Baya Pointe Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Baya Pointe Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jul 7, 2023

  Based on interviews with a resident and staff, resident record reviews and review of the facility policies and procedures, the facility failed to ensure residents were free from medical neglect when the staff failed to follow physicians' orders, resulting in insulin medication errors for 6 of 7 residents, Residents #1, #2, #3, #4, #5, and #6. Resident #1 was administered the wrong insulin and Residents #2, #3, #4, #5, and #6 were not administered physician ordered long-acting insulin. The body must have insulin working 24 hours a day. […]

• Immediate jeopardy, patternF684Jul 7, 2023

  Based on interviews with a resident and staff, resident record reviews and review of the facility policies and procedures, the facility failed to ensure the residents who required insulin administration received treatment in accordance with professional standards of practice by administering the wrong insulin and/or failing to administer long-acting insulin per physician orders for 6 of 7 residents receiving insulin, Residents #1, #2, #3, #4, #5 and #6. The body must have insulin working 24 hours a day. […]

• Immediate jeopardy, patternF835Jul 7, 2023

  Based on interviews with a resident and staff, resident record reviews and review of the facility policies and procedures, the facility administration failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical wellbeing of each resident when not assuming full responsibility for the day-to-day operations of the facility. The facility failed to ensure residents were provided physician ordered insulin for 6 of 7 residents, Residents #1, #2, #3, #4, #5 and #6. Resident #1 was administered the wrong insulin and Residents #2, #3, #4, #5, and #6 were not administered physician ordered long-acting insulin. The body must have insulin working 24 hours a day. […]

• Immediate jeopardy, patternF867Jul 7, 2023

  Based on interviews with a resident and staff, resident record reviews and review of the facility policies and procedures, the facility failed to develop and implement an appropriate plan of action to correct an identified quality deficiency when it was identified Resident #1 was administered a long-acting-insulin when a short acting insulin was ordered by the physician, and failed to identity 5 of 7 residents, Residents #2, #3, #4, #5, #6, were not administered physician ordered long-acting-insulin. The body must have insulin working 24 hours a day. […]

• No harm, potential for more than minimal, patternF808May 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received prescribed therapeutic diet for 3 of 5 reviewed residents, Residents #9, #58 and #68. Findings include: 1. Review of Resident #58's admission record showed the resident was admitted to the facility on [DATE] with diagnoses including stage 3 chronic kidney disease, other speech disturbances, and deaf nonspeaking. During an observation on 5/6/2024 at 12:25 PM, Resident #58 received the afternoon meal tray on his bedside table. There was no health shake on the resident's meal tray. During an observation on 5/7/2024 at 8:03 AM, Resident #58 received the morning meal tray on his bedside table containing scrambled eggs, a slice of toast, and a mound of hot cereal. […]