Deficiency Records for Bay Pointe Rehabilitation and Nursing
Updated as of September 01, 2022
This is not the most recent data for Bay Pointe Rehabilitation and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Bay Pointe Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-15 | 2021-12-21 | 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 | 2021-10-15 | 2021-12-21 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2021-10-15 | 2021-12-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-15 | 2021-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-15 | 2021-12-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-15 | 2021-12-21 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-15 | 2021-12-21 | 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 | 2021-10-15 | 2021-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-15 | 2021-12-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-15 | 2021-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-18 | 2021-11-02 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-10-18 | 2021-11-02 | 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 | 2020-12-22 | 2021-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-14 | 2020-09-14 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-12-19 | 2020-01-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-19 | 2020-01-31 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-28 | 2019-01-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-28 | 2019-01-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-28 | 2019-01-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-11-28 | 2019-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-28 | 2019-01-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-26 | 2018-12-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-10-26 | 2018-12-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | 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 |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-10-26 | 2018-12-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-10-26 | 2018-12-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-26 | 2018-12-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-26 | 2018-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-26 | 2018-12-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-26 | 2018-12-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-26 | 2018-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-26 | 2018-12-10 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-10-26 | 2018-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-12-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-04-20 | 2017-06-22 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-04-20 | 2017-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-16 | 2017-06-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-16 | 2017-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-16 | 2017-06-22 | N |
