By DREYMA BERONJA
According to the report, all 48 residents of the facility were impacted by insufficient practices that led to the potential for abuse and neglect.
The state also found that out of 17 allegations of abuse and neglect, the facility failed to report eight of them.
LARA said Mission Point did not meet 29 requirements including treating residents with respect; keeping residents safe from abuse, neglect and exploitation; reporting alleged violations; and providing basic life support to residents, which may have led to one resident’s death.
Mission Point of Ishpeming released the following statement on Facebook.
“Upon receiving the report and further internal investigation, we immediately removed three administrative staff members and prioritized Mission Point of Ishpeming with heavy support from our regional care team,” Mission Point’s post said.
A firm representing the Mission Point said the company had no further comment.
LARA said its report was based on observation, interview and record review. It said in part that Mission Point failed to immediately initiate CPR and call 911 in one case, which likely caused serious injury, harm and death to a resident.
The resident referred to in the report as Resident #12 was found half on the floor and the upper body on the bed without a pulse or respiration.
“We have since hired replacements for the key administrative roles,” it said. “While our regional leadership continues to spend a great deal of time with the new administrative team members and on site at the facility to ensure a smooth transition, we have received overwhelmingly positive feedback from our residents, families and staff on the changes. Also, we are aggressively developing our plan of correction and have submitted it to LARA for approval.”
LARA also said the facility failed to allow residents the right to be treated with respect and dignity, including the right to retain and use personal possessions.
For example, Resident #7 was interviewed about the respect and dignity requirement. LARA found this practice resulted in psychosocial harm, fear, increased anxiety, increased insomnia, feelings of insecurity and exacerbation of the resident’s post-traumatic stress disorder.
“A (certified nursing assistant) decided to change things up in my room. She came into my room at night and rearranged my whole room. She threw out a lot of my stuff,” Resident #7 said. “My safety and security has all been shot to hell.”
Resident #7 said the change in her room made her feel violated in some way.
“When I came back, and everything had been changed … I have never had my home invaded. I have to move forward,” Resident #7 said. “I don’t feel safe anymore. I don’t feel as secure as I did before.”
The state also said residents’ right to be free from abuse, neglect and exploitation was not met. Mission Point failed to provide necessary care and services for six residents out of 15 sampled for abuse and neglect.
The report said this resulting in a finding of staff inaction resulted in residents being left saturated in urine and feces. Inadequate nurse staffing resulted in a lack of consistently scheduled showers for residents, delayed medication administration and failure to ensure residents were dressed, groomed and able to get out of bed.
In a phone interview with a guardian of one resident at Mission Point, the guardian said the facility doesn’t have enough staff to take care of everyone.
“I don’t want this facility shut down because then it would just be worse for me, I don’t know what to say,” the guardian said.
When the state asked if the guardian found the resident saturated with urine all the way down to his shoes and soiled with dried feces, she confirmed that was the case.
“We take very seriously our responsibility for and commitment to the health, welfare and safety of our residents. That care starts and ends with strong onsite leadership,” Mission Point said. “Moving forward Mission Point Healthcare Service’s leadership and facility leadership will continue to monitor the plan of correction to ensure substantial compliance.”
To read the full report, visit val.apps.lara.state.mi.us/Files/ViewDocument/58133.
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Mission Point Care facility responds to report
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