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Deficiency Records for Bayside of Poquoson Health and Rehab
View the most recent health deficiencies and inspection results for Bayside of Poquoson Health and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bayside of Poquoson Health and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-03-27 | 2025-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-27 | 2025-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-27 | 2025-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-27 | 2025-04-30 | Y |
| 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 | 2025-03-27 | 2025-04-30 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-03-27 | 2025-04-30 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-03-27 | 2025-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-27 | 2025-04-30 | Y |
| 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 | 2025-03-27 | 2025-04-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-27 | 2025-04-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-29 | 2024-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-29 | 2024-10-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-29 | 2024-10-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-29 | 2024-10-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-29 | 2024-10-16 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-29 | 2024-10-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-08-29 | 2024-10-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-29 | 2024-10-03 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-29 | 2024-10-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-29 | 2024-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-10-03 | 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 | 2024-08-29 | 2024-10-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-29 | 2024-10-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-29 | 2024-10-03 | 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 | 2024-08-29 | 2024-10-03 | 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 | 2024-08-29 | 2024-10-03 | 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 | 2024-08-29 | 2024-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-29 | 2024-10-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-11 | 2021-07-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-11 | 2021-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-11 | 2021-07-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-11 | 2021-07-29 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-05-11 | 2021-07-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-05-11 | 2021-07-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Provide appropriate foot care. | Health | 2021-05-11 | 2021-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-11 | 2021-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-05-11 | 2021-07-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-11 | 2021-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-11 | 2021-07-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-11 | 2021-07-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-05-11 | 2021-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-11 | 2021-07-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-11 | 2021-07-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-11 | 2021-07-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-11 | 2021-07-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-11 | 2021-07-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-11 | 2021-07-29 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-05-11 | 2021-07-29 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2021-05-11 | 2021-07-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-11 | 2021-07-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-11 | 2021-07-29 | N |
| 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 | 2021-05-11 | 2021-07-29 | 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 | 2021-05-11 | 2021-07-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-11 | 2021-07-29 | 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 | 2019-08-16 | 2020-02-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-16 | 2020-02-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-16 | 2020-02-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-16 | 2020-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-16 | 2020-02-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-16 | 2020-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-16 | 2020-02-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-16 | 2019-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-16 | 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 | 2019-08-16 | 2019-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-16 | 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 | 2019-08-16 | 2019-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-16 | 2019-09-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-08-16 | 2019-09-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-16 | 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 | 2019-08-16 | 2019-09-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-08-16 | 2019-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-16 | N |