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Deficiency Records for Baybrooke Village Care and Rehab Center
View the most recent health deficiencies and inspection results for Baybrooke Village Care and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Baybrooke Village Care and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-04-09 | 2026-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-09 | 2026-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-09 | 2026-05-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-04-09 | 2026-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-09 | 2026-05-03 | N |
| 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 | 2026-04-09 | 2026-05-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-09 | 2026-05-03 | 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 | 2026-04-09 | 2026-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-04-09 | 2026-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-09 | 2026-05-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-04-09 | 2026-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-04-09 | 2026-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-09 | 2026-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-04-09 | 2026-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-05 | 2026-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-05 | 2026-03-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-03 | 2025-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-19 | 2025-11-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-11-19 | 2025-11-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-19 | 2025-11-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-23 | 2025-04-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-23 | 2025-04-27 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-30 | 2025-03-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-30 | 2025-03-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-01-30 | 2025-03-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-01-30 | 2025-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-30 | 2025-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-30 | 2025-03-03 | N |
| 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 | 2025-01-30 | 2025-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-30 | 2025-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-30 | 2025-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-11 | 2024-09-16 | 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 | 2024-09-11 | 2024-09-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-02 | 2024-07-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | 2024-02-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-07 | 2024-01-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-07 | 2024-01-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-12-07 | 2024-01-02 | 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 | 2023-12-07 | 2024-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-07 | 2024-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2024-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2024-01-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2024-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-19 | 2023-10-10 | Y |
| 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 | 2023-09-19 | 2023-10-03 | Y |