Deficiency Records for Bay Shores Senior Care and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Bay Shores Senior Care and 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-07 | 2024-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-07 | 2024-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-07 | 2024-03-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-07 | 2024-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | 2024-03-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-07 | 2024-03-05 | 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 | 2024-02-07 | 2024-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-07 | 2024-03-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-07 | 2024-03-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-03-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-06 | 2024-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-13 | 2023-01-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-13 | 2023-01-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-12-13 | 2023-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-13 | 2023-01-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-13 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-13 | 2023-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-13 | 2023-01-10 | 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 | 2022-12-13 | 2023-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-13 | 2023-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-13 | 2023-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-13 | 2023-01-10 | 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 | 2022-12-07 | 2023-01-10 | 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 | 2021-09-23 | 2021-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-23 | 2021-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-23 | 2021-10-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-23 | 2021-10-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-23 | 2021-10-21 | 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 | 2021-09-23 | 2021-10-21 | 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 | 2021-09-23 | 2021-10-21 | N |
| Provide or obtain dental services for each resident. | Health | 2021-09-23 | 2021-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-30 | 2021-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-22 | 2021-10-12 | Y |
