Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mission Point Nursing & Physical Rehab Center Of L during CMS and state inspections, most recent first.
Infection Control and Water Management Failures: An RN handled uncovered drinks at the med cart, performed high-contact care for a resident on EBP without gloves or a gown, and picked up dropped meds with bare hands. Two CNAs changed gloves during incontinence care without hand hygiene and continued touching linens, bed controls, drawers, and supplies with soiled gloves. The facility also had plumbing lines not being flushed as required, and brown water was observed from a housekeeping closet spigot.
Poor cleanliness and maintenance in supply, utility, and restroom areas. The facility had debris on the ice machine condenser cover in the Resident Care Supply room, a brown film buildup inside the hopper in the Soiled Utility room, and a shared restroom vent cover that was not flush with the ceiling with a loud fan noise audible in an adjacent room. The EM stated the ice machine and hopper cleaning were housekeeping responsibilities and was unaware of the vent cover and fan issue.
Call Light Not Kept Within Reach: A resident with anoxic brain damage, unsteadiness, muscle weakness, and anxiety was observed multiple times with his call light placed on a heat vent near the floor between the bed and wall, out of sight and out of reach. The resident stated he did not know where the call light was and reported he had not had access to it overnight, saying he would have had to yell for staff if he needed help. His care plan directed staff to keep the call light within reach, and a CNA stated call light placement is checked during 2-hour rounds.
Failure to Follow the Five Rights During Medication Administration: An RN did not verify the correct dose for a cranberry supplement when the ordered strength was not stocked, found a lidocaine patch on a resident without date or initials, and administered a sertraline dose handed to her by an ADON without witnessing retrieval from backup supply or verifying the tablets. MAR review showed ongoing documentation of the cranberry and lidocaine orders, and the DON reported multiple residents had been receiving cranberry doses lower than prescribed.
The facility failed to maintain cleanliness and repair of equipment, plumbing, and the physical environment, affecting all residents. Issues included a leaking sewer pipe in the dry storage room, debris accumulation in the ice machine room, a dimly lit spa room, and non-operational laundry equipment. The Environmental Services Manager was unaware of some issues and the facility faced compliance problems with the wastewater treatment plant.
A resident with a urinary catheter had their collection bag improperly positioned above bladder level, contrary to care plan instructions. Staff placed the bag on the back of the wheelchair due to leakage and preference issues, leading to urine backup. The DON and the resident's urologist confirmed the risk of infection from this practice.
The facility failed to date and discard an outdated PPD solution and two insulin pens, which were kept in active storage past their expiration dates. An LPN was unable to determine when the PPD vial was opened, and an RN confirmed that the insulin pens had no current orders and should have been discarded. The Director of Nursing acknowledged these oversights, which were against the facility's medication storage policy.
A facility failed to ensure proper use of PPE for a resident requiring Enhanced Barrier Precautions (EBP) due to pressure ulcers. Despite needing multiple daily dressing changes, there was no EBP order, and a nurse performed dressing changes without a gown. The DON confirmed EBP should have been in place since admission. Facility policy mandates gown and glove use during high-contact activities like wound care for residents with chronic wounds.
A facility failed to implement effective communication interventions for a resident with aphasia and cognitive communication deficit. The resident's husband reported staff's inability to communicate effectively, and observations revealed no communication tools in place. The care plan included interventions for communication, but they were not effectively implemented, leading to miscommunication of care needs.
A resident with a history of hemiplegia and cognitive deficits experienced pain and abnormal behavior, indicating a possible UTI. Despite her husband's concerns and requests for a urinalysis, the facility's nursing staff failed to document and communicate findings effectively, leading to delays in diagnosis and treatment. The resident's condition worsened, and she was eventually transferred to the emergency department.
Infection Control and Water Management Failures
Penalty
Summary
The facility failed to implement its Infection Control and Prevention policies and procedures during resident care and medication administration. During medication administration, RN D had an uncovered cup of yellow carbonated liquid and an uncovered cup of clear liquid at the medication cart. RN D stated the yellow liquid was her personal drink and the clear liquid was water poured for another resident who was not yet ready for medications. While administering care to a resident on Enhanced Barrier Precautions, RN D removed and replaced a lidocaine patch and gave medications without donning gloves or a gown for the high-contact interaction. RN D also discarded her uncovered drink in the shower room and left the uncovered cup of water intended for another resident on the cart. During medication preparation for another resident, RN D dropped a pantoprazole 40 mg capsule onto the medication cart and picked it up with bare hands before placing it in a medication cup. She later dropped a 2 mg nicotine gum piece onto the cart and again picked it up with bare hands before placing it in the cup. During incontinence care for a resident in bed, two CNAs donned PPE and provided perineal care, but they changed gloves without performing hand hygiene between glove changes and then adjusted linens, used bed controls, opened dresser drawers, replaced supplies, and recapped supplies while wearing soiled gloves. The facility also had a hopper cold-water line in the soiled utility room that could not be turned on by hand and was not on the weekly flushing schedule, and a housekeeping closet spigot produced brown water when the hot water handle was turned on; the Environmental Manager stated the spigot was not in use and the water lines were not flushed weekly.
Poor cleanliness and maintenance in supply, utility, and restroom areas
Penalty
Summary
The facility failed to maintain general cleanliness and repair of staff access only areas and residents living areas. During observation, the condenser cover of the ice machine in the Resident Care Supply room had a buildup of debris on its surface. In the Soiled Utility room on East Hall, the hopper had a buildup of brown film on the interior, and the film was partially dislodged when sprayed with water. In a shared restroom for rooms [ROOM NUMBERS], the ventilation cover was not flush with the ceiling, leaving an opening of over a half inch between the ceiling and vent cover, and the fan was operating with loud noise that could be heard in room [ROOM NUMBER] with the restroom door closed. The Environmental Manager stated the ice machine was scheduled to be wiped down monthly by housekeeping personnel and identified cleaning of the hopper as a housekeeping responsibility, and was unaware of the vent cover issue and the fan noise.
Call Light Not Kept Within Reach
Penalty
Summary
The facility failed to ensure the call light was within reach for one resident who was reviewed for call light placement. The resident was a male with diagnoses including anoxic brain damage, unsteadiness on feet, muscle weakness, and adjustment disorder with anxiety, and he required assistance from one staff person for most ADLs. During observations on 12/14/25 and 12/15/25, the resident was seen in bed while his call light remained on top of the heat vent, near the floor, between the wall and the bed, out of sight and out of reach. The resident stated he did not know where his call light was during one observation. The resident stated he had not had access to his call light throughout the night and said that if he needed something he would have had to yell for staff. When asked whether staff would hear him, he said he was not sure because his room was at the end of the hall. The resident’s safety care plan included the intervention to be sure his call light was within reach. A CNA stated that staff check call light placement in each room with every 2-hour check.
Failure to Follow the Five Rights During Medication Administration
Penalty
Summary
The facility failed to ensure licensed nurses followed the Five Rights of medication administration for two residents during observed medication passes. For one resident, the RN prepared Cranberry Oral Tablet 500 MG ordered as 2 tablets by mouth in the morning for UTI prevention, but discovered the only dosage form available in the facility was a 450 MG tablet, not the ordered 500 MG dose. The RN stated she would obtain a clarification order before giving a dose lower than prescribed. During the same observation, the RN found a Lidocaine 4% patch already on the resident’s back, but the patch had no date or nurse initials showing when it had been applied or by whom. The RN reported she did not believe the resident was supposed to wear the patch overnight and notified the ADON. The ADON contacted the physician, who confirmed the resident was to wear the lidocaine patch during the day and remove it at night. Review of the MAR showed licensed nurses had documented the lidocaine patch as removed on the prior day, even though a patch was found in place the next morning. The MAR also showed daily documentation of the cranberry supplement order throughout December 2025, despite the facility never stocking the ordered 500 MG dosage and the DON later reporting that five residents had been receiving doses lower than prescribed. For another resident, the RN prepared Sertraline HCl 100 MG tablets ordered as 200 MG by mouth in the morning for depression, but the medication was not available in the cart. The ADON stated it was in backup supply and handed the RN a medication cup allegedly containing four 50 MG tablets, but the RN did not witness the ADON obtain the medication from backup supply and did not verify that the tablets were the correct drug and dose for the resident. The RN then administered the medications, including the unverified sertraline. The MAR reflected that the RN documented administration of sertraline despite not conducting the Five Rights of medication administration.
Facility Maintenance and Cleanliness Deficiencies
Penalty
Summary
The facility failed to maintain cleanliness and general repair of equipment, plumbing, and other aspects of the physical environment, which has the potential to affect all residents. During a tour of the dry storage room, a sewer gas odor was detected, and a leaking sewer pipe was found with makeshift repairs using duct and electrical tape. In the ice machine room, a black rubber insulated seal was dangling, and there was an accumulation of black debris and brown crusted debris on the ice machine. The ice machine was draining into a rust-stained sink used for hydration passes. In the east hall spa room, a non-functional light ballast left the shower area dim. In the central supply room, a leaking sewer line was damaging stored files and records, which were observed with mold-like accumulation. The Environmental Services Manager (ESM) G, who had been at the facility for less than a month, was unaware of some of the issues, such as the leaking sewer line in the central supply room. The laundry room had non-operational washers and dryers, which had been down since the last annual survey. ESM G mentioned that the facility was having compliance issues with the Michigan Department of Environment Great Lakes and Energy regarding the onsite wastewater treatment plant. The facility's vendor wastewater operator had not been fulfilling obligations, leading to discharge concerns and numerous violations.
Improper Positioning of Urinary Catheter Bag
Penalty
Summary
The facility failed to properly position a urinary catheter collection bag for a resident, identified as Resident #20, who was admitted with diagnoses including flaccid neuropathic bladder and urine retention. The resident was cognitively intact, as indicated by a perfect score on the Brief Interview for Mental Status. The care plan for the resident, initiated in April 2024, instructed staff to position the urinary catheter bag below the bladder level. However, observations on two consecutive days revealed that the catheter bag was hung from the back of the resident's wheelchair, above the bladder level, causing urine to back up in the drainage tube. Interviews with staff, including CNAs and an RN, revealed that the catheter bag was placed on the back of the wheelchair due to the resident's preference and issues with the bag leaking or being pulled when placed under the wheelchair. The Director of Nursing confirmed that the improper positioning could lead to urine reflux and potential infection. The resident's urologist also noted the incorrect positioning during a recent appointment and educated the resident on the importance of keeping the bag below the bladder level to prevent urinary tract infections.
Failure to Discard Expired Medications
Penalty
Summary
The facility failed to properly date and discard an outdated biological medication and two insulin pens, which were kept in active storage past their expiration dates. During an inspection of the medication room, a multidose vial of purified protein derivative (PPD) solution was found without a date indicating when it was placed in service. The Licensed Practical Nurse (LPN) present during the inspection was unable to determine the date the vial was opened and assumed the expiration date was the manufacturer's date on the vial. Additionally, two insulin pens were found in the North unit medication cart, both of which were past the manufacturer's recommended expiration date and had no current doctor's orders for use. The Registered Nurse (RN) responsible for the cart confirmed that the insulin pens should have been discarded. The facility's policy on medication storage requires that medications and biologicals be stored according to the manufacturer's recommendations, and that expired, contaminated, or deteriorated medications be immediately removed from inventory. The policy also specifies that multidose vials should be dated when opened and discarded after 30 days unless otherwise specified by the manufacturer. The Director of Nursing (DON) acknowledged that the PPD solution and insulin pens should have been discarded according to these guidelines. The manufacturer's instructions for the insulin pens and PPD solution also indicated specific time frames for discarding after opening, which were not adhered to by the facility.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure the proper use of Personal Protective Equipment (PPE) for a resident under Enhanced Barrier Precautions (EBP). Resident #22, who was admitted with pressure ulcers, required multiple daily dressing changes. However, there was no order for EBP, and during an observation, a Registered Nurse performed dressing changes without wearing a gown. Additionally, there was no signage on the door indicating the need for PPE. The Director of Nursing confirmed that EBP should have been in place since the resident's admission due to the wounds requiring dressing changes. The facility's policy on EBP, reviewed in March 2024, mandates gown and glove use during high-contact activities such as wound care for residents with chronic wounds.
Failure to Implement Communication Interventions for Resident with Aphasia
Penalty
Summary
The facility failed to effectively implement communication interventions for a resident with hemiplegia, hemiparesis, aphasia, and cognitive communication deficit. The resident's husband, who is also her Designated Power of Attorney, reported that the staff did not know how to communicate with her effectively, unlike him, who uses word cards and a computer program. During an interview, it was observed that the resident had no communication board or other modes of communication available in her room, and the Electronic Medical Records did not document any communication devices or baseline communication status. The Director of Nursing and the Nursing Home Administrator were unaware of any baseline communication or communication devices for the resident. The Speech Therapist reported difficulties in assessing the resident due to her unavailability and lack of baseline communication information. The therapist noted that nonverbal communication might be more effective for the resident, but he could not determine her communication pattern from the records. A Secure Conversation note indicated that the resident's husband requested an evaluation of her cognition, as she had been using a picture board to communicate. The resident's care plan included interventions to monitor and document communication skills, obtain speech therapy consults, and develop communication tools. However, these interventions were not effectively implemented, as evidenced by the lack of communication devices and baseline documentation. The care plan also mentioned the resident's potential for impaired cognitive function and included interventions to ask yes/no questions and report changes in cognitive function. Despite these plans, the facility did not adequately address the resident's communication needs, leading to miscommunication of her care needs.
Failure to Manage Resident's Care and Timely Diagnosis of UTI
Penalty
Summary
The facility failed to effectively manage the care of a resident, resulting in unmet care needs. The resident, who had a history of hemiplegia, hemiparesis, aphasia, and cognitive communication deficit, was observed to be in pain and exhibiting abnormal behavior. Her husband, who is also her Designated Power of Attorney, reported that she was experiencing pain in her abdominal and vaginal area, which was unusual for her. Despite his concerns and requests for a urinalysis, the initial assessment by the nursing staff did not result in immediate action, and the resident's condition was not adequately documented or communicated to the physician. On the following day, the resident continued to experience pain, and a urinalysis was eventually conducted, revealing bacteria in her urine. However, due to a lack of knowledge and communication among the nursing staff, the urine sample was not sent to the lab in a timely manner. The resident's condition worsened, and she began refusing medications, which was not typical behavior for her. Observations noted that she was disengaged and had limited interaction with staff and visitors. Further assessments by different nursing staff revealed signs of a possible yeast infection and abrasions in the resident's genital area, but these findings were not consistently documented or reported. Eventually, the resident was transferred to the emergency department after a nurse practitioner was contacted. The facility's lack of clear procedures and communication regarding lab work contributed to the delay in diagnosing and treating the resident's urinary tract infection, as confirmed by a subsequent urinalysis.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 440 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lamont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Allendale Nursing And Rehabilitation Community | 2.7 mi | ★★★★★ | 17 | 0 |
| Valley View Care Center | 7.7 mi | ★★★★★ | 13 | 2 |
| Covenant Village Of The Great Lakes | 8.7 mi | ★★★★★ | 5 | 0 |
| St Ann's Home | 9 mi | ★★★★★ | 6 | 0 |
| Edison Christian Health Center | 9.3 mi | ★★★★★ | 16 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Mission Point Nursing & Physical Rehab Center Of L.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.