Deficiency Records for Bayshore Residence and Rehab Ctr
Updated as of May 01, 2020
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-14 | 2020-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-14 | 2020-02-19 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-01-14 | 2020-02-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-01-14 | 2020-02-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-01-14 | 2020-02-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-01-14 | 2020-02-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-01-23 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-28 | 2020-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-19 | 2020-01-22 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-08 | 2019-12-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-08 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-08 | 2019-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-05 | 2019-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-11-05 | 2019-12-05 | 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 | 2019-11-05 | 2019-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-05 | 2019-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-05 | 2019-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-05 | 2019-11-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-01 | 2019-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-16 | 2019-06-20 | Y |
| 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 |
