Deficiency Records for Bay Vue Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Bay Vue Nursing and Rehabilitation 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 | 2023-09-19 | 2023-10-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-19 | 2023-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-19 | 2023-10-18 | 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 | 2023-06-15 | 2023-07-15 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-15 | 2023-07-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-15 | 2023-07-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-15 | 2023-07-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-15 | 2023-07-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-15 | 2023-07-15 | N |
| Meet other general requirements. | Fire Safety | 2023-06-13 | 2023-07-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-13 | 2023-07-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-13 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-13 | 2023-07-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-13 | 2023-07-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-13 | 2023-07-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-23 | 2021-12-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-15 | 2021-08-14 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-15 | 2021-08-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-15 | 2021-08-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-07-15 | 2021-08-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-15 | 2021-08-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-12 | 2021-08-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-05 | 2021-04-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-05 | 2021-04-04 | 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 | 2019-10-17 | 2019-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-17 | 2019-11-17 | 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 | 2019-10-17 | 2019-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-17 | 2019-11-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-17 | 2019-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-17 | 2019-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-17 | 2019-11-17 | N |
