Bayshore Pointe Nursing and Rehab Center

In the surveyor’s words

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

• Actual harm, isolatedF697Jul 11, 2023

  Based on observations, interviews, and record review the facility failed to ensure pain was managed in a timely manner for one resident (#3) out of three sampled residents. The facility failed to provide Resident #3 Physician ordered pain medication for nineteen hours, as she yelled and cried during the night shift, while waiting for the pharmacy to fill the pain medication order. Findings included: 1) On 07/10/2023 at 10:11 a.m. Resident #3 was observed leaving her bedroom with a therapist. Her Home Companion was present and confirmed the resident had received a pain medication an hour earlier. The Companion stated she has been with Resident #3 since April 2023, and spends five days a week with her. […]

• Actual harm, isolatedF600Jun 23, 2022

  Based on observations, record review, video surveillance review and interviews, the facility failed to protect one resident (#58) from physical abuse by two direct care staff members (Staff E and Staff F) of one resident sampled. Resident #58 was a victim of physical abuse as evidence by bruising on the resident's left wrist and a scratch to the resident's face resulting from Staff E physically pushing the resident, who fell to the ground with the resident's wheelchair toppling on him and leaving the scene without attempting to assist the resident. […]

• No harm, potential for more than minimal, patternF550Apr 11, 2026

  Based on observations, interview and record review, the facility failed to protect the resident's right to be treated with dignity related to unauthorized video recording in the resident's room for two residents (#8 and #9) out of two residents reviewed and failed to ensure timely incontinence care for one resident (#7) out of seven residents observed. Findings included: 1. During a facility tour on 4/11/2026 at 9:40 a.m. an observation was made of room [ROOM NUMBER] with a warning notice posted on the door reading, NOTICE, THIS AREA IS UNDER 24-HOUR VIDEO SURVEILLANCE. An interview was conducted with the private caregiver of Resident #9. She stated the family installed the video surveillance to monitor Resident #9's care 24-hours a day. […]

• No harm, potential for more than minimal, patternF645Sep 21, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure Preadmission Screening and Resident Review (PASRR) assessments were updated to include current diagnoses for eight residents (#28, #1, #46, #33, #57, #47, #40, and #506) out of 22 sampled residents. Findings included: 1. During an observation on 09/09/24 at 10:31 a.m. Resident #28 was in her room lying in bed under a blanket. During an attempt to interview Resident #28, she was not able to answer questions regarding her care or stay. Review of Resident #28's Admission Record showed Resident #28 was admitted to the facility on [DATE] with a primary diagnosis of Alzheimer's disease with a date of 06/17/2022. […]

• No harm, potential for more than minimal, patternF686Sep 21, 2024

  Based on observations, interviews and record review, the facility did not ensure timely identification of a facility acquired pressure ulcer for one resident (#67) out of two residents sampled. Findings included: On 9/10/2024 at 2:39 p.m. an observation was made of Resident # 67 in his wheelchair with a dressing to his left foot labeled 9/09/2024. Across the hallway from Resident #67 was Staff J, Registered Nurse (RN)/wound nurse. Staff J stated dressings are changed in the evening shift. Staff J, RN stated Resident #67's wound had a foul smell a few days ago and confirmed an order for a culture of the wound was given by the wound therapy physician, but results were still pending. On 9/12/2024 at 12:14 p.m. […]