Bay Ridge Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF600Sep 25, 2022

  Based on interviews, observations, and record reviews the facility failed to ensure residents were free from abuse and neglect for 4 (Resident #7, #8, #23, and #38,) of 21 residents on the North Hall and 2 (Resident #30 and #35) of 17 residents on the South Hall. The Administrator and DON failed to provide necessary protection from staff member (TA K) who verbally and mentally Intimidated residents by yelling at them in angry tones, slammed resident doors to create fear, threatened residents with physical abuse, used retaliatory behavior in not providing timely care and invaded resident privacy by entering residents rooms without knocking or asking permission when female residents were undressing affecting residents' psycho social well-being causing fear and psycho social harm. […]

• Immediate jeopardy, patternF610Sep 25, 2022

  Based on observation, interview and record review, the facility failed to fully investigate, prevent, and correct an alleged violations of abuse and neglect for 4 (Resident #7, #8, #23, and #38,) of 21 on the North Hall and 2 (Resident #30 and #35) of 17 on the South Hall. The facility did not thoroughly investigate and correct an allegations of abuse that resulted in Resident #7, #8, #9, #23, 30, #35, and #38 causing psycho social harm and fearby TA K, while allowing him to continue working with residents in the facility. […]

• Immediate jeopardy, patternF684Sep 21, 2021

  Based on observation, interview, and record review the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the resident's choices for 2 of 12 residents (CR #1 and Resident #2) reviewed for quality of care. The facility failed to follow CR #1's physicians orders and did not administer the ordered insulin for 4 days, resulting in the resident having an increase in blood sugar and an increase in confusion. The facility failed to ensure Resident #2 received insulin as ordered ([MEDICATION(S)] 70/30, 5 units, once a day) resulting in going four days without insulin. An Immediate Jeopardy (IJ) situation was identified on 9/17/21 at 5:23 PM. […]

• Immediate jeopardy, isolatedF580Jun 26, 2026

  Based on interview and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (CR #1) of 5 resident reviewed for notification of changes. RN A failed to notify CR #1's physician immediately when at approximately 6:30 am on [DATE], CR # 1 was delusional and looked pale yellowish. RN A failed to consult with CR #1's physician immediately for medical guidance when at approximately 8:00 am on [DATE], CR #1's oxygen saturation level was 84%. […]

• Immediate jeopardy, isolatedF684Jun 26, 2026

  Based on interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (CR#1) of 5 resident reviewed for quality care. The facility failed to ensure CR #1 received treatment and care promptly when CR #1 experienced a change in condition of altered mental status and respiratory decline with low Oxygen saturation level. […]