Deficiency Records for Point Place Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Point Place Healthcare and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-01-16 | 2024-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-16 | 2024-01-31 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-16 | 2024-01-31 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-16 | 2024-01-31 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-01-16 | 2024-01-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-28 | 2024-01-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-28 | 2024-01-22 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-28 | 2024-01-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-16 | 2023-10-27 | Y |
| Ensure 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. | Health | 2023-10-16 | 2023-10-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-03 | 2023-10-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-14 | 2023-10-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-14 | 2023-10-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-14 | 2023-10-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-14 | 2023-10-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-14 | 2023-10-27 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-14 | 2023-10-27 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-14 | 2023-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-14 | 2023-10-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-14 | 2023-10-27 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-11 | 2023-10-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-08 | 2023-08-22 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-21 | 2023-07-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-23 | 2023-03-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-23 | 2023-03-04 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-02-23 | 2023-03-04 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-02-23 | 2023-03-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-23 | 2023-03-04 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-02-23 | 2023-03-04 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-23 | 2023-03-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-02 | 2023-03-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-03-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-02 | 2023-03-04 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-02 | 2023-03-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-02 | 2023-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-02 | 2023-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-04 | Y |
| 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. | Health | 2023-02-02 | 2023-03-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-28 | 2023-03-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-16 | 2022-10-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-16 | 2022-10-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-16 | 2022-10-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-16 | 2022-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-16 | 2022-10-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-16 | 2022-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-16 | 2022-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-10-08 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-16 | 2022-10-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-16 | 2022-10-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-16 | 2022-10-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-16 | 2022-10-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-01 | 2022-06-30 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-06-01 | 2022-06-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-01 | 2022-06-30 | N |
| 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. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-01 | 2022-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-01 | 2022-06-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-01 | 2022-06-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-01 | 2022-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-01 | 2022-06-30 | N |
| Implement 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. | Health | 2022-06-01 | 2022-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-01 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-01 | 2022-06-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-23 | 2022-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-23 | 2022-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-23 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-02-28 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2022-01-25 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-29 | 2021-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-24 | 2021-08-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-25 | 2019-06-03 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-25 | 2019-06-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-25 | 2019-06-03 | N |
| 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. | Health | 2019-04-25 | 2019-06-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-25 | 2019-06-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-25 | 2019-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-06-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-25 | 2019-06-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-25 | 2019-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-25 | 2019-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-06-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-04-24 | 2019-06-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-24 | 2019-06-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-24 | 2019-06-03 | N |
