Starfile / Michigan

Mission Point Nursing & Physical Rehabilitation Ce

1400 Poplar Street, Hancock, MI 49930 · CCN 235552

SFF Candidate

Inspection history vs Michigan & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$180,775

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

MISSION POINT HEALTHCARE SERVICES

Facilities in chain

22

Chain avg overall

2.50 / 5

Inspection citations (52)1 immediate jeopardy1 actual harm

1. FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

3. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

5. DF0759Ensure medication error rates are not 5 percent or greater.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

6. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

7. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

8. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

9. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-07-25 · Health · corrected 2025-08-25

   Potential for more than minimal harm

10. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-07-25 · Health · corrected 2025-08-25

    Potential for more than minimal harm

11. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-07-25 · Health · corrected 2025-08-25

    Potential for more than minimal harm

12. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-07-25 · Health · corrected 2025-08-25

    Potential for more than minimal harm

13. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-07-25 · Health · corrected 2025-08-25

    Potential for more than minimal harm

14. FF0881Implement a program that monitors antibiotic use.2025-07-25 · Health · corrected 2025-08-25

    Potential for more than minimal harm

15. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-07-25 · Health · corrected 2025-08-25

    Potential for more than minimal harm

16. DF0572Give residents a notice of rights, rules, services and charges.2024-12-06 · Health · corrected 2025-01-06

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-06 · Health · corrected 2025-01-06

    Potential for more than minimal harm

18. DF0692Provide enough food/fluids to maintain a resident's health.2024-12-06 · Health · corrected 2025-01-06

    Potential for more than minimal harm

19. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-12-06 · Health · corrected 2025-01-06

    Potential for more than minimal harm

20. FF0584Honor 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.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

22. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

24. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

25. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

26. FF0730Observe each nurse aide's job performance and give regular training.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

27. FF0732Post nurse staffing information every day.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

28. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-08-12 · Health · corrected 2024-09-19

    Potential for more than minimal harm

29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-12 · Health · corrected 2024-09-19

    Potential for more than minimal harm

30. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

31. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

32. LF0880Provide and implement an infection prevention and control program.2024-08-12 · Health · corrected 2024-09-12

    Immediate jeopardy

33. FF0881Implement a program that monitors antibiotic use.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

34. FF0887Educate 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.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

35. FF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

36. DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

37. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

38. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

39. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-08-12 · Health · corrected 2024-09-12

    Potential for more than minimal harm

40. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-01 · Health · corrected 2024-05-29

    Potential for more than minimal harm

41. GF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-05-01 · Health · corrected 2024-06-07

    Actual harm

42. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-05-01 · Health · corrected 2024-06-07

    Potential for more than minimal harm

43. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-03 · Health · corrected 2024-04-26

    Potential for more than minimal harm

44. DF0610Respond appropriately to all alleged violations.2024-04-03 · Health · corrected 2024-04-26

    Potential for more than minimal harm

45. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

46. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

47. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

48. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

49. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

50. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

51. FF0880Provide and implement an infection prevention and control program.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

52. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

Ownership

Other facilities in Hancock

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