Bayberry Nursing Home

In the surveyor’s words

From the most serious findings on record at Bayberry Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF695Jul 18, 2025

  Based on observation, record review and interview during the recertification survey from 07/15/2025 to 07/18/2025, the facility did not ensure each resident received necessary respiratory care in accordance with professional standards of practice for 1 of 2 residents (Resident # 35) reviewed for respiratory care. Specifically, Resident # 35 had a physician order dated 5/17/25 which documented oxygen via nasal cannula at 1 Liter per minute continuous and was observed receiving 4.5 liters of oxygen via nasal cannula. […]

• No harm, potential for more than minimal, isolatedF812Jul 18, 2025

  Based on observation, record review and interviews during the recertification survey from 7/15/2025 to 7/18/2025, the facility did not ensure that food was stored in accordance with professional standards for food safety practice. Specifically, 1) Opened food that did not have expiration dates were observed in freezer #1 and 2) Expired marshmallows were observed in the dry storage room. The findings include:The Policy and Procedure titled Food Safety and Labeling last reviewed April 2025, documented food items with expiration dates or best by or use by dates should be discarded once the date has passed. […]

• No harm, potential for more than minimal, isolatedF881Jul 18, 2025

  Based on record review and interview during the recertification survey conducted from 7/15/25-7/18/25, the facility did not ensure an ongoing review of antibiotic use protocols and a system to monitor antibiotic use were completed for 1 of 1 resident reviewed for antibiotic stewardship. Specifically, for Resident #27 the facility was unable to provide an infection/antibiotic tracking report that ensured their antibiotic program was implemented to monitor antibiotic use protocols when an antibiotic was prescribed to a resident. […]

• No harm, potential for more than minimal, isolatedF550May 30, 2023

  Based on observations, interviews, and record review during the recertification survey from 5/22/2023 to 5/30/23, the facility did not ensure residents had a right to a dignified existence for one of 2 residents screened for dignity. Specifically, Resident #20 had a sign above the bed, on the wall, which contained instructions for staff about the resident's wounds and incontinence pads, which was visible from the roommate's side of the room. The findings are: The facility policy Resident Rights, revised 12/2022, documented the resident had the right to be treated with dignity, respect and consideration at all times and have a right to privacy in the treatment and care of personal needs. Resident #20 was admitted with diagnoses including dementia, pressure ulcers, anxiety, and weakness. […]

• No harm, potential for more than minimal, isolatedF688May 30, 2023

  Based on observation, record review and interview conducted during the recertification survey, the facility did not ensure all residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent a further decrease in range of motion for 1 of 3 residents (Resident #9) reviewed for range of motion/position mobility. Specifically, Resident #9 was observed without the use of physician ordered hand splints. The findings are: The Policy and Procedure titled Assistive Devices effective 2008 documented all assistive devices including positioning devices, skin protection items and feeding supports were listed on the daily assignment sheet. Every shift assigned aide was to check that devices were in place as ordered. […]