Deficiency Records for Bayberry Skilled Nursing and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Bayberry Skilled Nursing and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2022-11-22 | 2023-01-27 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-23 | 2021-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2021-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2021-11-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-19 | 2021-11-24 | 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 | 2021-11-19 | 2021-11-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2021-11-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-02 | 2021-07-23 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-22 | 2019-03-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-22 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-22 | 2019-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-19 | 2018-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-05-19 | N |
