Deficiency Records for Bayshore Residence and Rehab Ctr
Updated as of June 01, 2018
This is not the most recent data for Bayshore Residence and Rehab Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Bayshore Residence and Rehab Ctr. 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 by a qualified health professional. | Health | 2017-11-17 | 2018-03-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-17 | 2018-03-13 | 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 | 2017-11-16 | 2018-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-16 | 2018-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-16 | 2018-01-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-11-16 | 2018-01-15 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-11-16 | 2018-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-16 | 2018-01-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-11-17 | 2018-01-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-17 | 2018-01-15 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-17 | 2018-01-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-17 | 2018-01-15 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-11-17 | 2018-01-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-17 | 2018-01-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-17 | 2018-01-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-17 | 2018-01-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-17 | 2018-01-09 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-17 | 2018-01-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-19 | 2017-12-11 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-16 | 2017-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-16 | 2017-11-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-27 | 2017-01-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-27 | 2017-01-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-25 | 2016-12-08 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-10-25 | 2016-12-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-27 | 2016-12-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-27 | 2016-12-08 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-10-27 | 2016-12-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-27 | 2016-12-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-10-27 | 2016-12-08 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-10-27 | 2016-12-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-27 | 2016-12-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-18 | 2016-01-22 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-10-23 | 2015-12-31 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-10-23 | 2015-12-31 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-10-23 | 2015-12-31 | Y |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2015-11-18 | 2015-12-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-11-18 | 2015-12-31 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-11-18 | 2015-12-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-18 | 2015-12-31 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-11-18 | 2015-12-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-18 | 2015-12-31 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-11-18 | 2015-12-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-11-18 | 2015-12-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-11-18 | 2015-12-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2015-11-18 | 2015-12-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-18 | 2015-12-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-18 | 2015-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-18 | 2015-12-31 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-11-18 | 2015-12-31 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-11-18 | 2015-12-31 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-11-18 | 2015-12-31 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-11-18 | 2015-12-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-18 | 2015-12-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-11-18 | 2015-12-31 | N |
| Ensure that all full-time nurse aides employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. | Health | 2015-11-18 | 2015-12-31 | N |
| Ensure that all nurse aides who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. | Health | 2015-11-18 | 2015-12-31 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2015-11-18 | 2015-12-31 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-11-18 | 2015-12-31 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2015-11-18 | 2015-12-31 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-11-18 | 2015-12-31 | N |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2015-11-18 | 2015-12-31 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-11-18 | 2015-12-31 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2015-11-18 | 2015-12-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-12 | 2015-12-01 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-11-12 | 2015-12-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-12 | 2015-12-01 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-11-12 | 2015-12-01 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-12 | 2015-12-01 | N |
