Inspection Reports for Mission Point Health Campus of Jackson

703 Robinson Rd., MI, 49203-2538

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Deficiencies per Year

8 6 4 2 0
2010
2015
2020
2022
2023
2024
2025
Unclassified

Census Over Time

16 24 32 40 48 Oct '23 Feb '24
Census Capacity
Inspection Report Complaint Investigation Capacity: 40 Deficiencies: 1 Mar 5, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging neglect of Resident A, including concerns about personal care and medical care.
Findings
The investigation found that the allegations of neglect and failure to provide medical care were not substantiated. However, a violation was established related to the resident's service plan not being updated to include the frequency of bathing activities as required.
Complaint Details
Complaint alleged Resident A was neglected, including being unbathed, improperly dressed, and not out of bed for three days, and that Resident A may not have received needed medical care. Both allegations were not substantiated.
Deficiencies (1)
Description
Resident A’s service plan was not updated to include the frequency of bathing activities.
Report Facts
Capacity: 40 Complaint Receipt Date: Feb 26, 2025 Investigation Initiation Date: Feb 27, 2025 Report Due Date: Apr 28, 2025
Employees Mentioned
NameTitleContext
Elizabeth Gregory-WeilLicensing StaffAuthor of the report
Cindy GoodrichAdministratorFacility administrator mentioned in identifying information
Michael WernetteAuthorized RepresentativeFacility authorized representative mentioned in identifying information
J. RogersLicensing StaffContacted facility to verify resident location during investigation
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 40 Deficiencies: 1 Jul 18, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging neglect of Resident A, including unchanged briefs, lack of repositioning, and presence of bed sores.
Findings
The investigation substantiated a violation regarding neglect and lack of care consistent with Resident A's service plan, including insufficient documentation of showers and intermittent refusal of care by the resident.
Complaint Details
The complaint alleged Resident A was neglected, with briefs unchanged, lack of repositioning, and bed sores. The violation was substantiated as a repeat violation.
Deficiencies (1)
Description
Failure to provide care consistent with Resident A's service plan, including insufficient shower documentation and neglect of personal needs.
Report Facts
Capacity: 40 Complaint Receipt Date: Jul 3, 2024 Investigation Initiation Date: Jul 3, 2024 Inspection Date: Jul 18, 2024 Report Due Date: Sep 2, 2024
Employees Mentioned
NameTitleContext
Cindy GoodrichAdministratorProvided statements regarding Resident A's care and condition
Michael StacksAuthorized RepresentativeContacted during investigation and exit conference
Jessica RogersLicensing StaffConducted inspection and authored report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Census: 21 Capacity: 40 Deficiencies: 2 Feb 8, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A lacked care while at the facility and that staff had their children at work.
Findings
The investigation established that Resident A was not provided care consistent with her service plan, which was not updated to reflect her needs in the assisted living setting. Additionally, Resident B's care was also found inconsistent with her service plan. The allegation that staff had their children at work was not substantiated as medical records staff were not part of the licensed home and no children were observed in the licensed area.
Complaint Details
Complaint alleged Resident A lacked care, including delays in staff assistance and inadequate care leading to hospitalization and death. The complaint also alleged staff had their children at work. The lack of care allegation was substantiated; the children at work allegation was not substantiated.
Deficiencies (2)
Description
Resident A was not provided care consistent with her service plan, which was not updated or revised to reflect her needs in the Homes for the Aged.
Resident B's care was not consistent with her service plan.
Report Facts
Resident census: 21 Facility capacity: 40 Complaint receipt date: Jan 30, 2024
Employees Mentioned
NameTitleContext
Cindy GoodrichAdministratorInterviewed during investigation; statements consistent with findings.
Michael StacksAuthorized RepresentativeParticipated in exit conference.
Jessica RogersLicensing StaffConducted investigation and authored report.
Inspection Report Renewal Census: 23 Capacity: 40 Deficiencies: 8 Oct 24, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with state regulations and determine if the facility's license should be renewed.
Findings
The facility was found to be non-compliant with multiple state rules including lack of designated supervisor on each shift, incomplete meal census records, inadequate ventilation in certain bathrooms, improper water temperature regulation, expired food items, incomplete medication instructions, incomplete resident service plans, and untimely tuberculosis screenings for employees.
Deficiencies (8)
Description
Staff schedule lacked designation of one supervisor of resident care for each shift.
Meal census records lacked recording the number of residents, personnel, and visitors served for each meal.
Resident bathrooms 401-A and 403-A lacked adequate and discernable air flow.
Water temperatures at resident plumbing fixtures were not regulated within 105 to 120 degrees Fahrenheit.
Expired items found in the memory care refrigerator, such as grape jelly expired on 7/29/2023.
Medications ordered PRN lacked sufficient written instructions for administration.
Resident service plans were incomplete, lacking specific care details and hospice agency information.
Employee tuberculosis screenings were not completed within ten days of hire date.
Report Facts
Number of staff interviewed and/or observed: 15 Number of residents interviewed and/or observed: 23 Facility capacity: 40 Water temperature: 133.2 Water temperature: 126.1 Water temperature: 101.3 Water temperature: 99 Expired food item date: Jul 29, 2023
Employees Mentioned
NameTitleContext
Lori McLeskeyAdministrator/Licensee DesigneeInterviewed regarding tuberculosis screening compliance
Inspection Report Renewal Deficiencies: 0 Oct 23, 2022
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License duration: 12
Employees Mentioned
NameTitleContext
Jessica RogersLicensing StaffSigned the renewal notification letter
Inspection Report Original Licensing Capacity: 40 Deficiencies: 0 Oct 27, 2020
Visit Reason
The document serves as an addendum to the Original Licensing Study Report to reflect the change of the licensee and facility name effective August 7, 2020.
Findings
The licensee name was changed from Triology Healthcare of Jackson, LLC to Mission Point Health Campus of Jackson, LLC, and the facility name was changed accordingly. The Federal Employer Identification Number remained unchanged, and the new entity is registered and in good standing.
Report Facts
Facility capacity: 40
Inspection Report Original Licensing Capacity: 40 Deficiencies: 0 Jul 23, 2015
Visit Reason
The inspection was conducted to approve a building renovation that added a new resident room and to increase the licensed capacity of the facility to 40 beds.
Findings
The newly remodeled resident room #516 was found to be compliant with Health Facility Administration rules, equipped appropriately, and approved by the Health Facilities Engineering Section and Bureau of Fire Services. The facility's request to increase licensed beds from 39 to 40 was supported and approved.
Report Facts
Licensed capacity: 40
Employees Mentioned
NameTitleContext
Kathy CorbinAuthorized RepresentativeSubmitted written request for increasing licensed beds and involved in the renovation approval process
Jake HilerAdministratorInterviewed during on-site inspection and involved in renovation communication
Patricia J. SjoLicensing StaffConducted inspection and authored the report
Betsy MontgomeryArea ManagerApproved the licensing study report
Inspection Report Original Licensing Capacity: 39 Deficiencies: 0 Oct 14, 2010
Visit Reason
The visit was conducted as an original licensing inspection to determine compliance with applicable licensing statutes and administrative rules for RidgeCrest Health Campus.
Findings
The facility was found to be in substantial compliance with licensing requirements, with no rule or statutory violations identified. A temporary license with a maximum capacity of 39 beds was recommended for issuance.
Report Facts
Capacity: 39
Employees Mentioned
NameTitleContext
Mary CoppernollAdministrator and Authorized RepresentativeInterviewed during inspection and identified as administrator in licensing documents
Patricia J. SjoLicensing StaffConducted inspection and authored the licensing study report
Betsy MontgomeryArea ManagerApproved the licensing study report

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