Above 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 Shelby Pointe during CMS and state inspections, most recent first.
The facility failed to maintain a clean and sanitary environment, affecting all 43 residents. Observations included an unsecured window screen, a dirty and cracked light ballast cover, and deteriorating sheetrock with missing molding around air conditioning units in residents' rooms. The Administrator confirmed these findings during an environmental tour.
A resident with a history of falls and various medical conditions experienced multiple falls due to the facility's failure to implement and monitor fall interventions as ordered. Despite a care plan that included specific measures like removing the wheelchair from the room and using non-skid strips, these were not consistently followed. Observations showed the wheelchair was often left next to the bed, and necessary reminders and strips were missing. Additionally, falls were not properly investigated, and interventions were not appropriately adjusted, indicating a lack of adherence to the facility's fall management policy.
A facility failed to monitor and document a resident's behaviors as ordered, affecting their care plan. The resident, with multiple diagnoses including cerebral palsy and anxiety, required behavior monitoring every shift. Despite noting behaviors on several dates, the facility did not document the specific behaviors, as confirmed by the DON.
A resident with multiple health conditions was administered the antibiotic Macrobid for a UTI without meeting the facility's established criteria for antibiotic use. Despite a urinalysis showing abnormalities, the Revised McGeer Criteria indicated the resident did not qualify for treatment. The antibiotic was given pending culture results, which later suggested other medications were more appropriate. The facility's Director of Nursing confirmed the criteria were not met.
The facility failed to provide total visual privacy for two residents in semi-private rooms due to the absence of privacy curtains around their beds. This issue was observed during a survey and confirmed by the Administrator.
The facility did not display required contact information for state agencies and advocacy groups in accessible areas, affecting all residents. An observation confirmed the absence of postings, and the Administrator verified this deficiency.
The facility's assessment document was incomplete, missing specific staffing needs for each shift and lacking a plan for recruitment and retention of direct care staff. This deficiency, affecting all 43 residents, was confirmed by the Administrator.
A facility failed to accurately code PASRR status on MDS assessments for eight residents, affecting those with mental health diagnoses like schizoaffective disorder and dementia. Some residents were incorrectly marked as having a serious mental illness, while others were inaccurately noted as not having one, despite PASRR evaluations indicating otherwise. These discrepancies were confirmed by a Social Service Designee.
Environmental Deficiencies Affecting Resident Safety and Comfort
Penalty
Summary
The facility failed to maintain a clean and sanitary environment, which had the potential to affect all 43 residents residing in the facility. During an environmental tour conducted with the Administrator, several deficiencies were observed. The exterior of the facility had a window screen off its track and unsecured. Inside, a light ballast cover in the East Hall contained dirt, debris, dead bugs, and was partially cracked. In the bedrooms of two residents, there was missing molding around the wall air conditioning and heating units, with deteriorating and eroding sheetrock and gaps between the interior and exterior walls. Another bedroom had significant gouges, indentations, and missing sheetrock behind a resident's headboard, along with similar issues of missing molding and deteriorating sheetrock around the air conditioning and heating unit. The Administrator verified all these findings during the tour.
Failure to Implement and Monitor Fall Interventions
Penalty
Summary
The facility failed to ensure that fall interventions were in place as ordered and care planned for a resident, leading to multiple falls. The resident, who had a history of falls and various medical conditions including chronic obstructive pulmonary disease and major depressive disorder, was found on several occasions in situations that indicated inadequate supervision and intervention. Despite having a care plan that included interventions such as keeping the bed in the lowest position, using a fall mat, and removing the wheelchair from the room while the resident was in bed, these measures were not consistently implemented. Observations revealed that the wheelchair was often left next to the bed, and non-skid strips and visual reminders were missing, contrary to the physician's orders and care plan. The facility also failed to properly investigate falls and implement appropriate interventions to prevent future incidents. For instance, after a fall on 08/03/24, the intervention was merely to reeducate staff on removing the wheelchair, which was not effective as the wheelchair was still found next to the bed during subsequent observations. Additionally, a fall on 08/31/24 was not documented or investigated, and the intervention for a fall in the bathroom on 11/22/24 was deemed inappropriate by the DON. The facility's policy on managing falls and fall risk was not adhered to, as evidenced by the lack of a resident-centered fall prevention plan tailored to the specific risk factors of the resident involved.
Failure to Monitor and Document Resident Behaviors
Penalty
Summary
The facility failed to adequately monitor a resident's targeted behaviors as ordered, affecting one of two residents reviewed for mood and behavior. The resident, who had a range of diagnoses including cerebral palsy, major depressive disorder, and anxiety, was admitted with moderately impaired cognition. The resident's care plan required monitoring of mood and behavior every shift, with documentation of any behaviors. However, the medical record review revealed that while behaviors were noted on several dates in December 2024, there was no documentation indicating what the specific behaviors were. The deficiency was confirmed through an interview with the Director of Nursing, who verified that the nursing staff was supposed to describe the behaviors that occurred. The lack of documentation on the specified dates in December 2024 was acknowledged, indicating a failure to follow the physician's order to monitor and document the resident's behaviors adequately. This oversight in documentation and monitoring could potentially impact the management of the resident's psychotropic medication and overall care plan.
Failure to Adhere to Antibiotic Use Criteria for UTI
Penalty
Summary
The facility failed to ensure that a resident met the established criteria for the use of an antibiotic medication before its administration. This deficiency affected a resident who was being treated for a urinary tract infection (UTI). The resident, who had intact cognition, was admitted with multiple diagnoses including chronic obstructive pulmonary disease, malnutrition, and depression. A urinalysis revealed abnormalities, and an antibiotic, Macrobid, was ordered and administered pending culture and sensitivity results. However, the Revised McGeer Criteria for Infection Surveillance Checklist indicated that the resident did not meet the criteria for antibiotic treatment, as they did not have a catheter and did not meet the required symptoms and microbiologic criteria. Despite the lack of criteria fulfillment, the resident received Macrobid twice daily over several days. The culture and sensitivity results later confirmed an infection with E. coli and ESBL, but indicated that other medications were more appropriate, leading to the discontinuation of Macrobid. The medical record did not show any indication that the physician or nurse practitioner was informed that the criteria for antibiotic use were not met. The Director of Nursing confirmed that the facility's criteria for antibiotic administration were not adhered to in this case.
Lack of Privacy Curtains in Semi-Private Rooms
Penalty
Summary
The facility failed to maintain total visual privacy for residents in semi-private rooms, affecting two residents out of 38 residing in such rooms. During an observation conducted on December 31, 2024, between 12:55 P.M. and 2:25 P.M., it was noted that there were no privacy curtains around the beds of two residents, which would ensure total visual privacy. Resident #39 shared a room with Resident #11, and Resident #33 shared a room with Resident #23. The absence of privacy curtains was confirmed through an interview with the Administrator at approximately 2:25 P.M. on the same day.
Failure to Post Required Contact Information
Penalty
Summary
The facility failed to ensure that all required postings, including contact information for pertinent state agencies and advocacy groups, were displayed in a manner accessible at all times. This deficiency affected all 44 residents residing in the facility. During an observation conducted on January 2, 2025, at 1:22 P.M., it was noted that there was no posted contact information for essential entities such as the State Survey agency, the State licensure office, adult protective services, the protection and advocacy network, home and community-based service programs, and the Medicaid Fraud Control Unit in any of the facility's common areas and hallways. An interview with the Administrator confirmed the absence of this information, verifying that the facility did not have a list of pertinent state agencies and advocacy groups posted.
Incomplete Facility Assessment Lacks Staffing Details
Penalty
Summary
The facility failed to ensure its facility-wide assessment contained all required information, which had the potential to affect all 43 residents. The assessment document lacked specific staffing needs for each shift, including day, evening, and night shifts. Additionally, it did not include information on how the facility would develop and maintain a plan to maximize recruitment and retention of direct care staff. This deficiency was confirmed during an interview with the Administrator, who verified that the assessment did not contain all the required information.
Inaccurate PASRR Coding on MDS Assessments
Penalty
Summary
The facility failed to ensure the accurate coding of Preadmission Screening and Resident Review (PASRR) status on the Minimum Data Set (MDS) assessments for eight residents. This deficiency was identified through a review of medical records and staff interviews. The facility's census was 43, and the incorrect coding affected residents with various mental health diagnoses, including schizoaffective disorder, bipolar disorder, and dementia. For Resident #1, the PASRR level two evaluation indicated no serious mental illness (SMI), intellectual disability (ID), or developmental disability (DD), yet the MDS assessment incorrectly marked the resident as having a serious mental illness. Similarly, Resident #18 was ruled out from further PASRR review, but the MDS assessment inaccurately indicated a serious mental illness. Conversely, Residents #11, #16, #25, #30, #36, and #41 were identified by the PASRR evaluation as having a level two mental illness, but their MDS assessments incorrectly stated they did not have a serious mental illness or related condition. The discrepancies in the MDS assessments were confirmed through an interview with the Social Service Designee (SSD), who verified the incorrect coding of PASRR status for the affected residents. These errors highlight a failure in the facility's process for ensuring accurate resident assessments, which is crucial for appropriate care planning and resource allocation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 92 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 Shelby
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crestwood Care Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Crestline Rehabilitation And Nursing Center | 7.3 mi | ★★★★★ | 2 | 0 |
| Crystal Care Center Of Mansfie | 8 mi | ★★★★★ | 0 | 0 |
| Jag Healthcare Mansfield | 10.2 mi | ★★★★★ | 0 | 0 |
| Liberty Nursing Center Of Mansfield | 11.1 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.