Starfile

Starfile / Michigan

Mission Point Nursing & Physical Rehabilitation Ce

18200 W 13 Mile Road, Beverly Hills, MI 48025 · CCN 235664

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Ratings

Overall
Health inspection
Quality measures
Staffing

Facility

Ownership type
For profit - Limited Liability company
Certified beds
96
Avg residents/day
46.1
Phone
2489405390

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
12025-12-0499.99.5-0.9 better
22025-06-112111.49.8+9.6 worse
32024-12-184212.09.3+30.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care2
Resident assessment and care planning1
Resident rights2
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.33
RN staffing (reported)0.72
Total nurse staffing (adjusted)4.17

Fines & penalties

Total fines
$339,637
Number of fines
2
Number of penalties
4
Payment denials
2

Chain

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

Inspection citations (72)2 immediate jeopardy3 actual harm

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-12-04 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  2. 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.2025-12-04 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  3. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-04 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  4. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-04 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-04 · Health · corrected 2026-01-01

    Actual harm

  6. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-12-04 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  7. DF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2025-12-04 · Health · corrected 2026-01-01

    Potential for more than minimal harm

  8. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-03 · Health · corrected 2025-11-19

    Potential for more than minimal harm

  9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-03 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  12. DF0692Provide enough food/fluids to maintain a resident's health.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  13. DF0759Ensure medication error rates are not 5 percent or greater.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  14. 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.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  15. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  16. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  17. EF0880Provide and implement an infection prevention and control program.2025-06-11 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  19. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-18 · Health · corrected 2024-06-11

    Potential for more than minimal harm

  21. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  22. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  24. 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.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  25. FF0880Provide and implement an infection prevention and control program.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  26. DF0881Implement a program that monitors antibiotic use.2024-12-18 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  28. 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.2024-05-15 · Health · corrected 2024-09-23

    Potential for more than minimal harm

  29. FF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  30. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  31. EF0610Respond appropriately to all alleged violations.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  32. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  33. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  34. FF0880Provide and implement an infection prevention and control program.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  35. EF0908Keep all essential equipment working safely.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  36. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-05-15 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  37. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-14 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-14 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  39. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-14 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  40. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  41. EF0558Reasonably accommodate the needs and preferences of each resident.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  42. 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.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  43. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  44. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  47. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  48. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  49. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  50. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  51. FF0880Provide and implement an infection prevention and control program.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  52. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-10-26 · Health · corrected 2023-12-11

    Potential for more than minimal harm

  53. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-03 · Health · corrected 2023-08-24

    Potential for more than minimal harm

  54. EF0583Keep residents' personal and medical records private and confidential.2023-08-03 · Health · corrected 2023-08-24

    Potential for more than minimal harm

  55. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-08-03 · Health · corrected 2023-08-24

    Potential for more than minimal harm

  56. DF0610Respond appropriately to all alleged violations.2023-08-03 · Health · corrected 2023-08-24

    Potential for more than minimal harm

  57. HF0610Respond appropriately to all alleged violations.2023-07-21 · Health · corrected 2023-08-24

    Actual harm

  58. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  59. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-06-09 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  60. 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.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  61. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-09 · Health · corrected 2023-08-30

    Immediate jeopardy

  62. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  63. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  64. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  65. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  66. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  67. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-09 · Health · corrected 2023-07-06

    Actual harm

  68. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-09 · Health · corrected 2023-07-24

    Immediate jeopardy

  69. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  70. EF0692Provide enough food/fluids to maintain a resident's health.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  71. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-09 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  72. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-09 · Health · corrected 2023-07-24

    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
CALHOUN, ANIKASALAIndividualW-2 MANAGING EMPLOYEE2021-10-06
LEE, MYRNAIndividualW-2 MANAGING EMPLOYEE2021-04-01
LEWIS, DEJUANAIndividualW-2 MANAGING EMPLOYEE2021-04-01
TOLBERT, KATHLEENIndividualW-2 MANAGING EMPLOYEE2021-08-23

Other facilities in Beverly Hills

NameOverallBeds

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