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Complaint Investigation

Mission Point Nursing & Physical Rehabilitation Ce

September 26, 2025 · Belding, MI · 414 E State Street
Citations 3
CMS Rating 4/5
Beds 128
Provider ID 235357
Healthcare Facility
Mission Point Nursing & Physical Rehabilitation Ce
Belding, MI  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Mission Point Nursing & Physical Rehabilitation Ce in Belding, MI — inspection on September 26, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

that she worked on the S2 unit the first shift on 9/13/2025 and reported R4 was calm that day. RN F

reported there were no activities happening that day which makes things harder on nursing staff.

is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property.

The policy includes Employee Training with topics that include 5.

Understanding behavioral symptoms of residents that may increase the risk of abuse and neglect such as: a.

Aggressive and/or catastrophic reactions of residents; b. wandering or elopement-type behaviors; c. resistance to care; d.

Outbursts or yelling out; and e.

Difficulty in adjusting to new routines or staff.

Further review of the facility policy pertaining to Abuse, Neglect and Exploitation includes a discussion about Prevention - The facility will implement policies and procedures to prevent and prohibit all types of abuse, neglect, misappropriation of resident property and exploitation that achieves: . B.

Identifying, correcting, and intervening in situations in which abuse, neglect, exploitation, and/or misappropriation or resident property is more likely to occur with the deployment of trained and qualified registered, licensed, and certified staff on each shift in sufficient numbers to meet the needs of the residents, and assure that the staff assigned have knowledge of the individual residents' care needs and behavioral symptoms. D.

The identification, ongoing assessment, care planning for appropriate interventions, and monitoring of residents with needs and behaviors which might lead to conflict or neglect.

235357 09/26/2025

Mission Point Nursing & Physical Rehabilitation Ce 414 E State Street Belding, MI 48809

included in the investigation report. RN F reported there were no activities happening that day.

reports of abuse, neglect or exploitation occur.

The policy specified, .4.Idetifying and interviewing all

have knowledge of the allegations; 5.

Focusing the investigation on determining if abuse, neglect, exploitation and/or mistreatment has occurred, the extent, and cause; and 6.

Providing complete and thorough documentation of the investigation.

235357 09/26/2025

Mission Point Nursing & Physical Rehabilitation Ce 414 E State Street Belding, MI 48809

During an interview on 9/26/25 at 9:00 AM, CNA D reported that she was working on the S2 unit on 9/13/25 at the time of the incident between R3 and R4. CNA D said that R4 and 2 other residents really do not like other residents getting into their space. CNA D reported that she did not see R3 enter R4's room and thinks R3 entered R4's room through the adjoining bathroom. CNA D said the coffee was spilled on the floor in front of the bathroom and heard the cup hit the floor and heard R4 yell that R3 had hit him. CNA D said that R4 didn't leave his room after the incident and R3 continued to pace the halls and exit seek. CNA D said that she did not recall what interventions were put into place after the incident and reported staffing in the afternoons and evenings is tough because resident behaviors increase, and many residents need two people to assist with cares and are a high risk for falls. CNA D said there used to be activities on the unit from 8:00 AM - 8:00 PM, but now it's like activities doesn't exist, and we (nursing staff) can't do it all.

During an interview on 9/26/25 at 9:45 AM, the surveyor's 50-minute observation from 9/25/25 was discussed.

RN E, the Unit Manager for the South 1 and 2 locked units said that she was not sure how many residents living on the South 1 and South 2 units needed 2 people to assist with care. RN E reported that the activity programming is not where we want it to be and said The aides can't do it (activities, cares, supervision) all. A lot can happen in a few minutes.

During an interview on 9/26/25 at 10:45 AM, RN F reported that she worked on the S2 unit the first shift on 9/13/2025 and reported R4 was calm that day. RN F said that R3 was going into and out of other resident rooms trying to get resident water cups. RN F reported there were no activities happening that day.

Review of a facility policy Activities dated 1/1/2024 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, 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 with the community.5.

Scheduled activities are posted in the resident's room, where appropriate, and in a prominent place in the facility.9.

Special considerations will be made for developing meaningful activities for residents with dementia and/or special needs.

These include, but are not limited to, considerations for: a.

Residents who exhibit unusual amounts of energy or walking without purpose, b.

Residents who engage in behaviors not conducive with a therapeutic home like environment, c.

Residents who exhibit behaviors that require a less stimulating environment to discontinue behaviors not welcomed by others sharing their social space, d.

Residents who go through others' belongings.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Belding, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Mission Point Nursing & Physical Rehabilitation Ce or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.