Bay Marina Post Acute

In the surveyor’s words

From the most serious findings on record at Bay Marina Post Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF689Dec 30, 2021

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and maintain a functioning elopement alarm (a system that activates when an individual wearing a specific transmitter crosses the threshold of the alarm's receiver), for two (Residents 1 and 2) of two sampled residents identified as at risk for elopement. This failure resulted in Resident 1 leaving the facility's premises unsupervised and had the potential for harm. For Resident 2, this had the potential for elopement without alerting staff. Definition: Immediate jeopardy is a situation in which a provider ' s noncompliance with one or more requirements of participation have caused or is likely to cause serious injury, harm, impairment, or death to a patient/resident. […]

• Immediate jeopardy, patternF689Dec 20, 2021

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and maintain a functioning elopement alarm (a system that activates when an individual wearing a specific transmitter crosses the threshold of the alarm's receiver), for two (Residents 1 and 2) of two sampled residents identified as at risk for elopement. This failure resulted in Resident 1 leaving the facility's premises unsupervised and had the potential for harm. For Resident 2, this had the potential for elopement without alerting staff. Definition: Immediate jeopardy is a situation in which a provider ' s noncompliance with one or more requirements of participation have caused or is likely to cause serious injury, harm, impairment, or death to a patient/resident. […]

• No harm, potential for more than minimal, patternF684Mar 28, 2025

  Based on observation, interview and record review, for one of four sampled residents (Resident 87) reviewed for anticoagulant use, the facility failed to provide treatment and care in accordance with professional standards of care when licensed nurses did not administer medications, enoxaparin sodium (Lovenox, an anticoagulant for DVT [a condition that occurs when a blood clot forms in a vein deep inside a part of the body that could potentially travel to the lungs and cause pulmonary embolism] prophylaxis) and omeprazole oral capsule (Prilosec, an antacid, treats gastro-esophageal reflux disease) as ordered by the physician. […]

• No harm, potential for more than minimal, patternF755Mar 28, 2025

  4. During a review of Resident 87's admission Record, the admission Record indicated Resident 87 was admitted to the facility on [DATE] with diagnoses that included gastro-esophageal reflux disease (GERD, is a common digestive disorder where stomach contents, including acid, flow back up into the esophagus, causing symptoms like heartburn and other digestive issues) and unspecified atrial fibrillation (Afib, an irregular heart rhythm that begins in your heart's upper chambers (atria). […]

• No harm, potential for more than minimal, patternF759Mar 28, 2025

  Based on observation, interview and record review, the facility failed to ensure medication error rate was less than 5% when four medication errors out of 26 opportunities were observed during the medication administration for two out of five sampled residents (Resident 12 and 56). 1.Resident 12 did not receive Digoxin (medication to treat congestive heart failure (CHF, a condition where the heart muscle is weakened and cannot pump blood effectively) and heart rhythm problems), Furosemide (medication used to treat fluid build-up and swelling caused by CHF, . […]