Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Cypress Pointe Rehabilitation Center during CMS and state inspections, most recent first.
A resident with ESRD, peripheral vascular disease, and an AV fistula returned from dialysis with a gauze dressing applied by the dialysis nurse, which remained in place into the following day. A physician order and care plan required nursing staff to remove the AV fistula dressing on the night of dialysis and assess the site for complications and signs of infection. The assigned nurse acknowledged she knew she was required to remove the dressing and assess the site but forgot because she was busy with another resident. The physician emphasized the importance of post-dialysis AV fistula assessment due to the resident’s vascular disease and prior complications, and the DON stated she expected staff to follow the order and routinely assess the fistula site.
A resident with congestive heart failure experienced significant weight increases, but reweights were not documented by the nursing staff. Despite verbal reports to the physician and nurse practitioner, the lack of documentation in the medical record constituted a failure to maintain complete records. The physician and DON confirmed that reweights should have been documented to ensure accuracy.
Failure to Remove Dialysis AV Fistula Dressing and Perform Ordered Assessment
Penalty
Summary
The facility failed to follow a physician’s order to remove a dressing and visually assess a resident’s arteriovenous (AV) fistula after dialysis. The resident, who had diagnoses including AV fistula, end stage renal disease, dialysis, and peripheral vascular disease, was cognitively intact and received dialysis. A physician order dated 2/2/2026 directed staff to remove the dressing to the AV fistula on the night of dialysis every Monday, Wednesday, and Friday to avoid skin breakdown and damage to the AV fistula. The resident’s care plan, updated on 2/27/2026, included interventions to check and change the AV fistula dressing as ordered and to observe the site for signs and symptoms of infection. On observation, the resident was noted to have a gauze dressing with tape on the left upper arm AV fistula the day after dialysis, and the resident reported that the dressing had been applied by the dialysis nurse after treatment. The nurse assigned to the resident on the 3:00 PM to 11:00 PM shift acknowledged that she was supposed to remove the dressing and assess the AV fistula site when the resident returned from dialysis but stated she forgot because she was busy with another resident. The physician stated that it was important for nursing staff to remove the dressing and assess the AV fistula after dialysis due to the resident’s significant vascular disease and history of complications with hypotension and falls after dialysis, and described the AV fistula as the resident’s lifeline. The DON stated that nursing staff usually removed the dressing and assessed the AV fistula site after dialysis and that she expected staff to follow physician orders and assess for signs and symptoms of infection.
Failure to Document Reweights for Resident with Congestive Heart Failure
Penalty
Summary
The facility failed to maintain complete medical records for a resident admitted with acute congestive heart failure, as evidenced by the lack of documentation of reweights following significant increases in the resident's weekly weights. The resident was admitted with diagnoses including congestive heart failure and fluid overload, and a physician's order was in place to obtain weekly weights. However, the electronic medical record showed no documentation of reweights on two occasions when the resident's weight increased significantly. On March 3rd, a nurse observed an increase in the resident's weight and rechecked it but failed to document the reweight. The nurse verbally reported the weight to the physician, who assessed the resident that day. Similarly, on March 15th, another nurse noted an increase in the resident's weight, reweighed the resident the following day, and found the weight unchanged, but did not document the reweight. The nurse notified the nurse practitioner of the weight increase on March 17th. Interviews with the physician and the Director of Nursing confirmed that reweights should have been documented to ensure accuracy, but this was not done.
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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 Wilmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peak Resources-wilmington, Inc | 1 mi | ★★★★★ | 10 | 1 |
| August Healthcare At Wilmington | 1.1 mi | ★★★★★ | 0 | 0 |
| Azalea Health & Rehab Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Brunswick Cove Nursing Center | 4 mi | ★★★★★ | 15 | 0 |
| Liberty Commons Rehabilitation Center | 4.3 mi | ★★★★★ | 3 | 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.