CareSentinel

Federal Nursing-Home Survey Record

Mission Point Nursing & Physical Rehabilitation Ce

CCN 235552 · 1400 Poplar Street, Hancock, MI, 49930 · Operated within the MISSION POINT HEALTHCARE SERVICES chain

Does Mission Point Nursing & Physical Rehabilitation Ce have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Mission Point Nursing & Physical Rehabilitation Ce (CCN 235552), in Hancock, MI, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 15 deficiencies; the most serious carries scope/severity F on CMS's A–L scale. The most recent federal survey on file is dated 2025-07-25. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $180,775 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has $180,775 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$180,775

CMS has $180,775 in civil money penalties on file against this facility. CMS also records 13 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-07-25
CURRENT CYCLE
F835S/S F

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-07-25
CURRENT CYCLE
F882S/S F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2025-07-25
CURRENT CYCLE
F656S/S F

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-07-25
CURRENT CYCLE
F881S/S F

Implement a program that monitors antibiotic use.

2025-07-25
CURRENT CYCLE
F868S/S F

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2025-07-25
CURRENT CYCLE
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2025-07-25
CURRENT CYCLE
F801S/S F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

2025-07-25
CURRENT CYCLE
F802S/S F

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2025-07-25
CURRENT CYCLE
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-07-25
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-07-25
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-07-25
CURRENT CYCLE
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2025-07-25
CURRENT CYCLE
F847S/S D

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

2025-07-25
CURRENT CYCLE
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2025-07-25
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-12-06
HISTORICAL
F919S/S E

Make sure that a working call system is available in each resident's bathroom and bathing area.

2024-12-06
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2024-12-06
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-12-06
HISTORICAL
F572S/S D

Give residents a notice of rights, rules, services and charges.

2024-08-12
HISTORICAL
F880S/S L

Provide and implement an infection prevention and control program.

2024-08-12
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-08-12
HISTORICAL
F584S/S F

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.

2024-08-12
HISTORICAL
F726S/S F

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2024-08-12
HISTORICAL
F730S/S F

Observe each nurse aide's job performance and give regular training.

2024-08-12
HISTORICAL
F838S/S F

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

2024-08-12
HISTORICAL
F851S/S F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

2024-08-12
HISTORICAL
F909S/S F

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

2024-08-12
HISTORICAL
F887S/S F

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

2024-08-12
HISTORICAL
F732S/S F

Post nurse staffing information every day.

2024-08-12
HISTORICAL
F881S/S F

Implement a program that monitors antibiotic use.

2024-08-12
HISTORICAL
F700S/S E

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2024-08-12
HISTORICAL
F808S/S E

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

2024-08-12
HISTORICAL
F947S/S D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-08-12
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-08-12
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-12
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-08-12
HISTORICAL
F942S/S D

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

2024-08-12
HISTORICAL
F944S/S D

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2024-08-12
HISTORICAL
F945S/S D

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2024-05-01
HISTORICAL
F624S/S G

Prepare residents for a safe transfer or discharge from the nursing home.

2024-05-01
HISTORICAL
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2024-05-01
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-04-03
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-04-03
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2023-07-14
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2023-07-14
HISTORICAL
F921S/S F

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2023-07-14
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-07-14
HISTORICAL
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-07-14
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2023-07-14
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-07-14
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-07-14
HISTORICAL
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Mission Point Nursing & Physical Rehabilitation Ce?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…