Bayside Health & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF684Jun 13, 2024

  Based on interviews, clinical record review, and facility documentation the facility staff failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan for 2 Residents (#172 and #27) in a survey sample of 62 residents. The findings included: 1. For Resident #172 the facility staff failed to provide treatments for non-pressure wounds which became infected and resulted in hospitalization , this is harm. Resident #172 was admitted on [DATE] with 4 wounds and no orders, and when orders were obtained on 5/1/24 they were not transcribed to the MAR until 5/3/24. In addition, the care plan stated wound care as ordered however there were no wound care orders on 4/30/24. […]

• Actual harm, isolatedF686Jun 13, 2024

  Based on observations, family interview, staff interviews, clinical record review, and facility document review, the facility staff failed to prevent, identify, assess and treat pressure sores for one (1) resident (Residents #165) resulting in harm in a survey sample of 62 Residents. The findings included: Resident #165's unstageable pressure wounds were never identified by the facility. No measurements nor descriptions of the wounds were ever placed in the clinical record by nursing staff. The 4-13-21 identification of multiple unstageable pressure wounds occurred at an outside orthopedics appointment and was not treated until the Resident was seen by the wound NP on 4-16-21, 3 days after identification. […]

• Actual harm, isolatedF580Sep 15, 2021

  Based on clinical record review, staff interviews, facility document review and during the course of a complaint investigation the facility staff failed to immediately notify the Physician of a significant change in condition that included signs of an acute stroke for over 5 days for 1 of 2 residents in the survey sample, Resident #2. Subsequently, Resident #2 was sent to the emergency roiagnom on [DATE] and was diagnosed with a late acute versus subacute left anterior cerebral artery infarct and was deemed not a candidate for Tissue Plasminogen Activator (tPA) due to late presentation to the acute care setting, which constitutes harm. […]

• Actual harm, isolatedF684Sep 15, 2021

  Based on clinical record review, staff interviews, facility document review and during the course of a complaint investigation the facility staff failed to physically assess for and identify signs and symptoms of an acute stroke for a period of over 5 days, and seek acute level of care for 1 of 2 residents in the survey sample, Resident #2. Subsequently, Resident #2 was sent to the emergency roiagnom on [DATE] and was diagnosed with a late acute versus subacute left anterior cerebral artery infarct and was deemed not a candidate for Tissue Plasminogen Activator (tPA) due to late presentation to the acute care setting, which constitutes harm. […]

• No harm, potential for more than minimal, widespreadF680Jun 13, 2024

  Based on staff interviews, clinical record reviews, and review of facility documents, the facility staff failed to ensure the activities program was directed by a qualified professional who could direct the provision of activities to the residents which resulted in substandard quality of care. The findings included: During the recertification survey conducted 6/4/24 through 6/7/24 and 6/10/24 through 6/13/24 residents were identified who could benefit from meaningful and individualized activity programs. […]