A list of the most recent deficiencies for Baypointe Rehab 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-21 | 2024-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-21 | 2024-03-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-21 | 2024-03-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-02-21 | 2024-03-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-21 | 2024-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-21 | 2024-03-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-21 | 2024-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-21 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-03-15 | 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 | 2024-02-21 | 2024-03-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-21 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-21 | 2024-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-21 | 2024-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-28 | 2023-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-28 | 2023-08-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-28 | 2023-08-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-06 | 2022-10-05 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-25 | 2022-06-24 | 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 | 2022-05-25 | 2022-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-17 | 2022-06-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-17 | 2022-06-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-17 | 2022-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-06-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-17 | 2022-06-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-17 | 2022-06-17 | 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 | 2022-05-17 | 2022-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-17 | 2022-06-17 | N |
| Keep all essential equipment working safely. | Health | 2022-05-17 | 2022-06-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-07-11 | 2019-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-11 | 2019-08-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-07-11 | 2019-08-06 | N |
