CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Villa at The Bay
View the most recent health deficiencies and inspection results for The Villa at The Bay. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Villa at The Bay. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-04-28 | 2026-05-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-28 | 2026-05-19 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-11-26 | 2025-12-02 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-05-22 | 2025-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-22 | 2025-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-22 | 2025-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-07-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-05-22 | 2025-07-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-22 | 2025-07-09 | N |
| 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 | 2025-05-22 | 2025-07-09 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2025-05-22 | 2025-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-22 | 2025-06-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-05-22 | 2025-06-25 | N |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2025-05-22 | 2025-06-25 | 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 | 2025-05-22 | 2025-06-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-05-22 | 2025-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-22 | 2025-06-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-05-22 | 2025-06-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-22 | 2025-06-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-22 | 2025-06-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-05-22 | 2025-06-25 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-22 | 2025-06-25 | 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 | 2025-05-22 | 2025-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-22 | 2025-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-22 | 2025-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-22 | 2025-06-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-22 | 2025-06-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-05-22 | 2025-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-20 | 2025-04-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-20 | 2025-03-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-02-20 | 2025-03-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-02-20 | 2025-03-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-20 | 2025-03-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-17 | 2024-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-17 | 2024-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-17 | 2024-08-13 | 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 | 2024-07-17 | 2024-08-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-17 | 2024-08-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-07-17 | 2024-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-17 | 2024-08-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-17 | 2024-08-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-17 | 2024-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-07-14 | N |
| 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 | 2024-05-08 | 2024-06-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-08 | 2024-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-20 | 2024-01-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-20 | 2023-10-13 | 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 | 2023-09-20 | 2023-10-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-20 | 2023-10-13 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-20 | 2023-10-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-20 | 2023-10-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-20 | 2023-10-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-20 | 2023-10-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-20 | 2023-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-20 | 2023-10-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-20 | 2023-10-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-20 | 2023-10-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-20 | 2023-10-13 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-20 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-20 | 2023-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-20 | 2023-10-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-20 | 2023-10-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-20 | 2023-10-13 | 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 | 2023-09-20 | 2023-10-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-20 | 2023-10-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-20 | 2023-10-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-20 | 2023-10-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-20 | 2023-10-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-20 | 2023-10-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-20 | 2023-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-20 | 2023-10-13 | N |