Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Cypress Pointe Health Campus during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment was administered another resident's morning medications after an LPN, who was assisting and being trained by another LPN, failed to verify the medications before administration. The error led to acute symptoms including dizziness and persistent hypotension, requiring multiple interventions such as midodrine and attempted IV fluids. The incident was traced to a breakdown in following the five rights of medication administration during a rushed medication pass.
A resident with multiple health conditions was given another resident's medications in error, resulting in hypotension and the need for repeated clinical interventions. Despite ongoing symptoms and facility policy requiring timely notification, the resident's POA was not promptly informed of the medication error or the change in condition. The POA only learned of the incident after being contacted by the resident and subsequently reached out to facility staff.
A facility failed to ensure proper hygiene during wound care for a resident with multiple diagnoses, including diabetes and chronic kidney disease. An LPN did not change gloves or perform hand hygiene after removing an old dressing and cleansing a wound, continuing the dressing change with the same gloves. The facility's policy highlighted the importance of handwashing in preventing infection transmission.
Significant Medication Error Due to Failure to Verify Medication Administration
Penalty
Summary
A deficiency occurred when a moderately cognitively impaired resident, who was dependent on staff for medication administration, was given another resident's morning medications in error. The incident took place during a medication pass when one LPN, who was being trained by another LPN, was handed a cup of medications intended for a different resident. The assisting LPN did not verify the medications or check the physician's orders before administering them. As a result, the resident received a combination of medications including antihypertensives, antiplatelets, and dementia medications that were not prescribed for them. Following the administration of the incorrect medications, the resident became acutely symptomatic, experiencing dizziness and significantly low blood pressure. The resident's blood pressure readings remained low throughout the day, requiring multiple interventions including administration of midodrine and attempts to initiate intravenous fluids. The resident continued to report symptoms such as dizziness and hypotension, necessitating ongoing monitoring and additional doses of medication to manage blood pressure. The incident was identified after the resident reported feeling unwell and staff realized the medication error. Documentation and interviews confirmed that the error resulted from a failure to follow the facility's medication administration policy, specifically the requirement to verify the five rights of medication administration. The error was attributed to staff being behind on their medication pass and not properly verifying the medications before administration.
Failure to Notify POA After Significant Medication Error
Penalty
Summary
The facility failed to notify a resident's power-of-attorney (POA) in a timely manner following a significant medication error. A resident with multiple diagnoses, including dementia, diabetes, hypertension, and heart failure, was moderately cognitively impaired and dependent on staff for medication administration. On the morning of the incident, the resident was mistakenly given another resident's medications, which included several antihypertensive and antiplatelet drugs. Shortly after administration, the resident experienced symptoms of hypotension, including dizziness and persistently low blood pressure, requiring multiple interventions such as midodrine administration and attempted IV fluids. Documentation and interviews revealed that the medication error was discovered when the resident reported feeling dizzy, prompting staff to realize the mistake. The resident's blood pressure was monitored closely, and the nurse practitioner was contacted for further orders. Despite these clinical interventions and the resident's ongoing symptoms, there was no documented evidence that the resident's POA was notified of the medication error or the subsequent change in condition in a timely manner, as required by facility policy. The lack of timely notification was confirmed through interviews with nursing staff and review of the medical record. The resident ultimately contacted their POA directly, who then reached out to the facility to discuss the incident. Facility policy required prompt notification of a resident representative following a change in condition, but this was not followed in this case, resulting in a deficiency related to notification procedures.
Improper Hygiene During Wound Care
Penalty
Summary
The facility failed to ensure proper hygiene during wound care for Resident #24, who was admitted with diagnoses including type two diabetes mellitus, chronic kidney disease, and congestive heart failure. The physician's orders required cleansing the wound on the right foot/ankle with wound cleanser or normal saline, applying calcium alginate, and covering with dressing daily or as needed. During an observation of wound care, an LPN performed hand hygiene and donned gloves before starting the treatment. However, the LPN did not change gloves or perform hand hygiene after removing the old dressing and cleansing the wound, continuing the dressing change with the same pair of gloves. The LPN only removed her gloves and performed hand hygiene after completing the treatment. The facility's policy emphasized that handwashing is crucial in preventing infection transmission, and healthcare workers should frequently and appropriately utilize hand hygiene.
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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 Englewood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grace Brethren Village | 0.8 mi | ★★★★★ | 1 | 0 |
| Englewood Health And Rehab | 0.9 mi | ★★★★★ | 0 | 0 |
| Arc At Trotwood Llc | 3.1 mi | ★★★★★ | 15 | 0 |
| Aventura At Shiloh Springs | 3.7 mi | ★★★★★ | 20 | 0 |
| Trotwood Health & Rehab Llc | 4 mi | ★★★★★ | 11 | 1 |
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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.