Cypress Pointe Rehabilitation And Nursing
CYPRESS POINTE REHABILITATION AND NURSING in VIRGINIA BEACH, VA — inspection on February 23, 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
acute care hospital stay.
The current diagnoses included: Chronic Pain and Insomnia, unspecified.
1/25/26, coded the resident as having completed the Brief Interview for Mental Status (BIMS) and
making were intact. In sectionGG(Functional Abilities Goals), the resident was coded as dependent with shower/bathe self, toileting hygiene, lower body dressing, and putting on and taking off footwear.
Requiring partial moderate assistance with personal hygiene, requiring set-up or clean-up assistance with oral hygiene, and coded as independent with eating.
The person-centered care plan, revised on 1/15/24, read that Resident #10 has an ADL self-care performance deficit r/t COPD, obesity.
The Goal for the resident was that the resident would improve their current level of function in ADLs.
The Interventions for the resident included: Encourage the resident to use the bell to call for assistance and discuss with the resident/family/POA any concerns related to loss of independence, decline in function. 02/19/26 1:41 pm., during the initial tour an interview was conducted with Resident #10 concerning her care and treatment.
The resident said that she doesn't get changed for hours and has to lie in her wetness, and it has been happening for about 1 1/2 weeks. We don't get changed, it takes 30 minutes to an hour before they check on me. I'll call my son and say, Baby, I'm wet.
And he will call the nurse's station.
On 2/22/26 at approximately 2:15 pm., a brief interview was conducted with Resident #10. Resident #10 said, I stayed wet from 11:00 pm last night until this morning after 7:00 am.
On 2/22/26 at approximately 4:45 PM, a final interview was conducted with the Administrator, DON, and the Regional Nurse Consultant.
The above concern was addressed, and the facility's staff were given the opportunity to provide information they considered pertinent to the findings.
495234 02/23/2026
Cypress Pointe Rehabilitation and Nursing 5580 Daniel Smith Road Virginia Beach, VA 23462
results.A review of Resident #95's nurses note dated 3/4/25 at 7:23 AM read: LEFT FOOT AND LEFT
WITH POSTERIOR AND MEDIAL ANGULATION. THIS WRITER CALLED ON CALL MALTC, NO
Resident #95's nurses note dated 3/4/25 at 7:38 AM read: ON CALL MALTC MADE AWARE AND MD [NAME] GAVE ORDER TO SEND TO ER. ORDER PLACED IN MAR. CHARGE NURSE AM SHIFT AND LEDERSHIP MADE AWARE.A review of Resident #95's nurses note dated 3/4/25 at 7:48 AM read: F/U Results Acute Fracture Left foot and ankle, Guardian JEWISH FAMILY SERVICES made aware.A review of Resident #95's nurses note dated 3/4/25 at 6:53 PM read: Resident was picked up by Fast Tract transportation to go to Sentara [NAME] Hospital for evaluation & treatment for fracture. JFS aware.A review of Resident #95's nurses note dated 3/5/25 at 3:15 AM read: This writer (Nurse name) called Sentara [NAME] Hospital.
Per ER Nurse, Resident will be admitted Dx: B/L Tibial Fracture.A review of Resident #95's Radiology Results Report dated 3/4/25 at 12:37 AM read: Impression - There appears to be a fibular fracture.On 2/21/26 at 9:58 AM, an interview was conducted with Licensed Practical Nurse (LPN) #1. LPN #1 stated that the Certified Nursing Assistant (CNA) was in the resident's room performing ADL duties when the fall occurred. LPN #1 also stated that the CNA turned her back to rinse a washcloth, and the resident fell out of the bed onto the floor. LPN #1 further stated that the resident was dependent regarding care, and the CNA should not have left the bedside and allowed the patient to fall out of the bed. LPN #1 lastly stated that the CNA did not lower the bed while performing ADL care, and fall mats were not in use at the time.The Physician's Order Summary (POS) read, Devices: Floor Mats to the side of the bed while in bed for safety QS every shift for Safety r/t frequent falls with a start date of 4/11/2024.On 2/21/26 at 12:05 PM, an interview was conducted with the Minimum Data Set (MDS) Nurse.
The MDS Nurse stated that due to Resident #95 being coded as dependent for Roll left and right: the ability to roll from lying on back to left and right side, and return to lying on back on the bed, the CNA needed to make sure the patient was in the middle of the bed and safe before turning her back.
The MDS Nurse also stated that if a patient falls off the bed, it means the patient was not positioned safely.
The MDS further stated that the CNA should have made sure she positioned Resident #95 safely before turning her back. On 2/21/26 at 12:40 PM, an interview was conducted with the Rehabilitation Manager.
The Rehabilitation Manager stated that Resident #95 was totally dependent regarding ADL care and would not follow commands.
The Rehabilitation Manager also stated that the CNA should have ensured the resident was in a safe position before turning her back while providing ADL Care.On 2/21/26 at 4:20 PM, an interview was conducted with the Director of Nursing (DON) and Administrator.
The DON stated that when a resident is dependent, a CNA should provide total care.
The DON also stated that the CNA turning her back to rinse the washcloth was a safety issue. A review of Post Fall Review documentation dated 2/25/2025 at 10:30 AM read: Description of Fall - Resident rolled from bed while aid was in the room with the patient providing ADL care.The facility's Fall Prevention and Management policy was presented on 2/22/26 at 10:17 AM by the Regional Nursing Consultant without an effective date.
The policy read, Policy: It is the policy of this facility to provide resident-centered care that meets the psychological, physical, and emotional needs and concerns of the residents.
Fall prevention and management is the process of identifying risk factors that can maximize the potential for falls, and also a process to manage a resident's care if a fall occurs.
Fall Risk Assessment: Other factors should include the environment, medications, physical and mental diagnosis as well as the resident's current ADL status.On 2/22/26 at approximately 4:35 PM, a final interview was conducted with the Administrator, Director of Nursing, and Regional Nursing Consultant. An opportunity was offered to the facility's staff to present additional information.
They had no further comments and voiced no concerns regarding the above information.
495234 02/23/2026
Cypress Pointe Rehabilitation and Nursing 5580 Daniel Smith Road Virginia Beach, VA 23462
Administrator, DON, and the Regional Nurse Consultant.
The above concern was addressed, and an
use, and documented interventions they had instituted to allow the resident to use the
desired during transfers.
The facility staff failed to provide any documentation or interventions that they stated were offered to the resident.