A list of the most recent deficiencies for Bayshire Carlsbad. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-06 | 2024-01-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-14 | 2023-05-08 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-04-14 | 2023-05-08 | 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 | 2023-04-14 | 2023-05-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-05-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-28 | 2022-05-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-28 | 2022-05-18 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-02 | 2022-05-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-02 | 2022-05-18 | 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 | 2019-06-14 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-20 | 2019-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-20 | 2019-07-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-24 | 2018-08-14 | N |
| Develop a communication plan. | Fire Safety | 2018-07-24 | 2018-08-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-24 | 2018-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-24 | 2018-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-24 | 2018-08-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-04 | 2018-06-04 | 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 | 2018-05-04 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-26 | Not Fixed | N |
