Federal Nursing-Home Survey Record
Mission Point Nursing & Physical Rehabilitation Ce
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
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
Deficiency timeline — full federal history
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Implement a program that monitors antibiotic use.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Have a plan that describes the process for conducting QAPI and QAA activities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure medication error rates are not 5 percent or greater.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Give residents a notice of rights, rules, services and charges.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Observe each nurse aide's job performance and give regular training.
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.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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.
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.
Post nurse staffing information every day.
Implement a program that monitors antibiotic use.
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.
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.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Prepare residents for a safe transfer or discharge from the nursing home.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide and implement an infection prevention and control program.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Document what happened
Were you or a loved one harmed at Mission Point Nursing & Physical Rehabilitation Ce?
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Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.