dirt/dust and needed cleaned.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the resident account information and interviews the facility purchased additional insurance for Resident #61 and Resident #138 without consent from the resident or their legal representative. This affected two residents of five residents reviewed for resident funds. Findings Included: 1. Review of the medical record revealed Resident #61 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, convulsions, diabetes, multiple sclerosis, hypertension, crushing injury of the skull, hemiplegia and tremors. Resident #61's sister was listed as his legal representative. Review of the Living Care Facility Resident Application for Insurance form dated 09/05/19 revealed Resident #61 was to pay $127.00 per month for dental coverage, $35.00 a month for vision coverage, $62.00 a month for audiology coverage and $66.00 a month for podiatry coverage, totaling $290.00 a month. The form was signed electronically by Business Office Manager (BOM) #197 with…

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 record review the facility failed to ensure pressure relieving interventions were in place for Resident #143. This affected one of one residents reviewed for pressure ulcers. The facility census was 153. Findings include: Review of Resident #143's medical record revealed and admission date of 06/04/19. Diagnoses included multiple sclerosis, chronic obstructive pulmonary disease, hypertension, osteoarthritis, and a pressure ulcer stage four to his coccyx. Stage four pressure ulcers involve a full-thickness skin and tissue loss with exposed fascia, muscle, tendon, ligaments, cartilage or bone and may have slough or eschar (dead or devitalized) tissue in the wound. Review of May 2022 physician order's for Resident #143 revealed orders for staff to use padded heel suspended boots to both of his feet while in bed and while in his wheelchair, and an order for a chair cushion in place on every shift. Review of Resident #143's care plan 05/02/22 revealed to maintain skin integrity, the facility staff would apply padded heel suspended boots to both…

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.