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Deficiency Records for Bayside Health and Rehabilitation Center
A list of the most recent deficiencies for Bayside Health and Rehabilitation 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 Bayside Health and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-13 | 2024-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-13 | 2024-09-10 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-13 | 2024-09-10 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-06-13 | 2024-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-13 | 2024-09-10 | 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 | 2024-06-13 | 2024-09-10 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-06-13 | 2024-09-10 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-06-13 | 2024-09-10 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2024-06-13 | 2024-09-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-13 | 2024-09-10 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-27 | 2024-08-01 | 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 | 2024-06-27 | 2024-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-27 | 2024-08-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-13 | 2024-07-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-13 | 2024-07-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-13 | 2024-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-13 | 2024-07-24 | 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 | 2024-06-13 | 2024-07-24 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-06-13 | 2024-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-24 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-06-13 | 2024-07-24 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-06-13 | 2024-07-24 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-06-13 | 2024-07-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-06-13 | 2024-07-24 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide training in compliance and ethics. | Health | 2024-06-13 | 2024-07-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-13 | 2024-07-24 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-06-13 | 2024-07-24 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-13 | 2024-07-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-03 | 2023-08-04 | 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 | 2023-07-03 | 2023-08-04 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-07-03 | 2023-08-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-03 | 2023-08-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-03 | 2023-08-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-03 | 2023-08-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-03 | 2023-08-04 | 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 | 2021-02-19 | 2021-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-19 | 2021-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-19 | 2021-03-19 | 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 | 2021-02-19 | 2021-03-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-02-19 | 2021-03-19 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-04 | N |
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