Starfile

Starfile / Michigan

Mission Point Nursing & Physical Rehabilitation Ce

11525 East Ten Mile Road, Warren, MI 48089 · CCN 235259

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Corporation
Certified beds
178
Avg residents/day
118.3
Phone
5867590700

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMichigan avgNational avgvs state
12025-05-07139.99.5+3.1 worse
22024-03-282811.49.8+16.6 worse
32022-12-212612.09.3+14.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care2
Resident assessment and care planning3
Resident rights3
Nutrition and dietary1
Pharmacy service2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4326.5%
RN staffing (reported)0.4218.2%
Total nurse staffing (adjusted)4.66

Fines & penalties

Total fines
$103,274
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
MISSION POINT HEALTHCARE SERVICES
Facilities in chain
22
Chain avg overall
2.50 / 5

Inspection citations (67)2 immediate jeopardy1 actual harm

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  3. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  7. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  8. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  9. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-07 · Health · corrected 2025-06-05

    Potential for more than minimal harm

  11. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-17 · Health · corrected 2025-05-02

    Immediate jeopardy

  12. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-08 · Health · corrected 2025-04-25

    Potential for more than minimal harm

  13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-08 · Health · corrected 2025-04-25

    Potential for more than minimal harm

  14. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-11-14 · Health · corrected 2024-11-26

    Potential for more than minimal harm

  15. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-17 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  16. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-13 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  17. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-07-03 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  18. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-07-03 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  19. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  20. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  21. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  22. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  23. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  24. DF0610Respond appropriately to all alleged violations.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  25. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  26. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  28. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  29. CF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-03-28 · Health · corrected 2024-04-22

    Potential for minimal harm

  30. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  31. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  32. EF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  33. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  34. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  35. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  36. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  37. DF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  38. FF0881Implement a program that monitors antibiotic use.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  39. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  40. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  41. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-19 · Health · corrected 2024-02-24

    Potential for more than minimal harm

  43. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-19 · Health · corrected 2024-02-24

    Potential for more than minimal harm

  44. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-19 · Health · corrected 2024-02-24

    Immediate jeopardy

  45. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-01-19 · Health · corrected 2024-02-24

    Potential for more than minimal harm

  46. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-10 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  47. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-10 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  48. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-01-10 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  49. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-20 · Health · corrected 2023-10-03

    Potential for more than minimal harm

  50. FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  51. FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  52. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  53. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  54. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  55. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  57. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  58. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-21 · Health · corrected 2023-01-19

    Actual harm

  59. DF0685Assist a resident in gaining access to vision and hearing services.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  60. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  61. DF0699Provide care or services that was trauma informed and/or culturally competent.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  62. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  63. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  64. DF0791Provide or obtain dental services for each resident.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  65. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  66. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

  67. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-12-21 · Health · corrected 2023-01-19

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MISSION POINT METRO HOLDING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-04-01
MALI, HARIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2021-04-01
MALI, HARIIndividualCORPORATE OFFICER2021-04-01
BEAUVAIS, THOMASIndividualW-2 MANAGING EMPLOYEE2021-04-01
TOLBERT, KATHLEENIndividualW-2 MANAGING EMPLOYEE2021-04-01

Other facilities in Warren

NameOverallBeds
St. Anthony Healthcare Center★★★★★142
The Villa at City Center★★★★☆152
Windemere Park Health and Rehabilitation Center★★★★☆92
Autumn Woods Residential Health★★☆☆☆293
The Orchards at Warren★☆☆☆☆134

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.