Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mission Point Health Campus Of Jackson during CMS and state inspections, most recent first.
Two residents reported and staff corroborated that an LPN used profane, harsh, and dismissive language toward residents during and after fall events and when they sought help. One resident with cognitive impairment, depression, and anxiety was found on the floor after a fall, and multiple staff statements documented that the LPN used profanity and expressed annoyance about the resident frequently being on the floor, while the resident responded by calling himself derogatory names. Another cognitively intact resident, admitted with respiratory failure and heart disease, filed a grievance stating that the same LPN had a very bad attitude, told the resident to stay in the room, failed to respond to a medication request, and was "very snotty." This resident also reported that after going to get help for another resident who had fallen and was calling out, the LPN repeatedly ordered the resident back to the room and said that enough was enough, causing the resident to feel angry.
The facility failed to maintain food service equipment and date mark ready-to-eat food products, affecting 39 residents. Observations revealed soiled kitchen equipment, a damaged ceiling, and expired yogurt in the walk-in cooler. The dish machine's wash and rinse temperatures were below required levels, and kitchenettes had soiled or damaged appliances. These deficiencies increased the risk of cross-contamination and foodborne illness.
The facility failed to provide palatable and appropriately temperature-controlled food, affecting 39 residents. Several residents, including those in isolation, reported receiving cold meals, with temperature checks confirming non-compliance with FDA standards. The Director of Food and Nutrition Services acknowledged complaints and mentioned methods to maintain food temperatures, but there was a lack of clarity on reheating procedures and communication issues regarding food availability.
The facility failed to ensure proper PPE use and disinfection protocols for COVID-19 precautions. Staff did not adhere to required PPE standards, such as wearing N95 masks and proper eye protection, and signage was inadequate. Additionally, improper disinfection practices were observed, including placing medical items on surfaces without barriers and not disinfecting them properly. Another incident involved improper insulin pen preparation. These issues occurred while multiple residents tested positive for COVID-19, highlighting deficiencies in infection control practices.
The facility failed to maintain a clean and safe environment, affecting 40 residents. Observations revealed issues such as a soiled waste hopper, worn toilet seat, and damaged drywall. A sinkhole was also found near a storm drain. The facility's maintenance tracking system showed no entries addressing these concerns, indicating a gap in maintenance response.
A facility failed to develop a baseline care plan for a resident with end-stage renal disease, lacking details about the dialysis access site and necessary assessments. The resident's care plans did not specify the type or location of the dialysis access, and staff were unaware of these details. The DON confirmed that the admission assessment noted a dialysis catheter in the resident's right chest, which should have been included in the care plan.
The facility failed to ensure that the attending physician documented the review of identified medication irregularities for three residents. One resident's Metformin administration issues were not addressed due to staff leave and changes in pharmacy and Medical Director. Another resident's migraine medication concerns were signed but not addressed until months later. A third resident's MiraLAX administration recommendations were not updated in the physician's orders despite repeated pharmacy recommendations.
A resident with anxiety disorder and depression was prescribed Xanax as needed without a stop date, leading to potential unnecessary medication use. The resident was cognitively impaired, and the oversight was confirmed by the DON, who stated that PRN medications should have a stop date after 14 days.
The facility's medication error rate was 17.24% due to improper medication administration by LPNs. One LPN crushed medications on the 'do not crush' list, while another improperly prepared and administered insulin and gave a medication not ordered by the physician. The DON confirmed the procedures for medication administration and the availability of the 'do not crush' list.
A resident with a diagnosis of malignant neoplasm of the skin missed a scheduled medical appointment due to the facility's failure to arrange transportation. Although the appointment was noted in an online shared calendar, staff interviews revealed that the necessary coordination for transportation was not completed, resulting in the missed appointment.
A resident with severe dementia was not permitted to return to the facility after stabilization in a hospital, following a transfer due to behavioral issues. The decision was made by Regional Directors, and the facility lacked documentation from a physician justifying the refusal. The facility also did not have a policy for residents returning from the hospital.
The facility failed to provide written transfer/discharge notices for two residents, resulting in a deficiency. One resident, cognitively intact, was transferred to a hospital without a bed hold or transfer notice. Another resident, with incomplete cognitive assessment and unusual behavior, was also transferred without the necessary documentation. Interviews with staff confirmed the expected procedures were not followed.
A resident with severe dementia and mood disturbance did not receive prescribed Ziprasidone due to unavailability at the facility, leading to increased agitation and threatening behavior. The medication order was delayed, and the physician was not informed of the missed doses, potentially contributing to the resident's behavioral escalation.
Failure to Treat Residents with Dignity and Respect During Falls and Assistance Requests
Penalty
Summary
The deficiency involves failure to honor residents' rights to dignity and respect in interactions with nursing staff. One resident with Alzheimer's disease, depression, and anxiety, and moderately impaired cognition, had a history of frequent falls. After an unwitnessed fall, the resident was found on the floor beside the bed. Multiple staff witness statements documented that an LPN used profanity and harsh language toward the resident in connection with these falls. One CNA reported that the LPN asked the resident, "Why do you keep doing this sh*t?" and repeatedly questioned why he was on the floor, to which the resident responded by calling himself an "*sshole." An RN reported hearing the LPN say in a harsh and annoyed tone that she was sick of this "sh*t," that the resident's "*ss is always on the God d*mn floor," and that the situation was "bullsh*t," with the resident again apologizing and calling himself an "*sshole." The LPN denied making inappropriate statements, but the witness accounts were documented in the facility-reported incident file. A second resident, admitted with respiratory failure and heart disease and assessed as cognitively intact, reported concerns about the same LPN's attitude and behavior on a grievance form. The resident stated that the LPN had a very bad attitude, told the resident to stay in the room, did not respond to a request for medication, and was "very snotty." In a subsequent interview, this resident described an incident in which another resident across the hall had fallen and was calling out for help for approximately 15 minutes. After going in a wheelchair to find help and notifying a CNA, the resident reported that, while returning to the room, the LPN repeatedly told the resident to go back to the room and said that "enough is enough," which made the resident feel angry. The facility's resident rights policy states that residents have the right to be treated with respect and dignity.
Deficiencies in Food Service Equipment Maintenance and Food Safety Practices
Penalty
Summary
The facility failed to effectively clean and maintain food service equipment and date mark all potentially hazardous ready-to-eat food products, affecting 39 residents. During an initial tour of the food service area, several deficiencies were noted, including a damaged ceiling surface with a black watery substance near the pot and pan storage rack, and various kitchen equipment such as the South Bend convection oven, stove, griddle, char broiler, and ventilation hood filters were observed to be soiled with accumulated and encrusted food residue. Additionally, the can opener assembly was also found to be soiled. In the walk-in cooler, a full case of Yoplait Natural Yogurt was found with a manufacturer's use-by-date that had already passed. The mechanical dish machine was observed to have a wash temperature gauge reading below the required minimum, and the final rinse temperature was insufficient for effective hot water sanitization. The facility's kitchenettes also had issues, with the General Electric refrigerator/freezer and microwave oven being soiled or damaged. Record reviews of the facility's policies and procedures revealed that equipment and utensils were not being properly cleaned and sanitized, and food storage areas were not maintained in a clean, safe, and sanitary manner. The dish machine usage policy was not followed, as the recorded temperatures did not meet the required standards for sanitization. The facility's failure to adhere to these policies and procedures increased the likelihood of cross-contamination, bacterial harborage, and resident foodborne illness.
Deficiency in Food Temperature and Palatability
Penalty
Summary
The facility failed to provide palatable and appropriately temperature-controlled food to its residents, affecting 39 individuals. Observations and interviews revealed that several residents, including those in isolation due to COVID-19, consistently received meals that were cold or not at the correct temperature. For instance, Resident #243 reported that their meals were generally not warm, and items were missing from their meal tray. Similarly, Resident #21 expressed dissatisfaction with the taste and temperature of the food, noting that scrambled eggs were cold and pancakes were tough. Temperature checks conducted on food trays confirmed that several items did not meet the required temperature standards as per the 2017 FDA Model Food Code. For example, the green beans and cherry crisp on Resident #243's tray were below the required temperature, as were the Salisbury steak and mashed potatoes on Resident #21's tray. Additionally, Resident #145, who was in isolation, reported receiving an ice-cold breakfast and was unable to have it reheated due to isolation protocols, leading to them not eating breakfast. The Director of Food and Nutrition Services acknowledged complaints about food temperature and stated that methods to maintain food temperatures included using heated plates with insulated covers. However, there was a lack of clarity on whether nursing staff took temperatures after reheating food, and there was a discrepancy in communication regarding the availability of certain food items, such as cheerios, which were reportedly in stock but not provided to Resident #145.
Inadequate PPE Use and Disinfection Practices in COVID-19 Precautions
Penalty
Summary
The facility failed to ensure proper use of personal protective equipment (PPE) and disinfection protocols for COVID-19 transmission-based precautions. Upon entrance, it was noted that a resident, identified as R145, was positive for COVID-19. Observations revealed that staff, including an LPN, did not adhere to the required PPE protocols, such as wearing an N95 mask and using eye protection like goggles or a face shield. Instead, staff were observed wearing surgical masks and regular eyeglasses, which do not meet the required standards. Additionally, there was a lack of proper signage indicating the necessary precautions and PPE before entering the resident's room. The report also highlighted improper disinfection practices. An LPN was observed entering R145's room with a Symbicort inhaler and a glucometer, placing them directly on the overbed table without a barrier. After exiting the room, the LPN did not disinfect the inhaler before placing it back in the medication cart and only partially disinfected the glucometer. The top of the medication cart, where these items were placed, was not disinfected, and the LPN continued to wear the same surgical mask while caring for other residents. Another resident, R20, was involved in a separate incident where an LPN failed to follow proper disinfection procedures while preparing and administering insulin. The LPN did not wipe the pen tip with an alcohol swab before attaching the needle, as required by the manufacturer's instructions. These deficiencies were observed during a time when the facility had multiple residents testing positive for COVID-19, indicating a broader issue with infection control practices.
Facility Maintenance and Cleanliness Deficiencies
Penalty
Summary
The facility failed to effectively clean and maintain the physical plant, affecting 40 residents and increasing the likelihood of cross-contamination and bacterial harborage. During an interview, the Director of Environmental Services mentioned a recent transition from the Maintenance Care system to the TELS program, which may have contributed to the oversight. Observations during a common area environmental tour revealed several maintenance issues, including a soiled waste hopper basin, a worn toilet seat, and a soiled kitchenette cabinet. Additionally, the sunroom ceiling had visible damage, and the kitchenette in the 200 Hall had a damaged laminate backsplash and cabinet door hinges. Further inspection of the building grounds uncovered a sinkhole near the storm drain catch basin, posing a potential safety risk. In resident rooms, damaged drywall surfaces were noted, indicating a lack of timely maintenance. A review of the facility's policy on maintaining a safe and homelike environment highlighted the expectation for housekeeping and maintenance services to ensure a sanitary and comfortable setting. However, a review of the TELS Maintenance Work Orders showed no entries addressing these specific maintenance concerns, suggesting a gap in the facility's maintenance tracking and response system.
Failure to Develop Baseline Care Plan for Dialysis Access
Penalty
Summary
The facility failed to develop a baseline care plan with necessary healthcare information for a resident, identified as R145, who was admitted and readmitted with diagnoses including end-stage renal disease, dependence on renal dialysis, diabetes, and COVID-19. The Minimum Data Set (MDS) assessment indicated moderate cognitive impairment. Upon review, it was found that R145's care plans and orders lacked details about the type or location of the dialysis access site, and there were no orders to assess or monitor the site. During an interview, an LPN reported being unaware of the location of R145's dialysis access site or any necessary assessments or monitoring. The Director of Nursing confirmed that the admission assessment noted a dialysis catheter in the resident's right chest, information that should have been included in the care plan.
Failure to Document Physician Review of Medication Irregularities
Penalty
Summary
The facility failed to ensure that the attending physician documented the review of identified medication irregularities, the actions taken, or the rationale for no changes in the medical records of three residents. For Resident #21, the Medication Regimen Review (MRR) dated 10/24/24 identified issues with the administration of Metformin and recommended checking vitamin B-12 and folate levels. However, the physician did not sign the review or provide a response. The Director of Nursing (DON) reported that this oversight was due to the medical records staff being on leave and changes in the contracted pharmacy and Medical Director. For Resident #35, the MRR dated 9/17/24 highlighted concerns about the use of multiple migraine medications that could lead to excessive blood vessel narrowing. Although the physician signed the review on 9/26/24, no response was provided. The DON confirmed that the issue was not addressed until 12/12/24, following a change in the Medical Director. Resident #20's records showed that pharmacy recommendations for MiraLAX administration were not updated in the physician's orders from June to November 2024, despite repeated recommendations. The DON acknowledged that these recommendations were not completed for June and July.
Failure to Provide Stop Date for PRN Anti-Anxiety Medication
Penalty
Summary
The facility failed to provide a duration of use for a PRN (as needed) medication for a resident, leading to the potential for unnecessary medication use and adverse reactions. The resident, who was admitted with diagnoses including anxiety disorder and depression, was cognitively impaired with a score of 5 out of 15 on the Brief Interview for Mental Status (BIMS). The resident had a physician order for Xanax, an anti-anxiety medication, to be given every 8 hours as needed for anxiety, but the order did not include a stop date. This oversight was identified during an interview with the Director of Nursing, who acknowledged that PRN anti-anxiety medications should have a stop date after 14 days.
Medication Error Rate Exceeds 5% Due to Improper Administration
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a rate of 17.24% due to five observed medication errors out of 29 opportunities. For one resident, an LPN was observed crushing medications that were on the facility's 'do not crush' list, including omeprazole, enteric-coated aspirin, and ferrous sulfate. The LPN confirmed the presence of omeprazole and enteric-coated aspirin on the list but did not find ferrous sulfate. The physician's order allowed for crushing only crushable medications or using liquid forms if the resident could not take solid dosage forms. Another resident experienced medication errors when an LPN improperly prepared and administered insulin using a Lantus Solostar pen. The LPN did not wipe the pen tip with an alcohol swab before attaching the needle and failed to perform a safety test by not expelling 2 units of insulin before administering the dose. Additionally, the LPN administered Senna S, which included docusate sodium, contrary to the physician's order for Senna without docusate sodium. The Director of Nursing confirmed the procedures for insulin pen preparation and the availability of the 'do not crush' list on medication carts.
Failure to Arrange Transportation for Medical Appointment
Penalty
Summary
The facility failed to arrange and provide transportation for a resident's medical appointment, resulting in a missed appointment and potential delay of care. The resident, who was admitted with a diagnosis of malignant neoplasm of the skin, had a follow-up physician's appointment scheduled. However, the medical record did not mention this appointment. Interviews with staff revealed that appointments are tracked via an online shared calendar. On the day of the appointment, it was discovered that transportation had not been arranged, leading to the resident missing the appointment. The Director of Nursing confirmed that while the appointment was added to the calendar, the necessary coordination for transportation did not occur.
Facility Fails to Readmit Stabilized Resident After Hospitalization
Penalty
Summary
The facility failed to permit a resident, identified as R214, to return after stabilization following an emergency hospital transfer. R214 was initially admitted with a diagnosis of severe unspecified dementia with mood disturbance. During the stay, R214 exhibited frightening behavior, including screaming and threatening staff and a roommate, which led to a transfer to an acute care hospital for safety concerns. After psychiatric evaluation and stabilization on medication, the hospital attempted to transfer R214 back to the facility. However, the facility declined to readmit R214, stating they would not accept the resident back under any circumstances. The decision to refuse R214's return was made by two Regional Directors, as explained by the Nursing Home Administrator, who acknowledged the likelihood of being cited for this action. The facility's electronic medical record did not contain documentation from a physician justifying the refusal to readmit R214. Additionally, the facility lacked a policy regarding the return of residents from the hospital. The physician involved in R214's care was not part of the decision-making process and was unaware of the refusal to readmit the resident.
Failure to Provide Transfer/Discharge Notices
Penalty
Summary
The facility failed to provide a written reason for transfer or discharge for two residents, resulting in a deficiency. Resident #212 was admitted to the facility and was cognitively intact as per the Minimum Data Set (MDS) assessment. On a specific date, the resident experienced a change in condition and was transferred to a hospital. However, there was no evidence in the Electronic Medical Record of a bed hold or a transfer notice being provided to the resident or responsible party. Interviews with the Licensed Practical Nurse and the Director of Nursing confirmed that the expected procedure of providing a transfer notice and bed hold documentation was not followed. Similarly, Resident #214 was transferred to a hospital due to a change in condition, but the facility failed to provide the necessary transfer notice and bed hold documentation. The resident's cognitive assessment was incomplete, and the admission assessment noted unusual behavior. Despite the expectation to provide the required documentation, interviews with facility staff, including the Director of Nursing and a Regional Consultant, revealed that no such documentation was found in the resident's records by the time of the survey exit.
Failure to Administer Medication as Ordered
Penalty
Summary
The facility failed to administer medication as ordered for a resident diagnosed with severe unspecified dementia with mood disturbance. The resident was admitted to the facility with a prescription for Ziprasidone, an atypical antipsychotic, to be taken twice daily. However, the medication was unavailable at the facility from the time of admission, leading to missed doses over two days. During this period, the resident exhibited progressively agitated behavior, including crawling on the floor, hallucinating, yelling, and threatening others. Interviews and record reviews revealed that the medication order was not sent to the pharmacy until the day after admission, and the medication was not delivered until after midnight on the third day. The staff, including the unit manager and consultant pharmacist, acknowledged the delay in medication administration. The physician was not informed of the missed doses, which could have contributed to the resident's escalating behaviors. The National Alliance on Mental Illness emphasizes the importance of continuous medication administration to prevent symptom relapse, highlighting the potential impact of the missed doses.
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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.
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Nursing homes near Jackson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cascade Senior Care Center | 0.3 mi | — | 7 | 0 |
| Jackson County Medical Care Facility | 2.8 mi | — | 1 | 0 |
| Faith Haven Senior Care Centre | 2.8 mi | — | 13 | 0 |
| Regency At Jackson | 2.9 mi | — | 17 | 1 |
| Vista Grande Villa | 3 mi | — | 18 | 0 |
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