Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
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 Cypress Point-skilled Nursing By Americare during CMS and state inspections, most recent first.
Surveyors observed multiple unaddressed maintenance and cleanliness issues, including unattached and missing trim, dirty and stained privacy curtains, cobwebs, debris in light fixtures, and unsanitary conditions in the shower room. Two residents requested curtain replacements due to visible stains, and staff interviews confirmed that cleaning and maintenance tasks were not consistently documented or addressed.
A resident with multiple medical conditions who required supervision for transfers and toileting was left unattended in the bathroom for approximately nine hours after being assisted by staff. The resident attempted to transfer independently, resulting in a severe fall with a de-gloved hand, open wrist fracture, and head laceration. Staff did not consistently check on the resident, and facility policies lacked clear guidance on monitoring frequency, leading to the incident.
The facility failed to develop and implement comprehensive care plans for two residents. One resident with occlusion of bilateral carotid arteries and basal cell carcinoma had a wound not addressed in the care plan. Another resident with dementia had no interventions for dementia in their care plan. Interviews with staff confirmed these deficiencies.
A resident with occlusion of bilateral carotid arteries and basal cell carcinoma had a wound that was not accurately assessed or documented by the LTC facility. Despite a policy requiring regular skin assessments, there was no documentation of the wound's characteristics. Observations showed a large bandage on the resident's nose, and an LPN noted an opening by the lower eyelid. The ADON and DON confirmed that weekly assessments were required but not completed.
The facility failed to maintain sanitary conditions for food storage and distribution, risking cross-contamination and food-borne illness for all residents. There were significant lapses in documenting refrigerator and freezer temperatures, dishwashing machine operation, and sanitizer concentration levels during August and September 2024. Staff interviews confirmed these tasks were expected to be completed daily, but documentation was lacking.
The facility failed to properly implement enhanced barrier precautions for four residents, as observed by surveyors. An LPN wore improperly fitting gowns during wound and catheter care, causing them to fall to the elbows. Another LPN did not wear a gown while checking a gastrostomy tube. Staff interviews revealed a lack of awareness and understanding of proper PPE use during specific care activities.
The facility failed to maintain a clean and safe environment, with observations of cobwebs and dirt on ceilings and light fixtures outside various exit doors. Residents noticed the unclean conditions, and staff interviews revealed a lack of clarity in cleaning responsibilities. The Maintenance Supervisor acknowledged responsibility for the outside environment, but the facility's policy was not followed, affecting all 68 residents.
Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable homelike environment for its residents, as evidenced by multiple observations of unaddressed maintenance and cleanliness issues throughout the building. Surveyors noted unattached and missing baseboard trim near the kitchen's ice machine and behind the linen cart area, visible cobwebs on a sprinkler head and light fixtures, several light fixtures with insects, dirt, and debris, and missing protective covers on light fixtures near the laundry room and resident rooms. Privacy curtains in several rooms were stained and dirty, with two residents specifically requesting that their curtains be replaced due to visible stains and a lack of replacement over several years. The facility did not provide a policy for maintaining a homelike environment, and the maintenance repair log showed no areas of concern addressed over a five-month period. Further observations in the bath/shower room revealed unsanitary conditions, including containers with unknown liquids, a disposable razor, a wet washcloth, dirty gloves on the floor, a trash can without a lid containing dirty items, a saturated towel, and food and drink items left on the shower cart. There was also a strong smell of urine, and the room was not in use at the time. Staff interviews confirmed that the shower room should be cleaned and sanitized after use, and that maintenance and housekeeping issues were typically reported verbally rather than documented. The Maintenance Supervisor and Administrator were aware of some issues, such as the baseboard trim, but there was a lack of documentation and follow-up on daily maintenance tasks.
Failure to Provide Adequate Supervision Resulting in Resident Injury
Penalty
Summary
A deficiency occurred when staff failed to provide adequate supervision to ensure the safety of a resident who required assistance with activities of daily living, including toileting and transfers. The resident, who had multiple medical diagnoses such as coronary artery disease, heart failure, chronic kidney disease, and hypertension, was assessed as needing supervision or touch assistance for transfers and toileting. Despite these needs being documented in the care plan, staff assisted the resident to the toilet but did not check on them for approximately nine hours. During this time, the resident attempted to transfer independently, resulting in a severe fall and injury. The incident was discovered when staff found the resident lying on the bathroom floor, partially clothed, with significant injuries including a de-gloved hand, open fractured wrist, and a laceration to the forehead. The resident reported attempting to get off the toilet, slipping, and getting their wrist stuck in the handrail before falling to the floor. The call light was not activated, and the resident stated they yelled for help but were not heard. Staff interviews revealed inconsistent accounts of when the resident was last seen, with some staff recalling seeing the resident on the toilet but not returning to check on them, and others unable to confirm who assisted the resident initially. Facility policies reviewed did not include specific guidance on monitoring residents throughout the night or the frequency of checks required. The care plan indicated the need for frequent checks and supervision, but this was not implemented. Staff and leadership interviews confirmed that the resident was known to be private and typically used the call light for assistance, but there was no documentation of a request for privacy on the care plan. The lack of supervision and failure to follow the care plan directly led to the resident being left unattended for an extended period, resulting in serious injury.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement individualized comprehensive care plans with specific interventions for two residents. Resident #12, who was admitted with diagnoses of occlusion of bilateral carotid arteries and basal cell carcinoma of the skin, was observed with a large bandage covering the nose. However, the care plan revised earlier in the month did not address wound care interventions. This oversight was confirmed during interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON), who both acknowledged that any wound should be addressed in the care plan. Similarly, Resident #63, admitted with a diagnosis of dementia, had a care plan that did not include interventions for dementia. During an interview, an LPN noted a significant wound near the resident's lower eyelid, which was not addressed in the care plan. The ADON and the Minimum Data Set (MDS) Coordinator confirmed that a diagnosis of dementia should be included in the care plan with appropriate interventions. These deficiencies highlight the facility's failure to ensure that care plans are comprehensive and tailored to the residents' specific medical needs.
Failure to Document and Assess Resident's Wound
Penalty
Summary
The facility failed to accurately assess and document a wound for a resident, identified as Resident #12, which was a deficiency in meeting professional standards of quality. The facility's policy required a full body skin assessment by a licensed or registered nurse upon admission, daily for three days, and as needed, with any changes reported to the charge nurse. However, there was no documentation of skin assessments related to the resident's wound, including the type, measurements, characteristics, color, and odor. The resident had diagnoses of occlusion of bilateral carotid arteries and basal cell carcinoma of the skin, and there was an order for Mupirocin ointment to be applied to the nose for drainage, but the care plan did not address wound care interventions. Observations and interviews revealed further deficiencies. On a specific date, the resident was observed with a large bandage covering the nose, and an LPN noted an opening by the lower eyelid the size of a dime. The Assistant Director of Nursing stated that weekly assessments should be completed for residents with wounds, and the Director of Nursing confirmed that wound assessments should be done weekly on active wounds. The lack of documentation and assessment of the resident's wound indicates a failure to adhere to the facility's policy and professional standards of care.
Failure to Maintain Sanitary Food Storage and Distribution
Penalty
Summary
The facility failed to store and distribute food under sanitary conditions, which increased the risk of cross-contamination and food-borne illness for all 68 residents. The facility's policies required daily documentation of refrigerator and freezer temperatures, dishwashing machine operation, and sanitizer concentration levels. However, there were significant lapses in documentation for these critical tasks during August and September 2024. Specifically, there were 18 missed opportunities for recording dishwasher temperatures, 29 missed opportunities for refrigerator temperature logs, and 16 missed opportunities for checking sanitizer concentration levels. Interviews with facility staff, including a Dietary Aide, the Dietary Manager, and the Administrator, confirmed that these checks were expected to be completed and documented daily. The Dietary Manager acknowledged the hiring of new staff and the need to remind them to complete these tasks. The Administrator also expressed the expectation that dietary staff should document these checks daily and sign off upon task completion. Despite these expectations, the lack of documentation indicates a failure to adhere to established procedures, potentially compromising food safety.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement and follow enhanced barrier precautions (EBP) for four residents during care, as observed by surveyors. For Resident #12 and Resident #13, the Licensed Practical Nurse (LPN) C wore an isolation gown that did not fit properly, causing it to fall to the elbows during wound treatment. This improper fit of the gown was acknowledged by LPN C, who stated that the gowns were too small and did not fit around the shoulders. Similarly, during the care of Resident #35, LPN C's gown fell to the elbows while performing suprapubic catheter care, and the resident's brief and pants were allowed to lay back on the catheter insertion site multiple times during the procedure. For Resident #56, LPN D did not wear an isolation gown while checking the residual and placement of a gastrostomy tube, despite the presence of an open area that could leak body fluids. Interviews with staff, including the Infection Preventionist (IP), Registered Nurse (RN) E, and the Assistant Director of Nursing (ADON), revealed a lack of awareness and understanding of the proper use of gowns and PPE during specific care activities. The facility had recently started implementing the EBP, and there was ongoing coordination with the Medical Director for further clarification on its implementation.
Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable homelike environment, as evidenced by the buildup of cobwebs and dirt on the vinyl ceilings and light fixtures outside various exit doors. Observations were made over several days, showing consistent neglect in cleaning these areas, which included locations near resident rooms, the laundry door, the tv/living room, the bird aviary room, the Rehab-to-Home wing, and the main entrance/exit door of the facility. This deficiency was noted to potentially affect all 68 residents in the facility. Interviews with residents and staff revealed that the cobwebs and dirt had been present for some time. Residents expressed their awareness and concern about the unclean conditions, while the housekeeper clarified that their duties were limited to the inside of the building. The Maintenance Supervisor acknowledged responsibility for the outside environment, and the Administrator confirmed the expectation for regular cleaning of these areas. Despite these acknowledgments, the facility's policy on maintaining a safe and sanitary environment was not adhered to, leading to the observed deficiencies.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 65 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Dexter
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Memory Lane Of Dexter | 0.4 mi | — | 0 | 0 |
| Crowley Ridge Care Center | 1.2 mi | — | 0 | 0 |
| Prairie View Skilled Nursing | 6.4 mi | — | 0 | 0 |
| Winchester Nursing Center, Inc | 8.9 mi | — | 0 | 0 |
| Aspire Senior Living Malden | 15.3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Cypress Point-skilled Nursing By Americare.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.