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 Rock Point Nursing Center during CMS and state inspections, most recent first.
The facility failed to maintain a safe, clean, and homelike environment, affecting all 70 residents. Observations showed a deep crack in the dining room floor, missing baseboard trim, and exposed sheetrock. The Maintenance Supervisor and Administrator were aware of these issues, with no plans for repair.
The facility failed to attempt gradual dose reductions (GDR) for three residents on psychotropic medications, as required by their policy. These residents, with various mental health diagnoses, were prescribed medications like Paxil, quetiapine, and aripiprazole without documented GDR attempts or contraindications. Interviews revealed that GDRs were expected unless contraindicated, but the facility did not adhere to this policy.
The facility exceeded the acceptable medication error rate due to improper insulin administration for two residents. The CMT failed to prime the Fiasp insulin pen before each dose, contrary to manufacturer guidelines. The DON and Administrator confirmed the requirement to prime the pen before each dose.
A facility failed to implement Enhanced Barrier Precautions (EBP) during tube feeding and incontinent care for a resident. Despite EBP signage, staff did not wear gowns as required. An LPN and two nursing assistants provided care without gowns, contrary to the facility's policy. Interviews revealed a misunderstanding of EBP requirements, with the DON expecting compliance.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment, which had the potential to affect all 70 residents. Observations revealed a deep crack in the laminate flooring across the dining room, approximately 15 feet in length and 1 inch deep, causing a shift in the walking surface. Additionally, there was approximately 20 feet of missing baseboard trim along the dining room wall near the kitchen and exposed sheetrock measuring 20 inches by 20 inches in the C unit hallway. During interviews, the Maintenance Supervisor stated that the crack in the dining room floor had been present since their employment, and no discussions had occurred regarding its repair. The Administrator acknowledged awareness of the crack, noting it had been there for a long time, with no current plans to address it.
Failure to Attempt Gradual Dose Reduction for Psychotropic Medications
Penalty
Summary
The facility failed to attempt a gradual dose reduction (GDR) for three residents who were on psychotropic medications, as required by their policy. The policy mandates that residents on such medications should receive GDRs and behavioral interventions unless clinically contraindicated. However, for Residents #16, #24, and #58, there was no documentation of attempted GDRs or contraindications for their psychotropic medications, which included antidepressants and antipsychotics. Resident #16 had diagnoses including catatonic disorder, anxiety, schizophrenia, and drug-induced akathisia, and was prescribed Paxil, quetiapine, and mirtazapine. Resident #24 had diagnoses such as dementia, suicidal ideations, bipolar disorder, and major depressive disorder, and was prescribed escitalopram, trazodone, and quetiapine. Resident #58 had conditions including cerebrovascular disease, rheumatoid arthritis, and bipolar disorder, and was prescribed aripiprazole. Despite these prescriptions, there was no evidence of GDR attempts or documented contraindications for these medications. Interviews with the facility's pharmacist and administrator revealed that the facility's practice was to conduct GDRs unless contraindicated, particularly for residents without diagnoses like bipolar disorder, schizoaffective disorder, or schizophrenia. The pharmacist indicated that GDRs were typically done within the first three months of admission and then periodically. However, the administrator acknowledged that GDRs should be completed per the facility's policy, which was not adhered to in these cases.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, resulting in a rate of 7.14% due to errors in insulin administration for two residents. The errors were observed during medication administration for two residents, where the Certified Medical Technician (CMT) did not prime the Fiasp insulin pen as per the manufacturer's instructions before administering the insulin. This oversight occurred despite the facility's policy on insulin administration, which did not specifically address the technique for insulin pen administration. Resident #23 was administered 3 units of Fiasp insulin for a blood sugar level of 199 without priming the pen, and Resident #58 received 3 units for a blood sugar level of 189, also without priming. The CMT involved stated that they only primed the pen when it was brand new and had not been instructed to prime it before each dose. The Director of Nursing and the Administrator both confirmed that insulin pens should be primed before each dose according to manufacturer guidelines.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) during the care of a resident, specifically during tube feeding and incontinent care. Observations revealed that despite EBP signage being posted outside the resident's room, staff members did not adhere to the policy requiring the use of gloves and gowns for high-contact activities. During a tube feeding administration, an LPN entered the resident's room, performed hand hygiene, donned gloves, administered the feeding, and left the room without wearing an isolation gown. Similarly, during incontinent care, a CNA and a Nursing Assistant entered the room, performed hand hygiene, donned gloves, provided care, and exited without wearing gowns. Interviews with the staff involved indicated a lack of compliance with the EBP policy. The LPN admitted to not wearing a gown during tube feedings, while the CNA and Nursing Assistant stated they did not typically wear gowns for any care provided to the resident. The CNA mentioned consulting the Director of Nursing (DON) about the necessity of wearing a gown and was advised it was not needed. However, the DON later stated that she expected staff to follow EBP precautions, which include wearing gowns during tube feedings and incontinent care.
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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 Birch Tree
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountain View Healthcare | 11.3 mi | — | 0 | 0 |
| Willow Care Nursing Home | 27.2 mi | — | 0 | 0 |
| Brooke Haven Healthcare | 27.4 mi | — | 9 | 0 |
| Nhc Healthcare, West Plains | 28 mi | — | 0 | 0 |
| West Vue Nursing And Rehabilitation Center | 28 mi | — | 3 | 0 |
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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.