Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 North Pointe Health & Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment was observed in a wheelchair with a soft belt that she could not remove, used to prevent sliding or falling. Staff confirmed the belt was applied daily and the resident was unable to remove it independently. Facility policy defined soft belts as restraints requiring documentation, physician orders, and consent, but there was no such documentation or evaluation in the medical record.
A resident's MDS assessment was inaccurately coded to indicate receipt of an anticoagulant, when the only relevant medication prescribed was aspirin for hypertension. Staff confirmed that aspirin, an antiplatelet, was incorrectly coded as an anticoagulant, contrary to facility policy and the RAI Manual.
A resident with a history of ESBL infection and incontinence had a care plan and physician's order for enhanced barrier precautions (EBP), requiring staff to wear gloves and a gown during high-contact care. Despite this, a CNA was observed providing incontinence care without a gown. Staff interviews confirmed knowledge of the EBP requirements, but the protocol was not followed during care.
A resident with severe dementia was repeatedly observed alone in her room with minimal staff interaction and no participation in scheduled activities, despite facility policies requiring individualized, daily engagement. Multiple activity schedules were posted but not followed, and staff interviews confirmed a lack of consistent routines or encouragement for participation, resulting in the resident's preferences and needs not being met.
A Certified Dietary Manager was observed checking food temperatures and preparing meal trays without wearing a beard restraint, in violation of facility policy requiring all dietary staff to fully restrain facial hair while handling food. Both the CDM and the Administrator acknowledged the lack of compliance with hair restraint requirements.
A CNA did not wear a gown while providing incontinent care to a resident with a history of ESBL infection, despite facility policy and an active physician's order for Enhanced Barrier Precautions. Staff interviews and record reviews confirmed that EBP was required and that staff had been educated on its use.
Failure to Identify and Document Use of Physical Restraint
Penalty
Summary
The facility failed to ensure a resident's right to be free from physical restraints by not identifying and documenting the use of a soft belt as a restraint. During observation, a resident with a diagnosis of Alzheimer's Disease and a BIMS score of 00, indicating severely impaired cognition, was seen in a wheelchair with a Velcro soft belt secured across her lap. The resident was unable to remove the belt upon request. Staff interviews confirmed that the belt was used to prevent the resident from sliding or falling out of the wheelchair and that the resident could not remove it independently. The belt was applied daily, removed for naps, and released every two hours for care needs. A review of the facility's policy indicated that soft belts are considered restraints under any circumstance and require documentation, physician orders, and consent after alternatives have been tried unsuccessfully. However, there was no documentation in the resident's medical record identifying the soft belt as a restraint, nor any evidence of evaluations, orders, consent, or monitoring related to its use. The DON and Administrator both acknowledged the resident's inability to remove the belt and the lack of documentation, but the device had not been previously identified or managed as a restraint.
Inaccurate MDS Coding of Anticoagulant Medication
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for one resident regarding the use of anticoagulant medication. According to the facility's policy and the Resident Assessment Instrument (RAI) Manual, antiplatelet medications such as aspirin should not be coded as anticoagulants in Section N0415 of the MDS. A review of the resident's records showed that the only relevant medication order was for aspirin, prescribed for hypertension, and there were no active orders for any anticoagulant medication during the MDS lookback period. Despite this, the resident's quarterly MDS assessment was coded to indicate receipt of an anticoagulant. During interviews, a registered nurse confirmed the error, stating that aspirin had been incorrectly coded as an anticoagulant instead of an antiplatelet. The administrator and director of nursing both acknowledged that MDS assessments are expected to be coded accurately to reflect each resident's actual condition and treatment.
Failure to Implement Enhanced Barrier Precautions During Resident Care
Penalty
Summary
Facility staff failed to implement the care plan for enhanced barrier precautions (EBP) for a resident with a history of ESBL (Extended Spectrum Beta-Lactamase) resistance infection. The resident, who was always incontinent of bowel and bladder and had an abscess requiring wound care, had a physician's order and a care plan in place specifying the use of EBP, including wearing gloves and a gown during high-contact care activities such as incontinence care. Despite these documented requirements, a Certified Nurse Aide (CNA) was observed providing incontinence care to the resident without wearing a gown as mandated by the EBP protocol. Interviews with the CNA, RN, and DON confirmed that staff were aware of the EBP requirements and the care plan directives, but the CNA admitted to not following the protocol during care. The facility's policy and care plan documentation emphasized the need for individualized, measurable objectives and timetables to meet residents' needs, including infection control measures. However, the failure to adhere to the care plan and physician's order for EBP during resident care constituted a deficiency in implementing appropriate infection control practices.
Failure to Provide Resident-Centered Activities Program
Penalty
Summary
The facility failed to implement an ongoing, resident-centered activities program that incorporated the interests and needs of a sampled resident with severe cognitive impairment. Observations over several days revealed that the resident, who was diagnosed with unspecified dementia and had a severely impaired BIMS score, spent most of her time alone in her room, with minimal staff interaction and no participation in organized activities. Despite the facility's policy requiring daily, individualized activities and encouragement for participation, the resident was repeatedly observed sitting in her room, often facing the window, and not engaged in any meaningful activities. Multiple activity schedules were posted throughout the unit, but staff interviews indicated that these were not consistently followed or updated. CNAs reported that there was no set activity schedule on the hall, and activities were often improvised rather than planned. Staff also noted that the resident rarely participated in group activities unless accompanied by family, who visited infrequently. The posted schedules listed various activities, but there was a lack of evidence that these were implemented or tailored to the resident's documented preferences, such as reading, listening to music, or going outside for fresh air. Interviews with staff, including CNAs, the DON, and the Administrator, confirmed that there was no consistent routine for activities, especially for residents with dementia who require structure and engagement. The DON acknowledged being unaware of the lack of activity interaction for the resident and stated that staff were expected to encourage participation. The resident's care plan identified important preferences for activities, but these were not observed to be addressed during the survey period, resulting in a failure to meet the resident's individual needs as required by facility policy.
Failure to Ensure Dietary Staff Wore Required Beard Restraint During Food Preparation
Penalty
Summary
A deficiency was identified when a Certified Dietary Manager (CDM) with a beard and mustache was observed checking food temperatures and preparing resident meal trays in the food service area without wearing a beard restraint, as required by the facility's personal hygiene policy. The CDM acknowledged not wearing the required facial hair restraint while handling food and confirmed that this could result in physical contamination of food. The facility's Administrator also acknowledged awareness that the CDM did not wear a hair restraint during these activities and stated that all dietary staff were expected to comply with hair restraint requirements.
Failure to Follow Enhanced Barrier Precautions During Incontinent Care
Penalty
Summary
A Certified Nurse Aide (CNA) failed to follow Enhanced Barrier Precautions (EBP) by not wearing a gown while providing incontinent care to a resident who was always incontinent of bowel and bladder and had a history of ESBL (Extended Spectrum Beta-Lactamase) resistant infection. The facility's policy required the use of gowns and gloves during high-contact care activities, such as changing briefs or providing hygiene, for residents under EBP. The CNA acknowledged during an interview that she did not wear the required personal protective equipment (PPE) despite being aware of the EBP indicator and the need for PPE to prevent infection. Interviews with other staff, including an LPN and the Director of Nursing (DON), confirmed that EBP was in place for the resident due to their infection history and that staff had been educated on these requirements. Record reviews showed an active physician's order for EBP and documentation of the resident's ongoing incontinence. The deficiency was identified through direct observation, staff interviews, and review of facility policy and resident records.
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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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Nursing homes near Meridian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Poplar Springs Nursing Ctr, Llc | 1.5 mi | ★★★★★ | 0 | 0 |
| Diversicare Of Meridian | 2 mi | ★★★★★ | 3 | 0 |
| Bedford Care Center Of Marion | 2 mi | ★★★★★ | 9 | 0 |
| The Oaks Rehabilitation And Healthcare Center | 2.8 mi | ★★★★★ | 4 | 0 |
| Trend Health & Rehab Of Meridian Llc | 3.1 mi | ★★★★★ | 2 | 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.