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Deficiency Records for Bay Vista Healthcare and Wellness Centre, LP
View the most recent health deficiencies and inspection results for Bay Vista Healthcare and Wellness Centre, LP. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bay Vista Healthcare and Wellness Centre, LP. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-11 | 2026-03-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-03-11 | 2026-03-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-23 | 2026-02-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-06-26 | 2025-07-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-06-26 | 2025-07-18 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-06-26 | 2025-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-26 | 2025-07-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-06-26 | 2025-07-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-26 | 2025-07-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-26 | 2025-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-26 | 2025-07-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-06-26 | 2025-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-26 | 2025-07-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-06-26 | 2025-07-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-26 | 2025-07-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-06-26 | 2025-07-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-26 | 2025-07-18 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-26 | 2025-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-04 | 2025-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-13 | 2025-03-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-29 | 2025-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-20 | 2025-01-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-10 | 2024-10-03 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-30 | 2024-07-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-30 | 2024-07-25 | Y |
| Keep all essential equipment working safely. | Health | 2024-06-30 | 2024-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-30 | 2024-07-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-30 | 2024-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-30 | 2024-07-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-06-30 | 2024-07-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-30 | 2024-07-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-06-30 | 2024-07-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-30 | 2024-07-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-30 | 2024-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-30 | 2024-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-30 | 2024-07-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-06-30 | 2024-07-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-13 | 2024-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2024-01-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-15 | 2023-10-13 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-15 | 2023-10-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-07 | 2023-09-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-19 | 2021-08-18 | N |
| Keep all essential equipment working safely. | Health | 2021-07-19 | 2021-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-08-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-19 | 2021-08-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-19 | 2021-08-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-07-19 | 2021-08-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-19 | 2021-08-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-19 | 2021-08-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-19 | 2021-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-19 | 2021-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-19 | 2021-08-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-19 | 2021-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-19 | 2021-08-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-07-19 | 2021-08-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-19 | 2021-08-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-19 | 2021-08-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-19 | 2021-08-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-19 | 2021-08-10 | N |