Bay Area Healthcare Center

In the surveyor’s words

From the most serious findings on record at Bay Area Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812May 4, 2023

  Based on observation, interviews and record review, the facility failed to ensure storage of food under sanitary conditions when the following food items were not labeled and dated with use-by date in refrigerator: -Three gallons of milk opened not dated; - Bottle of pickle relish opened not dated; - One container of garlic spread opened not dated; - Bowl of cooked minestrone dated 4/23/23; - One container of low fat cottage cheese opened dated 4/21/23; - One bottle of horse Radish opened not dated ; - Bowl of crushed garlic not labeled or dated; - One container of low fat cottage cheese opened not dated; - One Med Pass 2.0 nutritional shake vanilla opened dated 2/3/23; - One bottle of yellow mustard opened dated 4/6/23; - One bottle of mayonnaise opened an dated 4/6/23; - One tray of… […]

• No harm, potential for more than minimal, isolatedF580Feb 9, 2026

  Based on interview and record review, the facility failed to notify the physician of Resident 1's changes in condition when:1. Resident 1 developed warmth and tenderness on the left knee2. Resident 1 experienced episodes of respiratory distressThese failures could result in delayed medical evaluation by the physician including interventions that may be ordered by the physician on the resident.Findings:A review of resident 1's admission Record (AR), printed on 1/29/26, indicated, Resident 1 was admitted to the facility on [DATE].A review of Resident 1's Progress Note (PN), dated 6/2/25, indicated, that Resident 1 had diagnoses that included Hypertension (high blood pressure), Prediabetes, Atherosclerosis of Aorta (the main large blood vessel coming out of the heart becomes hardened and… […]

• No harm, potential for more than minimal, isolatedF609Jan 29, 2026

  Based on interview and record review, for one of two sampled residents (Resident 1), the facility failed to implement written policies and procedures when an abuse allegation was not reported to the State Survey Agency and to the Law Enforcement.This failure resulted in the abuse allegation not being formally investigated by the State Survey Agency.During a review of Resident 1's admission Record (AR) printed 1/29/26, the AR indicated Resident 1 was admitted to the facility in December 2019 with diagnoses that included dependence on respirator (ventilator, a life-support machine that breathes for patients unable to do so independently) status, unspecified intellectual disabilities, muscular dystrophy (progressive weakness and degeneration of skeletal muscles, often leading to reduced… […]

• No harm, potential for more than minimal, isolatedF686Jan 29, 2026

  Based on interview and record review, for one of two sampled residents (Resident 2), the facility failed to ensure treatment and services were done to heal and prevent re-opening of a coccyx (tailbone) pressure ulcer (damage to skin and underlying tissue caused by prolonged pressure or friction, commonly occurring over bony prominences like the heels, tailbone, or hips) when physician ordered treatment was not done and the open area was not measured during assessment.This failure had the potential to result in delayed healing and re-opening of the pressure ulcer.During a review of Resident 2's admission Record (AR) printed 1/29/26, the AR indicated Resident 2 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus (high blood sugar resulting from… […]

• No harm, potential for more than minimal, isolatedF842Jan 29, 2026

  Based on interview and record review, for one of two sampled residents (Resident 2), the facility failed to ensure medical records were accurately documented.This failure had the potential to result in gaps in communication and uncoordinated care.During a review of Resident 2's admission Record (AR) printed 1/29/26, the AR indicated Resident 2 was admitted to the facility in on 11/3/25 with diagnoses that included type 2 diabetes mellitus (high blood sugar resulting from insulin resistance or insufficient insulin production), chronic kidney disease (a long-term condition characterized by a gradual loss of kidney function over months or years), and left hemiplegia (paralysis that affects only one side of the body).During a review of Resident 2's Weekly Pressure Ulcer Injury Record (WPUIR)… […]