Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Point Lookout Nursing & Rehab during CMS and state inspections, most recent first.
The facility failed to follow sanitary food handling practices, including improper thawing of raw meat at room temperature, inadequate monitoring and documentation of food temperatures during meal service, and dietary staff handling ready-to-eat foods with bare hands instead of using gloves or utensils. These actions were not in accordance with facility policy or food code requirements.
The facility did not properly hold, secure, or manage a resident's personal money that was deposited with the facility, resulting in improper handling of the resident's funds.
A deficiency was cited when a resident's belongings or money were wrongfully used due to inadequate safeguards, resulting in unauthorized or improper use.
The facility failed to ensure the Dietary Manager met the required certifications, education, or experience. The Dietary Manager, who had been in the role for two years, was not certified and had previously worked as a CNA/CMT. Despite receiving a voucher for a certification test, the Dietary Manager was unsure of its status, and the facility records lacked documentation of certification. The Administrator was uncertain about the certification process and mentioned plans to arrange the test.
The facility failed to maintain cleanliness in the dining and kitchen areas, with issues such as cobwebs on light fixtures, unclean handwashing stations, and dirty floors. Staff interviews revealed that while a cleaning schedule existed, it was not effectively followed, leading to neglected areas like above the walk-in units. The Dietary Manager and Administrator were unaware of specific cleanliness issues.
The facility failed to air-dry dishes before storage, leading to potential contamination risks. Observations showed wet dishes stacked improperly, preventing air circulation. Staff interviews revealed a lack of awareness and adherence to the facility's policy on dish drying, with some staff unaware of the issue and others not realizing the policy was not being followed.
The facility failed to maintain an effective infection prevention and control program by not reading TB skin tests within the required 48 to 72-hour window for three employees. Interviews revealed inconsistencies in the process and oversight for ensuring timely readings, contributing to the deficiency.
The facility failed to provide SNF ABN notices to two residents discharged from Medicare Part A services before exhausting their benefit days. Staff interviews revealed a lack of awareness about issuing these notices, indicating a systemic issue in informing residents about their Medicare coverage and financial responsibilities.
The facility failed to provide consistent restorative nursing services for three residents and did not include restorative services in the care plan for one resident. A resident with severe cognitive impairment and dependency on staff for transfers had inconsistent therapy sessions due to staff being pulled to the floor. Another resident with a history of falls had orders for restorative services that were not included in the care plan and were inconsistently provided. Staff interviews revealed that restorative aides were often pulled from their duties, leading to incomplete therapy sessions.
The facility failed to serve food at appropriate temperatures for five residents, with meals often being lukewarm or not warm enough. Observations showed test tray items below required temperatures, and staff confirmed frequent resident complaints. The dietary process led to temperature issues, particularly for meals delivered last, despite policy requirements.
Deficient Food Handling: Improper Thawing, Temperature Control, and Bare Hand Contact
Penalty
Summary
The facility failed to ensure food was prepared, stored, and served under sanitary conditions, as evidenced by improper thawing of potentially hazardous foods, failure to maintain proper food temperatures, and dietary staff handling ready-to-eat foods with bare hands. Specifically, frozen raw hamburger was left out at room temperature overnight to thaw and subsequently used to prepare a meal for residents. Multiple staff interviews confirmed that the meat was not thawed using approved methods, and the temperature of the meat was not properly checked or documented before it was served. The facility's own policies and the Missouri Food Code require that potentially hazardous foods be thawed under refrigeration or with running water at safe temperatures, but these procedures were not followed. Additionally, the facility did not consistently monitor or document food temperatures during meal service. Review of kitchen temperature logs revealed that staff often recorded only initial cooking temperatures and failed to document holding temperatures for multiple meals over several days. Observations showed that food items on the steam table were not kept at the required temperatures, with some items measured below the minimum safe hot-holding temperature. Staff interviews indicated a lack of understanding regarding the correct temperature requirements and documentation procedures, with some staff believing that the steam table would bring food up to temperature rather than ensuring it was already at the correct temperature before serving. Furthermore, dietary staff were observed handling ready-to-eat foods, such as hamburger buns, hamburger patties, cheese slices, and bread, with their bare hands during meal preparation and service. This practice is contrary to both facility policy and the Missouri Food Code, which require the use of gloves or utensils to prevent direct hand contact with ready-to-eat foods. Staff interviews revealed confusion about glove use, with at least one staff member stating they were told not to wear gloves when handling resident food, though they could not recall who provided this instruction. Facility leadership confirmed that bare hand contact with resident food is not permitted.
Failure to Properly Manage Resident Personal Funds
Penalty
Summary
The facility failed to properly hold, secure, and manage each resident's personal money that was deposited with the nursing home. This deficiency indicates that the required procedures for safeguarding residents' funds were not followed, resulting in improper management of personal monies entrusted to the facility by residents.
Failure to Protect Resident's Belongings or Money
Penalty
Summary
A deficiency was identified regarding the protection of residents from the wrongful use of their belongings or money. The report notes that there was a failure to safeguard a resident's personal property or funds, resulting in unauthorized or improper use. Specific details about the actions or inactions that led to this event, as well as information about the resident's medical history or condition at the time, are not provided in the report. The deficiency centers on the lack of adequate measures to prevent the misuse or misappropriation of a resident's possessions or financial resources.
Dietary Manager Lacks Required Certification
Penalty
Summary
The facility failed to ensure that the staff member employed as the Dietary Manager met the required certifications, education, or experience to comply with regulatory requirements. The facility's policy for the Dietary Manager position, dated 01/01/98, specified minimum qualifications, including a high school diploma or GED equivalent, two years of experience in a supervisory capacity in a related field, and certification as a Dietary Manager. However, during an interview, the current Dietary Manager revealed that they had been in the position for two years, previously worked as a CNA/CMT, and were not certified. The Dietary Manager mentioned receiving a voucher to take a certification test several administrators ago but was unsure of its status and had not been informed about certification arrangements. The facility records did not provide documentation of the Dietary Manager being certified or having any similar certification, education, or experience that met the regulatory requirements. In a subsequent interview, the Administrator expressed uncertainty about why the Dietary Manager had not been certified, noting that arrangements for testing had been made by a previous administrator, but the Dietary Manager did not attend the test. The Administrator acknowledged discussions with the regional manager to arrange for the test to be taken, but no further details were provided in the report.
Facility Fails to Maintain Cleanliness in Dining and Kitchen Areas
Penalty
Summary
The facility failed to maintain a clean and comfortable environment in the dining and kitchen areas, as observed during a survey. Specific issues included a light fixture above the serving counter in the main dining room being covered in cobwebs. In the kitchen, the handwashing station was consistently found to be unclean, with dirt, grease marks, and debris such as hair and dirt present. The floor was sticky and greasy, particularly near the stove and food prep area, and a bright red substance was noted behind the ice machine. Additionally, the area above the walk-in refrigerator and freezer had metal strips and filters covered with cobwebs and a lint/grease mixture that moved with the airflow. Interviews with staff revealed that while there was a cleaning schedule in place, it was not effectively followed. Staff members acknowledged that cleaning responsibilities were assigned, but areas such as above the walk-in units were neglected. The Dietary Manager and Administrator expressed expectations for cleanliness, but were unaware of specific areas not being maintained, such as the floor behind the ice machine. Staff admitted that the kitchen was not as clean as it should be, indicating a lapse in adherence to the facility's cleaning policy.
Improper Dish Drying Practices
Penalty
Summary
The facility failed to ensure that dishes were properly air-dried before being stored, leading to a potential risk of contamination or bacterial growth. Observations revealed that numerous items, including forty-seven tall plastic drinking glasses, forty plastic coffee cups, seventy-one glass plates, five plastic adaptive plates, and four metal bins for the steam table, were stacked while still wet. This improper storage method prevented adequate air circulation, which is necessary for drying and preventing microbial growth. Interviews with staff members indicated a lack of awareness and adherence to the facility's policy regarding the air-drying of dishes. Some staff members were unaware that dishes could not be stacked while wet, while others knew the policy but were not aware that it was not being followed. The Dietary Manager and the Administrator were also unaware of the issue, highlighting a gap in oversight and communication within the facility's dietary department.
Failure to Timely Read TB Skin Tests
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program by not adhering to the standards of practice for reading tuberculosis (TB) skin tests in a timely manner. Specifically, three employees, a Dietary Aide, an LPN, and a CNA, had their TB skin tests read outside the recommended 48 to 72-hour window. The Dietary Aide's second-step TB test was read one day after administration, while the LPN's and CNA's tests were read four days after administration. This deviation from the standard practice was identified through interviews and record reviews. Interviews with facility staff, including the Assistant Director of Nursing, Human Resources Manager, Director of Nursing, and the Administrator, revealed a lack of consistent procedures for ensuring TB skin tests were read within the appropriate timeframe. The Assistant Director of Nursing acknowledged that TB skin tests should be read within 2 to 3 days, and if not, they should be repeated. The Human Resources Manager and Director of Nursing described a process where new employees receive TB tests during orientation, but there was inconsistency in ensuring timely readings. The Administrator expected staff to adhere to the correct timeframes, but the oversight and communication between departments appeared insufficient to prevent the deficiency.
Failure to Provide SNF ABN Notices
Penalty
Summary
The facility failed to provide the required Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) or a denial letter to two residents who remained in the facility after their Medicare Part A services were terminated. Resident #39 and Resident #85 were both discharged from Medicare Part A services before exhausting their benefit days, yet neither received the SNF ABN form CMS-10055 or an alternative denial letter. The Business Office Manager confirmed that both residents had significant days of insurance coverage remaining, indicating a lapse in communication and documentation regarding their financial responsibilities. Interviews with facility staff revealed a lack of awareness and understanding regarding the issuance of SNF ABN forms. The Social Service Director admitted to providing Notices of Medicare Non-Coverage (NOMNC) forms but was unaware of the need to issue SNF ABN forms. Similarly, the Business Office Manager and the Administrator acknowledged that the facility did not issue SNF ABN notices to residents discharged from therapy with remaining benefit days. This oversight suggests a systemic issue in the facility's process for informing residents about their Medicare coverage and potential financial liabilities.
Inconsistent Restorative Nursing Services
Penalty
Summary
The facility failed to provide restorative nursing services according to professional standards of practice for three residents, and did not include restorative services in the care plan for one resident. Resident #6, who had severe cognitive impairment and was dependent on staff for transfers, had orders for restorative therapy to address passive range of motion and transfer training. However, documentation showed inconsistent provision of these services, with staff being pulled to the floor on multiple occasions, leading to missed therapy sessions. Resident #7, with severe cognitive impairment and a history of falls, had orders for restorative services for transfers, bed mobility, and hamstring stretching. The care plan did not include these restorative services, and documentation indicated that the services were provided only once, with staff being pulled to the floor on other occasions. Similarly, Resident #9, who was dependent on staff for activities of daily living, had orders for bed mobility and lower extremity strengthening, but these services were documented as provided only once, with staff again being pulled to the floor. Interviews with staff revealed that restorative aides were frequently pulled from their duties to cover floor shifts, resulting in incomplete restorative therapy sessions. The Director of Rehabilitation did not oversee restorative therapy services, and the restorative aides documented their sessions inconsistently. The facility's failure to consistently provide restorative services as ordered and to include these services in care plans contributed to the deficiency identified by the surveyors.
Deficiency in Serving Food at Appropriate Temperatures
Penalty
Summary
The facility failed to ensure that food was served at palatable and appetizing temperatures for five residents who often ate in their rooms. Observations revealed that a test tray from the insulated food cart contained items served at temperatures below the facility's policy requirements, with the country fried steak at 111 degrees F, mashed potatoes at 114 degrees F, and breaded okra at 95 degrees F. Interviews with residents indicated that meals were often served lukewarm or not warm enough, and staff would reheat food upon request. Interviews with staff, including CNAs and dietary personnel, confirmed that residents frequently complained about food temperatures. The dietary staff documented food temperatures on the steam table before meal service, but meals for certain halls were delivered last, leading to temperature issues. The dietary manager acknowledged that the test tray temperatures were not acceptable and that food temperatures should be maintained at specific levels before serving. The facility's policy outlined specific temperature requirements for hot food, but the process of serving meals, particularly to residents in their rooms, resulted in food being served at inadequate temperatures. The Assistant Director of Nursing, Director of Nursing, and the Administrator confirmed that the test tray temperatures were not acceptable and that staff should ensure food is served at appropriate temperatures, offering alternatives or reheating meals if necessary.
What surveyors are citing around you — mapped
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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 29 citations issued within 25 miles in the last 12 months — 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 Hollister
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shepherd Of The Hills Living Center | 2.6 mi | ★★★★★ | 13 | 0 |
| Forsyth Care Center | 6.9 mi | ★★★★★ | 16 | 0 |
| The Blossoms At Berryville Rehab & Nursing Center | 26.7 mi | ★★★★★ | 16 | 0 |
| The Springs Of Harrison | 26.7 mi | ★★★★★ | 0 | 0 |
| The Springs Of Mt Vista | 26.7 mi | ★★★★★ | 1 | 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 July 2026) and official state health department websites.