Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Mission Point Health Campus of Jackson

Jackson, MI · 50 certified beds · Last Life Safety survey March 4, 2026

CMS Certification Number 235538 · first certified July 1993

Ownership

Operated by MISSION POINT HEALTHCARE SERVICES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MI

16 citations — more than 62% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 6 citations; the earlier surveys on file averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 3 months from now. This facility’s last Life Safety survey was March 2026. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 731 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	16
Median facility in MI	13
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 17, 2024	5
December 12, 2024	5
March 4, 2026	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	3	2026-03-04
K-0923	Have proper medical gas storage and administration areas.	2	2026-03-04
K-0511	Have properly installed electrical wiring and gas equipment.	2	2026-03-04
K-0324	Provide properly protected cooking facilities.	2	2026-03-04
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2024-01-17
K-0900	Meet Health Care Facilities Code mechanical requirements.	1	2026-03-04
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	1	2024-12-12
K-0920	Ensure proper usage of power strips and extension cords.	1	2024-12-12

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 3
Egress Deficiencies 3
Services Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	3
Egress Deficiencies	3
Services Deficiencies	2
Miscellaneous Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 4, 2026 — 6 citations

Citations issued on March 4, 2026
Tag	What the surveyor checks	Status
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (June 2, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has no plan of correction
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 20, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 20, 2026)
K-0900	Meet Health Care Facilities Code mechanical requirements.	Deficient, Provider has date of correction (April 20, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (April 20, 2026)

December 12, 2024 — 5 citations

Citations issued on December 12, 2024
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (January 17, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (January 17, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (January 17, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (January 17, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 17, 2025)

January 17, 2024 — 5 citations

Citations issued on January 17, 2024
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (February 12, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (February 12, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 12, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 29, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 12, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.