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Complaint Investigation

Mission Point Nursing & Physical Rehabilitation Ce

Inspection Date: August 25, 2025
Total Violations 9
Facility ID 235454
Location Detroit, MI
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-25.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-08-25.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, interview, and record review the facility failed to ensure one resident room (Resident R62) of nine residents was in good repair.Resident R62.On 8/25/2025 at 11:23 a.m., Resident R62's room was noted with a loud unpleasant odor. Observed chipped paint and holes in the wall over the bed and a fan hanging near the bed with thick dust particles blowing from the fan. The bathroom was observed with multiple areas of black residue on the wall and behind the toilet. The vent was covered with thick dust particles, holes in the wall near the tissue holder and brown stains and scuff marks on the bathroom door.On 8/25/2025 at approximately 11:30 a.m. during an interview Resident R62 stated, The bathroom is filthy and uncomfortable. I have no control over it. I have to wait until they get to it, I guess. Resident R62 confirmed the facility was aware of the repairs and cleaning needed for a long time.On 8/25/2025 at 11:55 a.m., Maintenance Director (MD) J was asked during an interview in Resident R62's bathroom what was the black areas on the wall? MD J stated, Oh yes, it got worse, but I don't think its mold. I think the black spots are from when we used mud to seal the cracks and holes and it just got black. MD J was asked had any staff member written any repair orders? MD J stated, The staff suppose to report that and document in TELS (a system used for staff to report repair needs) for a work order to be repaired. MD J was asked who was responsible for dusting and cleaning the residents' vents and fans MD J stated, The housekeepers supposed to dust the vents, and fans. The fans and vents should not have been that dusty.On 8/25/2025 at 11:55 a.m. while observing Resident R62's room and bathroom, Regional Director of Operation (RDO) A confirmed Resident R62's bathroom and room needed to be cleaned and in need of repairs. RDO A stated, I have not been here long, but this is something I see needs to be done.According to the electronic health record (EHR), Resident R62 was readmitted into the facility on [DATE REDACTED] with diagnoses of chronic obstruction pulmonary disease, hypertension, multiple sclerosis, and Parkinsonism. Resident R62's 7/2/32025 quarterly Minimum Data Set (MDS) assessment revealed Resident R62 had intact cognition with a BIMS (brief interview for mental status) score of 15/15.According to the facility's 1/23/2024 Safe and Homelike Environment policy: In accordance with resident ‘s rights, the facility will provide a safe, clean, comfortable and homelike environment.Environment refers to any environment in the facility that is frequented by residents, including (but not limited to) the resident's room, bathroom.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-25.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-25.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0685

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0685 during a standard health inspection conducted on 2025-08-25.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Assist a resident in gaining access to vision and hearing services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-25.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0814

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-08-25.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Dispose of garbage and refuse properly.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0908

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI for a deficiency under regulatory tag F-F0908 during a standard health inspection conducted on 2025-08-25.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Keep all essential equipment working safely.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of Mission Point Nursing & Physical Rehabilitation Ce.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

📋 Inspection Summary

Mission Point Nursing & Physical Rehabilitation Ce in Detroit, MI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 Detroit, 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.
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