Above average — CMS composite of the measures below.
The next survey window likely opens around July 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at North Point Skilled Nursing Center during CMS and state inspections, most recent first.
Improper Food Labeling, Dating, and Dish Storage: Kitchen and food storage areas contained multiple unlabeled and undated items, including cooked bacon, sauces, a deli sandwich, frozen cookies, cheese, and bologna. In the west hallway kitchen area, dishes were stored upright and uncovered, and staff stated that food and clean dishes were expected to be labeled, dated, covered, or stored inverted as appropriate.
Infection control practices were not followed during linen storage, hand hygiene, and EBP care. Clean linens on a hallway linen cart were left uncovered, CNAs passed water and ice to multiple residents without performing hand hygiene between rooms, and two CNAs provided urinary catheter care to a resident using gloves but no gown. An administrative nurse stated staff were expected to wear a gown for EBP care and perform hand hygiene when passing water and ice.
A resident with quadriplegia and aphasia, severe cognitive impairment, and dependence for all ADLs was not included with his guardian in facility care plan conferences. The EMR lacked documentation of facility staff care plan meetings, and the guardian reported she had never been invited to a meeting with facility staff and had only attended a meeting with PACE staff. Staff gave conflicting accounts about how care plan meetings were arranged and documented.
Failure to notify a resident’s DPOA of a new medication order. A resident with DM, vascular dementia, and moderately impaired cognition was newly ordered fluconazole, but the EMR lacked documentation that the DPOA was informed. The DPOA reported she had not been notified, and staff stated they were expected to call the family or representative about new meds or treatments and document the notification.
Care plan not updated for new insulin use and blood sugar monitoring. A resident with DM and intact cognition began receiving insulin and required BG monitoring, but the care plan did not reflect the new insulin regimen or monitoring needs. The MAR showed insulin orders, and a progress note documented BG checks before lunch and dinner. Staff stated the resident was a new diabetic and the care plan had not been updated to match the new diagnosis.
Failure to provide nail care for a resident with DM and vascular dementia. The resident had moderately impaired cognition, was totally dependent for toileting and personal hygiene, and his care plan directed staff to trim his nails as needed. Staff reported nail care was expected on bath days and when needed, but the resident’s fingernails were observed repeatedly to be long with brown substance under them, and records did not show that he refused nail care.
A resident with quadriplegia, dysphagia, and severe cognitive impairment had a G-tube used for meds, water flushes, and enteral nutrition. An LPN administered water, meds, and formula through the tube without checking placement or residual first, and the resident's care plan and MD orders did not include instructions to verify tube placement before use.
Failure to Document Post-Dialysis Assessment: A resident with ESRD who received hemodialysis twice weekly returned from treatment and reported staff rarely assessed her afterward or checked her chest port. The RN confirmed a pre- and post-dialysis assessment should have been completed and documented on the Dialysis Communication Form, but no post-dialysis assessment was found in the EMR and there was no evidence the resident refused care.
Improper Food Labeling, Dating, and Dish Storage
Penalty
Summary
The facility failed to store and prepare food in the kitchen under sanitary conditions to prevent food borne illnesses. During observation of the kitchen and food storage areas, a bag of cooked bacon in a built-in refrigerator had no label and no date, a bottle of coffee creamer was labeled with a name and no date, a bottle of sweet-and-sour sauce had no date, a bottle of soy sauce had no date, and a deli sandwich had no label and no date. In the built-in freezer, a bag of frozen cookies had no label and no date. Dietary Staff BB stated that all food was expected to be labeled and dated. In the west hallway dining room kitchen area, the refrigerator marked for kitchen staff only contained two packages of cheese with no date and no label, and bologna in a packet that was undated. The dishes on the counter were stored upright and were not covered. Dietary Staff BB stated that food brought from the main kitchen to this area should also be labeled and dated, and that plates should be stored inverted or covered. Administrative Staff A also stated that all food was expected to be labeled and dated and dishes were to be covered or stored correctly. The facility's policies stated that foods stored in the refrigerator or freezer would be covered, labeled, and dated, and that clean dishes would be stored in a sanitary manner, covered or inverted when practical.
Infection Control Lapses in Linen Storage, Hand Hygiene, and EBP
Penalty
Summary
The facility failed to ensure adequate infection control practices related to linen storage, hand hygiene, and Enhanced Barrier Precautions (EBP) while providing care to R45. During observations on 08/04/2026, the linen cart on the south hallway was seen without a covering over clean towels, washcloths, and sheets at 07:58 AM, and again without a covering over clean linens at 11:30 AM. During an observation at 08:58 AM, CNA M and CNA N passed water and ice to residents in rooms 5, 7, 9, 11, 12, and 15 on the west hall, and neither CNA performed hand hygiene between resident rooms. At 09:11 AM, during indwelling catheter care for R45, CNA N and CNA M performed hand hygiene and donned gloves, but neither CNA wore a gown. Later, CNA M stated she did not wash her hands when providing water and ice to residents but should have, and CNA N and CNA M each stated they should have worn a gown while providing urinary catheter care to R45. Administrative Nurse D stated she expected staff to wear a gown when providing care for residents requiring EBP and to perform hand hygiene when providing residents with water and ice. The facility policy on Enhanced Barrier Precautions, dated 01/27/2026, stated the facility implements EBP to prevent transmission of multidrug-resistant organisms, and the Hand Hygiene policy, dated 01/27/2026, stated all staff will perform proper hand hygiene to prevent spread of infection.
Failure to Invite Resident and Representative to Care Plan Conferences
Penalty
Summary
The facility failed to include the resident or his representative in the development and planning of his person-centered care plan when it did not notify or invite them to care plan meetings. The resident had diagnoses of quadriplegia and aphasia, and his admission MDS documented that no BIMS interview was completed, he was rarely or never understood, staff assessed him as having severely impaired cognition, and he was dependent on staff for all ADLs. His Communication CAA noted he had a potential for decline in communication related to his diagnoses, but he could sometimes recognize family, answer yes or no questions, and understand some staff directions. The resident’s care plan instructed staff to use communication techniques, allow adequate time for responses, repeat as necessary, avoid rushing him, and face him while speaking. Although the EMR documented a care meeting with the resident, his guardian, and a PACE representative, it lacked documentation that care plan conferences occurred with facility staff. The guardian stated she had never been invited to a care plan meeting with facility staff since admission and had only attended a care plan meeting with PACE staff. Administrative nurses reported that care plan meetings were completed by the interdisciplinary team and that the SSD would call the family to set them up, but one nurse was not sure whether meetings occurred with the facility and guardian or with PACE, and another said the meetings were documented in a progress note.
Failure to Notify Legal Representative of New Medication Order
Penalty
Summary
The facility failed to ensure Resident 39’s legal representative was notified of a new medication order. Resident 39 had diagnoses of diabetes mellitus and vascular dementia, with a BIMS score of 8 indicating moderately impaired cognition. He was documented as alert to self, dependent on staff for toileting and personal hygiene, and newly admitted to hospice with vascular dementia. His care plan instructed staff to notify his durable power of attorney of any changes related to him. On 07/30/2026, the provider saw Resident 39 and ordered fluconazole 100 mg daily for 14 days, but the progress note did not document that the DPOA was notified. On 08/03/2026, the DPOA stated she had not been informed of the new fluconazole order and reported the facility had not always notified her of new orders. Staff interviews confirmed that the nurse should have called the family or representative about new medications or treatments and documented the notification in the EMR, and that it was expected for the nurse to notify the family or representative of all new orders and document it in the EMR.
Care plan not updated for new insulin use and blood sugar monitoring
Penalty
Summary
The facility failed to update the care plan for R36 when the resident began using insulin and required blood sugar monitoring. R36 had a diagnosis of diabetes mellitus, and the Quarterly MDS documented a BIMS score of 15, indicating intact cognition, with no insulin use listed on the medication list at that time. The Annual MDS later documented that R36 received seven days of insulin, but the care plan dated 06/27/2026 did not include information that the resident had started insulin or needed blood glucose monitoring. The MAR dated 06/28/2026 showed insulin orders for 10 units subcutaneously at bedtime with blood glucose checks and 14 units subcutaneously in the morning, and a progress note dated 07/16/2026 documented that blood sugar was to be checked before lunch and dinner. Administrative Nurse E stated that R36 was a new diabetic and the care plan had not been updated, and Administrative Nurse D stated that care plans should be updated when a resident has a new diagnosis. The facility policy on care plan revisions upon status change stated that the process was intended to provide a consistent review and revision of the care plan for residents experiencing a status change.
Failure to Provide Nail Care for a Resident with Diabetes
Penalty
Summary
The facility failed to ensure Resident 39 received assistance with ADLs for nail care. R39 had diagnoses of diabetes mellitus and vascular dementia, a BIMS score of 8 indicating moderately impaired cognition, and was documented as totally dependent for toileting and personal hygiene. His care plan instructed nursing staff to trim his nails as needed, and facility staff stated that nail care was expected on bath days and when needed. However, the resident’s fingernails were observed on multiple occasions to be long with a brown substance under all fingernails. Record review showed R39 was scheduled for showers on Sunday, Wednesday, and Friday mornings, and hospice aide documentation from 06/03/2026 through 07/03/2026 showed no care refusals. EMR task review from 07/03/2026 through 08/03/2026 documented one shower refusal, but there was no documentation that he refused nail care. Staff interviews indicated the nurse was responsible for trimming his nails because he was diabetic, and that nail cleaning should occur during showers or as needed. One consultant staff member reported she had not been allowed to trim his fingernails and had verbally told the nurse when they needed trimming, while the nurse stated she was unsure when the nails were last trimmed.
Feeding Tube Placement Not Verified Before Use
Penalty
Summary
The facility failed to ensure a resident's G-tube was monitored for placement before medications and enteral nutrition were administered. The resident had diagnoses of quadriplegia and dysphagia, was severely cognitively impaired, and was dependent on staff for all ADLs except eating because of the feeding tube. The resident's feeding tube care assessment documented that staff were to provide enteral feedings and keep the head of the bed elevated during feedings, and the care plan directed staff to provide tube feeding five times daily with 60 mL water flushes before and after each feeding. However, the care plan and physician orders lacked instructions to check feeding tube placement before use. On observation, a licensed nurse assisted the resident to his room, performed hand hygiene, applied gloves and a gown, connected the feeding tube to a syringe, and administered 60 mL of water, medications, and one carton of Isosource 1.5 through the tube without checking placement or residual first. The nurse later stated she forgot to check placement when giving the water and enteral feeding, though she said she normally did and had checked residual earlier that morning. An administrative nurse stated she expected the nurse to check the measurement of the feeding tube before use to verify placement and believed that direction was on the resident's orders, but the orders did not include placement or residual checks.
Failure to Document Post-Dialysis Assessment
Penalty
Summary
The facility failed to complete and document a post-hemodialysis assessment for a resident with end-stage renal disease who received dialysis twice weekly and had intact cognition with no refusal of care documented. The resident’s care plan noted that she returned from dialysis tired, often went straight to her room to nap, and required monitoring for increased fatigue and assistance with activities of daily living and mobility as needed. Her EMR also included orders related to her chest port dressing, including routine dressing changes and sterile care instructions. On the day in question, the resident returned from dialysis and stated that staff rarely assessed her when she came back from treatment and did not check her port. She exposed the chest port during the interview, and the dressing was dry and intact without bleeding or drainage. Review of the resident’s progress notes, evaluation notes, and EMR found no documentation of a post-dialysis assessment, and there was no evidence that she refused the assessment. The nurse on duty confirmed that a pre- and post-dialysis assessment should have been completed and documented on the Dialysis Communication Form, but she could not locate the form for that day and stated she did not recall seeing it when the resident returned.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medicalodges Paola | 1.2 mi | ★★★★★ | 16 | 0 |
| Louisburg Healthcare And Rehabilitation Center | 10.6 mi | ★★★★★ | 0 | 0 |
| Spring Hill Care And Rehab | 11.6 mi | ★★★★★ | 1 | 1 |
| Wellsville Manor | 14.7 mi | ★★★★★ | 23 | 0 |
| Meadowbrook Rehabilitation Hospital | 16.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.