Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Crown Pointe Care Center during CMS and state inspections, most recent first.
The facility failed to ensure incontinent care was provided at least once every shift for multiple residents who were always or frequently incontinent and dependent on staff for toileting. Several residents with conditions such as dementia, Parkinson’s disease, Type II DM, CKD, and acute kidney failure had care plans and bowel/bladder assessments indicating the need for staff-assisted incontinence care, yet CNA documentation showed care was often provided only on one of two shifts or not at all on certain days. An anonymous resident reported that staffing was insufficient, residents were not checked frequently for incontinence, and that after complaining once, staff refused care, resulting in no incontinence care for 17 hours. The DON acknowledged that CNA charting reflected missed incontinence care for these residents and could not verify that the care had actually been provided, while a family member reported repeatedly finding a loved one incontinent despite requesting checks and changes every two hours.
Staff and a maintenance director entered and worked in the kitchen without properly wearing hair nets as required by facility policy, including one staff member whose long braids were not fully contained. Both individuals confirmed during interviews that they were not in compliance with hair restraint requirements while in food preparation areas.
A resident with multiple complex diagnoses and moderately impaired cognition was given a new order for physical and occupational therapy evaluation and treatment. An LPN signed the order but did not document notification of the resident's responsible party, as required by facility policy. Medical record review confirmed the lack of documentation, and the LPN acknowledged the omission during an interview.
Surveyors found that the facility did not have an infection prevention and control program in place, resulting in a lack of systematic measures to address infection risks among residents and staff.
Call Lights Left Out of Reach: Two residents had their call lights observed out of reach during survey observations. One resident had severe cognitive impairment, CVA-related deficits, and required extensive assistance with ADLs; the other had severe cognitive impairment, hemiplegia, COPD, schizoaffective disorder, and other chronic conditions. Staff confirmed the call lights were not within resident reach.
Late Completion of Admission MDS Assessments: The facility failed to complete admission MDS assessments within required timeframes for two residents. One resident with ALS and dementia had severely impaired cognition, and another resident with COPD and severe protein-calorie malnutrition had moderately impaired cognition; both admission MDS assessments were completed after the 14-day window, and an LPN verified the delay.
Late and Missing MDS Assessments: The facility failed to complete required entry and discharge MDS assessments in a timely manner for two residents. One resident with ALS and dementia had delayed discharge and entry MDS completion after a hospital transfer, and another resident with dementia and cerebral infarction had no discharge MDS completed after leaving the facility. An LPN verified the missed and late assessments.
Failure to maintain fall alarm interventions for a resident with dementia and a history of falls. After a fall with a head hematoma, the care plan included fall precautions and a safety alarm, but the resident was later observed in a wheelchair in the lounge without the alarm in place. An LPN confirmed the alarm was only for use in bed and that staff were to check it every shift.
Delayed PT Evaluation for Adaptive Equipment Use: A resident with metabolic encephalopathy, parkinsonism, schizoaffective disorder, bipolar disorder, and HTN was involved in an altercation while using a power scooter and was taken off scooter use pending therapy reassessment. Although a PT eval was ordered for non-compliance and proper use of adaptive equipment, therapy did not complete the eval for several weeks, and the DOR confirmed there was no documented assessment after the incident until the morning of the survey visit.
Survey Results Binder Not Updated The facility failed to keep the survey results binder current and available for viewing. Observation showed the binder contained only older survey results, while later survey findings were not included. The Administrator verified the missing survey results were not in the binder and stated survey results should be placed in the binder after each survey.
The facility failed to thoroughly investigate injuries of unknown origin for two residents, both with significant medical conditions. One resident was found with a femoral neck fracture, and another with a hip fracture. The investigations lacked documented staff interviews or statements, despite the facility's policy requiring thorough investigations. Interviews with staff confirmed the absence of proper documentation, indicating non-compliance with investigation requirements.
Failure to Provide Incontinence Care Each Shift for Multiple Residents
Penalty
Summary
The deficiency involves the facility’s failure to ensure incontinent care was provided at least once every shift for multiple residents who were incontinent of bowel and/or bladder. Five residents with varying degrees of cognitive impairment and dependence on staff for toileting had care plans and bowel/bladder assessments indicating they were always or frequently incontinent and required staff assistance and incontinence care as needed. Certified Nursing Assistant (CNA) bowel and bladder documentation showed that incontinent care was not consistently provided every shift, and on some days there was no documented incontinent care at all. For one resident with severe cognitive impairment, hemiplegia, aphasia, and benign prostatic hyperplasia, CNA documentation showed incontinent care was provided only one of two shifts on multiple dates and not at all on two specific dates. Another resident with Parkinson’s disease, dementia, chronic kidney disease, and benign prostatic hyperplasia, who was always incontinent per assessment and frequently incontinent per MDS, also had incontinent care documented only one of two shifts on multiple dates and no incontinent care documented on one date. A third resident with Type II diabetes, dementia, and hypertension, assessed as always incontinent but occasionally incontinent per MDS, had incontinent care documented only one of two shifts on numerous dates and no incontinent care documented on one date. A fourth resident with dementia, osteoarthritis, and chronic pain syndrome, assessed and care planned as frequently incontinent and needing assistance with toileting, had incontinent care documented only one of two shifts on several dates. A fifth resident with Type II diabetes, acute kidney failure, and anorexia, assessed as always incontinent and frequently incontinent per MDS, had no incontinent care documented on two dates and only one shift of incontinent care documented on several other dates. An anonymous resident reported there was not enough staff and that residents were not checked frequently for incontinence, stating that after complaining once, staff refused to provide care and incontinence care was not provided for 17 hours. The DON confirmed that CNA documentation showed incontinent care was not being provided every shift for the identified residents and could not verify that care had been provided. A family member of one resident reported finding the resident frequently incontinent and stated that their request for checks and changes every two hours was not being carried out.
Failure to Ensure Proper Use of Hair Nets in Kitchen
Penalty
Summary
Staff failed to consistently wear hair nets in the kitchen as required by facility policy. During an observation, a staff member with long braids was seen assisting with food temperature checks on the steam table without a hair net. Later, the same staff member returned to the kitchen wearing a hair net, but her braids were not fully contained within it. She was then observed handling food items on the stove. The staff member confirmed during an interview that she had not been wearing a hair net until she left and returned, and that her hair was not fully covered even after donning the hair net. Additionally, the Maintenance Director entered the kitchen without a hair net, walked past the stove and food preparation area, and checked the thermostat above the food preparation area. He had short hair, approximately one inch in length, and was not wearing any hair restraint. The Maintenance Director confirmed during an interview that he was not wearing a hair net and acknowledged that he should have applied one before entering the kitchen. The facility's policy requires hair nets or caps to be worn to prevent hair from contacting exposed food, clean equipment, utensils, and linens.
Failure to Notify Responsible Party of New Therapy Order
Penalty
Summary
The facility failed to notify a resident's responsible party of a new order for physical and occupational therapy evaluation and treatment. Medical record review showed that the order was signed by an LPN, but the section for family notification was left blank, and there was no documentation in the record indicating that the responsible party had been informed. During an interview, the LPN confirmed she was responsible for signing the order and assumed she had notified the responsible party, but acknowledged there was no documented evidence of such notification. The resident involved had multiple diagnoses, including chronic obstructive pulmonary disease, morbid obesity, hemiplegia and hemiparesis following a cerebral infarction, hyperlipidemia, atrial fibrillation, depression, dementia, anxiety, legal blindness, mood disorder, insomnia, and dysphagia. The resident's quarterly MDS assessment indicated moderately impaired cognition. Facility policy required the unit supervisor or charge nurse to notify the guardian or interested family member of significant changes in a resident's clinical condition or status, including changes in ADL physical functioning, and to document the notification. This policy was not followed in this instance.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, as the facility did not have an established or operational program to prevent and control infections among residents and staff. The absence of such a program was observed and documented by surveyors, indicating a lack of systematic measures to address infection risks within the facility. No specific residents or staff members were mentioned in relation to the deficiency, and no additional details about individual medical histories or conditions were provided in the report.
Call Lights Left Out of Residents’ Reach
Penalty
Summary
The facility failed to ensure residents had access to their call lights. For Resident #28, the medical record showed an admission date of 06/01/19 and diagnoses including acute and chronic respiratory failure with hypoxia, cerebral infarction, hemiplegia and hemiparesis following cerebrovascular disease, aphasia, hypothyroidism, anxiety, and depression. The quarterly MDS assessment indicated severely impaired cognition, and the resident required supervision with eating, substantial to maximal assistance with toileting and bed mobility, and was dependent on staff for bathing and transfers. The care plan identified a fall risk and included an intervention to ensure the call light was within reach. During observation on 07/21/25 at 10:00 A.M., Resident #28 was lying in bed sleeping with the call light out of reach on the floor mat beside the bed. RN #179 verified the call light was not in reach and stated the resident was capable of using it. For Resident #1, the medical record showed an admission date of 10/15/24 and diagnoses including cerebral infarction, hemiplegia and hemiparesis affecting the left non-dominant side, hypertensive chronic kidney disease, COPD, schizoaffective disorder, bipolar disorder, OSA, and malignant neoplasm of uterus. The MDS assessment showed severely impaired cognition with a BIMS of 7, dependence for toileting and oral hygiene, and moderate to maximal assistance with dressing and personal hygiene. The care plan addressed assistance with ADLs and fall risk, with interventions including having commonly used articles within easy reach. Observation on 07/21/25 at 10:56 A.M. showed the call light laying on the left side of the bed, and on 07/23/25 at 2:11 P.M. it was observed at the bottom left side of the bed out of the resident's reach. Staff Nurse #123 confirmed the call light was out of reach.
Late Completion of Admission MDS Assessments
Penalty
Summary
The facility failed to ensure admission comprehensive MDS assessments were completed within the required timeframes for two residents. Resident #37 was admitted on 12/24/24, had diagnoses of amyotrophic lateral sclerosis and dementia, and was noted on a Medicare 5-day MDS assessment to have severely impaired cognition; however, the admission MDS assessment was not completed until 01/10/25, the discharge MDS assessment was not completed until 02/10/25, and the entry MDS assessment was not completed until 02/10/25. Resident #03 was admitted on 06/23/25 with diagnoses of COPD and severe protein-calorie malnutrition, had moderately impaired cognition on the admission MDS assessment, and that assessment was not completed until 07/09/25. During interview on 07/24/25, LPN #144 verified that both residents' admission MDS assessments were not completed within 14 days of admission.
Late and Missing MDS Assessments
Penalty
Summary
The facility failed to ensure that entry and discharge Minimum Data Set (MDS) assessments were completed and transmitted to the State within 7 days of assessment for two residents. Resident #37 was admitted on 12/24/24, later transferred to the hospital and returned to the facility, and had diagnoses including amyotrophic lateral sclerosis and dementia; the resident’s Medicare 5-day MDS showed severely impaired cognition, but the discharge MDS and entry MDS were not completed until 02/10/25. Resident #40 was admitted on 05/27/25 and discharged on 05/31/25 with diagnoses including dementia and cerebral infarction; the admission MDS showed severely impaired cognition, and no discharge MDS was completed after the resident’s discharge. An LPN verified that Resident #37’s discharge and entry MDS assessments were not completed within the required time frames and that Resident #40 did not have a discharge MDS completed following discharge.
Failure to Maintain Fall Alarm Interventions
Penalty
Summary
The facility failed to ensure fall interventions were in place for one resident with severe cognitive deficits, dementia, COPD, heart disease, anemia, depression, chronic kidney disease, and a history of falls. The resident required one-to-two-person assistance with activities of daily living and ambulation. On 05/29/25, staff found the resident lying on the floor in front of the closet in the bedroom after a CNA reported seeing him on the floor. The resident stated he had fallen, and a head-to-toe assessment identified a hematoma on the back of his head. The nurse applied ice, offered Tylenol, and documented stable vital signs and neurological checks. The fall investigation report noted the resident was alert and oriented to self and that the new fall precaution was to have a safety alarm on while in a chair and/or in bed, with staff to verify placement every shift. However, the resident’s plan of care listed fall interventions including PT, OT, non-skid strips in the bathroom, in front of the closet, and in front of the bathroom entry, along with bilateral assist bars to enhance bed mobility. During observation on 07/24/25, the resident was sitting in a wheelchair in the lounge area without a safety alarm in place, and CNA #120 clipped the alarm onto the resident’s shirt and wheelchair after surveyor intervention. An LPN later confirmed there was only one alarm for the resident and that it was to be used in bed, clipped to the mattress and the resident, with staff checking it every shift.
Delayed PT Evaluation for Adaptive Equipment Use
Penalty
Summary
The facility failed to timely provide a PT evaluation for a resident who had an order for specialized rehabilitative services. Resident #04 was admitted with diagnoses including metabolic encephalopathy, parkinsonism, schizoaffective disorder, bipolar disorder, and hypertension. The quarterly MDS showed intact cognition, delusions, verbal behavioral symptoms toward others, and significant assistance needs for mobility and self-care. After a self-reported incident on 05/27/25 in which the resident ran his power scooter into another resident's foot and walker, he was moved to a manual wheelchair and was to be reassessed by therapy for safe scooter use. A social services note on 05/28/25 stated he was being assessed for the electric scooter and was not authorized to use it at that time. A nursing note on 07/02/25 documented that therapy was contacted and the resident was re-educated on proper use of the walker and wheelchair, and a PT referral was made for non-compliance. Physician orders on 07/02/25 included a PT screen and/or evaluation or treatment for proper transfer/use of adaptive equipment due to non-compliance. Therapy records showed the resident had last been seen by PT and OT earlier in the year, but there was no evidence he was assessed by therapy after the 05/27/25 incident. The resident stated on 07/28/25 that he had not been able to use his electric scooter for several months and had not been assessed since it was taken away. The DOR confirmed there was no evidence of an evaluation after the incident and that the PT evaluation ordered on 07/02/25 was not completed until the morning of 07/28/25.
Survey Results Binder Not Kept Current
Penalty
Summary
The facility failed to ensure State Agency survey results were maintained, updated, and available for viewing in the survey results binder located at the front of the building next to the Administrator's office. Observation on 07/24/25 at 2:45 P.M. showed the binder contained survey results dated 04/20/24 as the most recent documents. Review of the Enhanced Information Dissemination Collection showed the facility had additional surveys completed on 07/31/24 and 10/10/24, but these results were not included in the binder. During interview on 07/24/25 at 2:48 P.M., the Administrator verified the missing survey results were not in the binder and stated survey results should be placed in the binder following each survey.
Failure to Investigate Injuries of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate and obtain statements from staff regarding injuries of unknown origin for two residents. Resident #50, who had multiple diagnoses including Alzheimer's disease and osteoporosis, was found to have a right femoral neck fracture after experiencing pain in the lower extremities. The facility's self-reported incident investigation did not include documented interviews or statements from the staff who were on duty at the time of the incident, despite the Director of Nursing assigning the Assistant Director of Nursing to conduct interviews. The investigation lacked evidence of comprehensive staff interviews, and the facility's basic investigation form did not capture detailed accounts from the staff involved. Similarly, Resident #101, who had dementia and osteoporosis, was found to have a right hip fracture. The facility's investigation into this injury also lacked documented staff interviews or statements, except for a general statement from the Director of Nursing. The investigation relied on a basic form that did not include detailed accounts from the staff who were on duty during the incident. The facility's policy required thorough investigations of alleged violations, but the documentation did not reflect compliance with this policy. Interviews with the facility's staff, including the Administrator, LPN, and STNA, confirmed the absence of documented interviews or statements regarding the incidents. The facility's failure to conduct and document thorough investigations for these injuries of unknown origin represents non-compliance with the requirement to investigate alleged violations thoroughly.
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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 Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sapphire Rehabilitation And Care Center | 1 mi | ★★★★★ | 67 | 2 |
| Mayfair Village Nursing Care Center | 1.5 mi | ★★★★★ | 13 | 0 |
| Columbus Alzheimer's Care Ctr | 1.7 mi | ★★★★★ | 0 | 0 |
| Wesley Glen Health Services Corp | 2.6 mi | ★★★★★ | 0 | 0 |
| Friendship Village Of Dublin | 2.7 mi | ★★★★★ | 0 | 0 |
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