Bay Village of Sarasota

In the surveyor’s words

From the most serious findings on record at Bay Village of Sarasota, in the surveyor’s own words.

• Immediate jeopardy, isolatedF624Apr 3, 2021

  Based on record review, and interview, the facility failed to ensure an orderly hospital transfer by not including advance directives with the transfer documentation for 1 (Resident #1) of 3 Residents reviewed. The facility failed to include Resident #1's Do Not Resuscitate Order (DNRO) in the hospital transfer information. This resulted in Emergency Medical Services (EMS) resuscitating Resident #1 in the ambulance because they did not know the resident did not wish to be resuscitated. Resident #1 underwent lifesaving/prolonging medical procedures against the residents wishes before death. This resulted in a likelihood of serious psychosocial harm to Resident #1. […]

• No harm, potential for more than minimal, widespreadF812Apr 18, 2024

  The facility failed to prepare, and store food in a sanitary manner by failing to cover and date food in 2 walk-in coolers and 1 refrigerator. The facility failed to ensure staff used the three compartment sink appropriately including use of the proper sanitizing agent. The facility failed to ensure staff wear hair restraints during preparation of food. The facililty failed to service and maintain ice machines in the main dining room and three of three nourishment rooms. The findings included: 1. The facility policy and procedure for Walking Cooler, documented to protect and ensure that food is free from foodborne illness, contamination, and hazards. […]

• No harm, potential for more than minimal, patternF689Apr 18, 2024

  Based observation on interview record review and policy the facility failed to provide supervision to prevent the elopement of one resident (Resident #162) of one resident surveyed for elopement and failed to ensure four of four residents assessed as an elopement risk currently residing at the facility had appropriate interventions to prevent the potential for an elopement. Findings included: Resident #162 is a [AGE] year-old female who was admitted to the facility on [DATE] with a history of cognitive communication deficit, abnormal gait, lack of coordination, and hypertensive heart disease. Review of the Elopement/Wander Risk Screen dated 12/21/23 shows Resident #162 was assessed with being a risk for elopement. […]

• No harm, potential for more than minimal, patternF804Apr 18, 2024

  Based on observation, staff interviews, resident interviews, and resident council meeting notes, the facility failed to serve food that was palatable and at the appropriate temperature for 4 (Residents Resident #23, #26, #259, and #261) of 4 residents interviewed and Resident Council concerns reviewed from 1/2023 through 12/2023 for food palatability and appropriate temperature. This had the potential of decline in health due to poor nutrition. The findings included: On 4/16/24 at 12:25 p.m., Resident #26 was observed with a sandwich and pot roast stew. She said the sandwich is warm today, and the pot roast stew needs heated. Her meal ticket has a tossed salad listed and there was no salad on Resident #26's tray. […]

• No harm, potential for more than minimal, patternF943Jun 23, 2022

  Based on staff interview and record review, the facility failed to ensure 5 (Staff C, D, E, F and G) of 10 staff reviewed had the required education and training in abuse, neglect, and exploitation. Failure to provide staff with abuse, neglect, and exploitation training prior to working with facility residents could lead to staff not knowing how to prevent and report abuse, neglect, and exploitation. The findings included: On 6/21/22, review of Administrator (ADM) Staff C's employee record revealed her start date was 7/15/19. […]