Mission Point Nursing & Physical Rehabilitation Ce
Mission Point Nursing & Physical Rehabilitation Ce in Belding, MI — inspection on June 1, 2026.
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
statements about serious problems or contraindications in a prominently displayed box ( black box) in
Safety Communication dated 8/27/25 revealed, Based on FDA's re-evaluation of the Clozapine REMS
Committee and the Psychopharmacologic Drugs Advisory Committee, the Agency determined that the REMS was no longer necessary to ensure the benefits of clozapine outweigh the risk of severe neutropenia.
Although there remains a risk of severe neutropenia with clozapine use, clozapine labeling (including a new Medication Guide) is sufficient to mitigate this risk and maintain a positive benefit/risk profile. ANC monitoring can help identify neutropenia early to allow for timely intervention.
Therefore, prescribers should continue to monitor patients' ANC according to the monitoring frequencies described in the prescribing information. (https://www.fda.gov/drugs/drug-safety-communications/fda-removes-risk-evaluation-and-mitigation-strategy-rems-program-antipsychotic-drug-clozapine).
235357 06/01/2026
Mission Point Nursing & Physical Rehabilitation Ce 414 E State Street Belding, MI 48809
Review of R16's Blood Pressure Summary and Medication Administration Record revealed:On 4/4/26 R16's blood pressure was 113/65 and the midodrine was administered.On 4/6/26 blood pressure was 111/76 and the midodrine was administered.On 4/22/26 blood pressure was 108/76 and 113/57 and the midodrine was administered.On 5/2/26 blood pressure was 135/69 and the midodrine was administered.On 5/16/26 blood pressure was 115/70 and the midodrine was administered.On 5/21/26 blood pressure was 113/53 and the midodrine was administered.On 5/22/26 blood pressure was 107/55 and the midodrine was administered.During an interview via email on 5/29/2026 at 2:50 PM, the DON stated, (R16's) Midodrine was administered outside of parameters.
Discussed with some of the nurses that regularly care for (R16) and initiated education regarding following provider order including risks associated with administration of cardiac medications outside of ordered parameters.
Review of the facility policy Medication Administration-General Guidelines dated 9/1/23 revealed, .4.
Rights-Right resident, right drug, right dose, right route, right reason, right documentation and right time, are applied for each medication being administered.
235357 06/01/2026
Mission Point Nursing & Physical Rehabilitation Ce 414 E State Street Belding, MI 48809
During an observation on 5/26/26 at 11:00 AM, Certified Nurse Aide (CNA) F provided incontinent care for R57 without another staff member present to assist with positioning the resident. CNA F was observed rolling R57 away from their body without support at the edge of the bed, placing R57 at risk for rolling off the side of the bed.
During an interview on 5/27/26 at 4:15 PM, Licensed Practical Nurse (LPN)/Unit Manager (UM) G reported CNAs are expected to review Kardex (a resident care guide) to identify what level of assistance a resident need. LPN G reported R57's ability to assist with bed mobility varies. It would be her expectation that the resident be pulled toward the staff member for cares and bed mobility, not away.
Review of a Care Plan initiated on 4/10/2022 reflected R57 required assistance with Activities of Daily Living (ADLs).
Interventions reflected the resident required 2 people for bed mobility, 2 people for transfers, and 1-2 people to assist with toileting needs (interventions initiated on 11/03/2024). If incontinent care is being provided in the bed, two people would be required to move R57 in the bed in order to render care. Resident #7 (R7)During an observation on 5/26/26 at 9:18 AM, R7 laid in bed resting with her eyes open.
The call light laid on the floor, on the right side of the bed, out of sight and out of reach of R7.Resident #13 (R13)During an observation on 5/26/26 at 9:30 AM, R13 laid in bed with her eyes open.
The call light hung from a plastic hook on the wall, behind and to the right of the resident.
The button used to activate the call light laid on a bedside table behind some personal belongings, out of sight and out of reach of the resident.
Review of a policy Call Light System revised 12/2020, reflected The purpose of this policy is to assure the facility is adequately equipped with a call light at each resident's bedside, toilet, and bathing facility to allow residents to call for assistance.
Call lights will directly relay to a staff member or centralized location to ensure appropriate response.
The policy specified, 5.
With each interaction in the resident's room or bathroom, staff will ensure the call light is within reach of resident and secured, as needed.
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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.