CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for North Bay Post Acute
View the most recent health deficiencies and inspection results for North Bay Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for North Bay Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-14 | 2026-05-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-04-14 | 2026-05-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-09 | 2026-02-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-09 | 2026-02-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-01-09 | 2026-02-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-09 | 2026-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-09 | 2026-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-01-09 | 2026-02-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-09 | 2026-02-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2026-01-09 | 2026-02-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-09 | 2026-02-05 | N |
| Provide or obtain dental services for each resident. | Health | 2026-01-09 | 2026-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-09 | 2026-02-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2026-01-09 | 2026-02-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-09 | 2026-02-05 | N |
| Have policies on smoking. | Health | 2026-01-09 | 2026-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-09 | 2026-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-09 | 2026-01-26 | N |
| Use approved construction type or materials. | Fire Safety | 2026-01-09 | 2026-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-09 | 2026-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-09 | 2026-01-19 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2026-01-09 | 2026-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-30 | 2026-01-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-22 | 2025-11-11 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-15 | 2025-08-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-15 | 2025-08-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-28 | 2025-05-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-25 | 2025-05-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-07 | 2025-05-01 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-01-17 | 2025-03-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-01-17 | 2025-03-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-01-17 | 2025-03-13 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-01-17 | 2025-03-13 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-01-17 | 2025-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-17 | 2025-03-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-17 | 2025-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-17 | 2025-03-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-17 | 2025-03-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-17 | 2025-03-13 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-01-17 | 2025-03-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-17 | 2025-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-17 | 2025-03-13 | 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 | 2025-01-17 | 2025-03-13 | 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 | 2025-01-17 | 2025-03-13 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-01-17 | 2025-03-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-01-17 | 2025-03-13 | N |
| 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. | Health | 2025-01-17 | 2025-03-13 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-01-17 | 2025-03-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-01-17 | 2025-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-17 | 2025-03-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-17 | 2025-03-13 | 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 | 2025-01-17 | 2025-03-13 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-17 | 2025-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-17 | 2025-03-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-01-17 | 2025-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-17 | 2025-03-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-17 | 2025-03-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-17 | 2025-03-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-17 | 2025-03-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-01-17 | 2025-03-13 | 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 | 2025-01-17 | 2025-03-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-01-17 | 2025-02-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-17 | 2025-02-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-01-17 | 2025-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-17 | 2025-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-17 | 2025-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-17 | 2025-01-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-23 | 2025-01-03 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-12-03 | 2024-12-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-12-03 | 2024-12-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-12 | 2024-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-16 | 2024-10-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-15 | 2024-08-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-30 | 2024-05-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-30 | 2024-05-24 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-04-30 | 2024-05-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-30 | 2024-05-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-30 | 2024-05-24 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-11 | 2023-10-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-10-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-11 | 2023-10-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-23 | 2023-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-18 | 2023-03-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-18 | 2023-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-18 | 2023-03-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-18 | 2023-03-13 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-18 | 2023-03-13 | N |
| Have policies on smoking. | Health | 2023-01-18 | 2023-03-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-18 | 2023-03-13 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-01-18 | 2023-03-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-18 | 2023-03-13 | 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 | 2023-01-18 | 2023-03-13 | 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 | 2023-01-18 | 2023-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-18 | 2023-03-13 | 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 | 2023-01-18 | 2023-03-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-18 | 2023-03-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-18 | 2023-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-18 | 2023-03-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-18 | 2023-03-13 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2023-01-18 | 2023-03-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-18 | 2023-03-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-18 | 2023-03-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-18 | 2023-03-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| 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. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-18 | 2023-02-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-18 | 2023-02-17 | N |