Bayside Care Center

In the surveyor’s words

From the most serious findings on record at Bayside Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF759Mar 19, 2026

  Based on observations, interviews, and record review, the facility did not ensure the medication error rate was below 5% for two resident (#7 and #83) out of four residents sampled for medication administration. This resulted in 3 errors out of 28 medication administration opportunities for a medication error rate of 10.71%.Findings included:1.) An observation was conducted on 3/17/2026 at 9:30 AM of medication administration with Staff A, Licensed Practical Nurse (LPN). Staff A, LPN was observed preparing and administering the following medications for Resident #7:Cholecalciferol Capsule 25 mcg (microgram) / 1000 units x 1 tabletCranberry Oral Tablet 450 mg (milligram) x 1 tablet Reconciliation of Resident #7's physician orders showed the following orders:Cholecalciferol Capsule 400 UNIT… […]

• No harm, potential for more than minimal, patternF584Dec 1, 2023

  Based on observations, interview, and record review, the facility failed to provide a clean, comfortable, and homelike environment for residents living on one (West) out of two units. Findings included: An observation was made on 11/28/23 at 10:20 a.m. of the discoloration of the hallway floor in the doorway of room [ROOM NUMBER]. An observation was made on 11/28/23 at 10:21 a.m., of a string-like material embedded onto the floor in the doorway of room [ROOM NUMBER]. The observation revealed a raised substance attached to the floor in the hallway outside of room [ROOM NUMBER]. An observation on 11/28/23 at 10:34 a.m., was of the stained privacy curtain in room [ROOM NUMBER]. […]

• No harm, potential for more than minimal, patternF644Dec 1, 2023

  Based on observation, record review, and interview, the facility failed to confirm the accuracy of a Pre-Admission Screening and Resident Review (PASRR) and to correct the document for six (Residents #9, #72, #18, #51, #43, and #26) out of forty residents sampled when mental illness or suspected mental illness diagnoses were identified and added to the resident's medical diagnoses. Findings included: 1. A review of Resident #9's Admission Record showed an original admitted [DATE]. The Admission Record included diagnoses and onset dates not limited to bipolar disorder (2/26/19), recurrent major depressive disorder (2/26/19), generalized anxiety disorder (2/26/19), and unspecified psychosis not due to a substance or known physiological condition (2/9/13). […]

• No harm, potential for more than minimal, patternF759Dec 1, 2023

  Based on observation, record review, and interview, the facility failed to ensure the medication error rate was less than 5.00%. Forty-two medication administration opportunities were observed and five errors were identified for two (#54 and #55) of three residents observed. These errors constituted a 11.9% medication error rate. Findings included: 1. On 11/30/23 at 7:53 a.m., an observation of medication administration with Staff E, Licensed Practical Nurse (LPN), was conducted with Resident #54. […]

• No harm, potential for more than minimal, patternF677Feb 25, 2022

  Based on observations, record reviews, and interviews the facility failed to provide bathing as scheduled for two (#1 and #2) out of two sampled dependent residents sampled. Findings included: 1. Resident #1 was admitted on [DATE] and 1/25/22 according to the Admission Record, and included diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The Quarterly Minimum Data Set (MDS), dated [DATE], identified a Brief Interview of Mental Status (BIMS) score of 15 out 15, indicative of an intact cognition. The MDS indicated the resident had no occurrences of rejection of care and the Activity of Daily Living (ADL) task of bathing did not occur over the entire 7-day period. […]