Deficiency Records for Bay Pointe Nursing Pavilion

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Updated as of March 01, 2024

A list of the most recent deficiencies for Bay Pointe Nursing Pavilion. 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?
Ensure each resident receives an accurate assessment. Health 2024-01-12 2024-02-05 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-12 2024-02-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-12 2024-02-05 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-01-12 2024-02-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-12 2024-02-05 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-15 2023-06-13 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-03-15 2023-06-13 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-03-15 2023-04-14 Y
Ensure each resident receives an accurate assessment. Health 2021-10-14 2021-11-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-10-13 2021-11-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-27 2019-12-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-11-27 2019-12-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-11-27 2019-12-27 N