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Complaint Investigation

Mission Point Nursing & Physical Rehabilitation Ce

May 27, 2026 · Holly, MI · 313 Sherwood Street
Citations 1
CMS Rating 2/5
Beds 66
Provider ID 235722
Healthcare Facility
Mission Point Nursing & Physical Rehabilitation Ce
Holly, 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 Holly, MI — inspection on May 27, 2026.

Found 1 citation. 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

FF0658
Resident Assessment and Care Planning Deficiencies

Review of the article titled, Divalproex to Divalproex Extended-Release Conversion, accessed 6/04/26, from Medscape, revealed, Abstract and Introduction: Objective: Divalproex extended release (ER) tablets have lower bioavailability than conventional divalproex tablets.

Objectives were to provide dose-increment justification for conversion of a patient from conventional enteric-coated divalproex to a once-daily enteric-coated divalproex to a once-daily divalproex ER regimen and to discuss the pharm kinetic factors affecting these unequal total daily dose conversions.Conclusions: An 8-20% higher divalproex ER daily dose should be used when converting from a total daily dose of divalproex.

The lower fluctuations of valproic acid concentrations, consistent time to trough concentration, and lower dosing frequency of divalproex ER should offer benefit to the patient by providing convenient once-daily administration, and to the clinician by facilitating easier and reliable therapeutic drug monitoring and improving patient adherence.

During the onsite survey, past noncompliance (PNC) was cited after the facility implemented actions to correct the noncompliance which included: Each resident prescribed Depakote was identified and had their Depakote orders audited to ensure that the correct type of Depakote matched the physician orders.

All were in compliance.

Nurses were re-educated on the transcribing of medication.

Each new admission who is prescribed Depakote will be audited to ensure that the correct order for Depakote is transcribed to the MAR.

The facility was able to demonstrate monitoring of the corrective action and maintained compliance.

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 Holly, 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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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.