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Deficiency Records for Bayshore Pointe Nursing and Rehab Center
A list of the most recent deficiencies for Bayshore Pointe Nursing and Rehab Center. 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 Bayshore Pointe Nursing and Rehab Center. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-21 | 2024-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-21 | 2024-10-31 | 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 | 2024-09-21 | 2024-10-31 | 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 | 2024-09-21 | 2024-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-21 | 2024-10-31 | 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 | 2024-09-21 | 2024-10-31 | 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 | 2024-09-21 | 2024-10-31 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-09-21 | 2024-10-31 | N |
| Provide or obtain dental services for each resident. | Health | 2024-09-21 | 2024-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-21 | 2024-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-21 | 2024-10-31 | 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 | 2024-09-21 | 2024-10-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-10 | 2024-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-10 | 2024-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-10 | 2024-10-31 | 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 | 2023-09-08 | 2023-10-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-08 | 2023-10-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-11 | 2023-10-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-11 | 2023-10-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-11 | 2023-08-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-23 | 2022-07-23 | 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 | 2022-06-23 | 2022-07-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-23 | 2022-07-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-23 | 2022-07-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-23 | 2022-07-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-23 | 2022-07-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-23 | 2022-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-07-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-23 | 2022-07-23 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-06-21 | 2022-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-21 | 2022-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-07-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-03-02 | 2022-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-02 | 2022-04-02 | Y |
| 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 | 2021-02-26 | 2021-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-26 | 2021-03-26 | 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 | 2021-02-26 | 2021-03-26 | 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 | 2021-02-26 | 2021-03-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-02-26 | 2021-03-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-24 | 2021-03-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-24 | 2021-03-26 | N |
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