Deficiency Records for Bayshore Residence and Rehab Ctr
Updated as of May 01, 2019
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? |
|---|---|---|---|---|
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-26 | 2018-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-24 | 2018-12-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-26 | 2018-12-10 | 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 | 2018-10-26 | 2018-12-10 | 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 | 2018-10-26 | 2018-12-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-26 | 2018-12-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-26 | 2018-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-26 | 2018-12-10 | N |
| 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 |
