Starfile

Starfile / Michigan

Mission Point Nursing & Physical Rehabilitation Ce

313 Sherwood Street, Holly, MI 48442 · CCN 235722

Ratings

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

Facility

Ownership type
For profit - Partnership
Certified beds
66
Avg residents/day
61.9
Phone
2487083100

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
12025-02-05169.99.5+6.1 worse
22024-01-231811.49.8+6.6 worse
32023-02-091812.09.3+6.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care6
Resident assessment and care planning2
Resident rights1
Nutrition and dietary1
Pharmacy service2
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4454.5%
RN staffing (reported)0.6036.4%
Total nurse staffing (adjusted)4.06

Fines & penalties

Total fines
$95,194
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 (52)1 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-14 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  2. DF0610Respond appropriately to all alleged violations.2025-08-14 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  3. DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2025-08-14 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  4. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-14 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  5. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-14 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-14 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  7. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-14 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  8. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-08 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  9. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-07-08 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  10. 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.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  11. DF0641Ensure each resident receives an accurate assessment.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  13. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  14. EF0761Ensure 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.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  15. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  16. DF0880Provide and implement an infection prevention and control program.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  17. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-15 · Health · corrected 2024-08-03

    Potential for more than minimal harm

  18. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-15 · Health · corrected 2024-08-03

    Potential for more than minimal harm

  19. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-06-04 · Health · corrected 2024-06-18

    Potential for more than minimal harm

  20. 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.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  21. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-01-23 · Health · corrected 2023-12-18

    Potential for more than minimal harm

  22. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-23 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  23. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  24. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  26. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  27. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  28. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  29. DF0760Ensure that residents are free from significant medication errors.2024-01-23 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  30. EF0761Ensure 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.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  31. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  32. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  33. DF0887Educate 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.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  34. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-01-23 · Health · corrected 2024-02-19

    Potential for more than minimal harm

  35. EF0908Keep all essential equipment working safely.2024-01-18 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  36. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-19 · Health · corrected 2023-09-06

    Potential for more than minimal harm

  37. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-19 · Health · corrected 2023-10-03

    Potential for more than minimal harm

  38. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-09-19 · Health · corrected 2023-10-03

    Potential for more than minimal harm

  39. 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.2023-08-02 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  40. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-02 · Health · corrected 2023-08-22

    Actual harm

  41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-02 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  42. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-22 · Health · corrected 2023-04-28

    Potential for more than minimal harm

  43. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  44. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  45. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  46. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-09 · Health · corrected 2023-03-07

    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.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  48. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  49. DF0759Ensure medication error rates are not 5 percent or greater.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  50. EF0761Ensure 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.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  51. DF0888Ensure staff are vaccinated for COVID-192023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  52. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-09 · Health · corrected 2023-03-07

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HRM HOLLY HOLDING, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%2024-01-08
MPMS HOLLY ACQUISITION LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%2011-11-07
NEW CENTER MANAGEMENT SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-04-01
CONLEY, TANYAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-04-01
MCLEOD, LEIGHIndividualOPERATIONAL/MANAGERIAL CONTROL2025-08-25
ROJAS, BERNARDOIndividualOPERATIONAL/MANAGERIAL CONTROL2025-10-01
MALI, HARIIndividualCORPORATE OFFICER2011-11-07
CAPITAL FUNDING GROUP, INC.Organization5% OR GREATER MORTGAGE INTEREST2022-04-15

Other facilities in Holly

NameOverallBeds

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