The Brightpointe

Penalties

• Sep 21, 2023 — Fine ($21,037)
• Sep 21, 2023 — Payment Denial · payment denial 50 days

Inspection findings

1. Jul 9, 2025 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0025 Emergency Preparedness Deficiencies

     Create arrangements with other facilities to receive patients.

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0912 Gas, Vacuum, and Electrical Systems Deficiencies

     Have power receptacles that are properly grounded.

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jul 12, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jul 12, 2025 · CMS fire safety

2. May 30, 2024 Health · 4 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 31, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 1, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 1, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jul 17, 2024 · CMS fire safety

3. Mar 20, 2024 Health · 6 findings
   • Not serious Scope/severity E Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Apr 20, 2024 · CMS health inspection

4. Sep 21, 2023 Health · 5 findings
   • Serious Scope/severity J Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Dec 8, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Dec 8, 2023 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 22, 2023 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Sep 22, 2023 · CMS health inspection

5. Mar 9, 2023 Health · 6 findings
   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Apr 7, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Apr 7, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Apr 7, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Apr 7, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Apr 7, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Apr 7, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BELL, KEVIN — 5% or greater indirect ownership interest, since 05/18/2022
• BELL, KEVIN — corporate officer, NOT APPLICABLE, since 05/18/2022
• BELL, KEVIN — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• CAMPION, ROBERT — 5% or greater indirect ownership interest, since 05/12/2022
• CAMPION, ROBERT — corporate officer, NOT APPLICABLE, since 05/12/2022
• CAMPION, ROBERT — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• FRASER, SIOBAUGHN — adp of the snf, NOT APPLICABLE, since 07/01/2022
• FRASER, SIOBAUGHN — operational/managerial control, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, ATARA — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, AVA — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, BORUCH — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, ELI — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, HELENE — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, TALIA — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, YAFFA — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• GOTTESMAN, ZIPORA — indirect ownership interest, NOT APPLICABLE, since 07/01/2022
• PUNSALAN, TRICIA — operational/managerial control, NOT APPLICABLE, since 02/01/2023
• PUNSALAN, TRICIA — adp of the snf, NOT APPLICABLE, since 02/01/2023
• RATZLAFF, CASEY — adp of the snf, NOT APPLICABLE, since 02/28/2022
• RATZLAFF, CASEY — operational/managerial control, NOT APPLICABLE, since 02/28/2022
• ROMNEY, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 04/24/2025
• ROMNEY, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 04/24/2025
• BGAF HOLDINGS LLC — 5% or greater indirect ownership interest, since 05/25/2022
• DWIGHT MORTGAGE TRUST LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 07/01/2022
• KCCJ1 HOLDINGS LLC — 5% or greater indirect ownership interest, since 05/18/2022
• LBEI HOLDINGS LLC — 5% or greater indirect ownership interest, since 05/12/2022
• PH OPS OF CONROE LLC — 5% or greater direct ownership interest, 100%, since 07/01/2022
• TX NM OPERATIONS HOLDINGS LLC — 5% or greater indirect ownership interest, since 05/10/2022