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Deficiency Records for Bay Marina Post Acute

A list of the most recent deficiencies for Bay Marina Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Bay Marina Post Acute. 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 appropriate foot care. Health 2024-02-08 2024-03-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-10 2023-11-30 Y
Respond appropriately to all alleged violations. Health 2023-10-10 2023-11-30 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-28 2023-10-20 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-08-28 2023-10-20 N
Address subsistence needs for staff and patients. Fire Safety 2023-08-28 2023-10-20 N
Establish policies and procedures for medical documentation. Fire Safety 2023-08-28 2023-10-20 N
Establish policies and procedures for volunteers. Fire Safety 2023-08-28 2023-10-20 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-08-28 2023-10-20 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-08-28 2023-10-20 N
List the names and contact information of those in the facility. Fire Safety 2023-08-28 2023-10-20 N
Provide emergency officials' contact information. Fire Safety 2023-08-28 2023-10-20 N
Conduct testing and exercise requirements. Fire Safety 2023-08-28 2023-10-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-08-28 2023-10-20 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 2023-08-28 2023-10-20 N
Provide properly protected cooking facilities. Fire Safety 2023-08-28 2023-10-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-28 2023-10-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-28 2023-10-20 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-08-28 2023-10-20 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-28 2023-10-20 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-08-28 2023-10-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-28 2023-10-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-28 2023-10-20 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-08-28 2023-10-20 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-08-24 2023-09-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-24 2023-09-24 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-24 2023-09-24 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-24 2023-09-24 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 2023-08-24 2023-09-24 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-08-24 2023-09-24 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-08-28 2023-08-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-21 2023-04-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-21 2023-04-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-13 2022-05-09 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-13 2022-05-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-14 2022-04-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-30 2022-03-09 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-10-11 2021-11-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2020-01-16 2020-02-04 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2020-01-16 2020-02-04 N
Address subsistence needs for staff and patients. Fire Safety 2020-01-16 2020-02-04 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2020-01-16 2020-02-04 N
Establish policies and procedures including evacuation. Fire Safety 2020-01-16 2020-02-04 N
Establish policies and procedures for medical documentation. Fire Safety 2020-01-16 2020-02-04 N
Establish policies and procedures for volunteers. Fire Safety 2020-01-16 2020-02-04 N
Establish roles under a Waiver declared by secretary. Fire Safety 2020-01-16 2020-02-04 N
List the names and contact information of those in the facility. Fire Safety 2020-01-16 2020-02-04 N
Provide emergency officials' contact information. Fire Safety 2020-01-16 2020-02-04 N
Establish methods for sharing information. Fire Safety 2020-01-16 2020-02-04 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2020-01-16 2020-02-04 N
Provide family notifications of emergency plan. Fire Safety 2020-01-16 2020-02-04 N
Conduct testing and exercise requirements. Fire Safety 2020-01-16 2020-02-04 N
Implement emergency and standby power systems. Fire Safety 2020-01-16 2020-02-04 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-01-16 2020-02-04 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2020-01-16 2020-02-04 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 2020-01-16 2020-02-04 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-01-16 2020-02-04 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2020-01-16 2020-02-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-16 2020-02-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-01-16 2020-02-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-01-16 2020-02-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-16 2020-02-04 N
Have proper medical gas storage and administration areas. Fire Safety 2020-01-16 2020-02-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-15 2019-12-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-11-15 2019-12-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2019-11-15 2019-12-15 N
Observe each nurse aide's job performance and give regular training. Health 2019-11-15 2019-12-15 N
Ensure that residents are free from significant medication errors. Health 2019-11-15 2019-12-15 N
Provide and implement an infection prevention and control program. Health 2019-11-15 2019-12-15 N
Use approved construction type or materials. Fire Safety 2019-04-25 2019-05-13 N
Provide properly protected cooking facilities. Fire Safety 2019-04-25 2019-05-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-25 2019-05-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-04-25 2019-05-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-25 2019-05-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-04-25 2019-05-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-04-25 2019-05-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-04-25 2019-05-13 N
Have proper medical gas storage and administration areas. Fire Safety 2019-04-25 2019-05-13 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2019-04-25 2019-05-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-01-17 2019-02-17 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-01-17 2019-02-17 N
Ensure each resident receives an accurate assessment. Health 2019-01-17 2019-02-17 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-01-17 2019-02-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-01-17 2019-02-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-01-17 2019-02-17 N

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