Bayside Manor LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Dec 5, 2025

  Based on interview, and record review the facility failed to protect 1 of 2 residents (R1), who did not have the capacity to consent from inappropriate touching from an assisted living resident (AL-R) who was visiting. This resulted in an immediate jeopardy (IJ) when R1 was inappropriately touched repeatedly over the course of approximately 38 minutes without intervention by staff. The IJ began on 11/21/25, when staff members suspected AL-R of inappropriate touching and did not remove and/or intervene to stop the touching which resulted in AL-R repeatedly inappropriately touching of R1's thighs and in-between her legs by AL-R. […]

• Immediate jeopardy, isolatedF578Feb 7, 2024

  Based on interview and document review, the facility failed to ensure an advance directives was accurately documented on the resident's electronic health record (EHR) banner and physician orders which affected 1 of 30 residents (R14) reviewed for advance directives. This resulted in an immediate jeopardy (IJ) for R14 who would have been denied cardiopulmonary resuscitation (CPR) contrary to their wishes, in the absence of a pulse or respirations. The IJ began on [DATE] when R14's Provider Orders for Life-Sustaining Treatment (POLST) identified R14 wished to have CPR administered, however, the physician orders in the EHR and EHR banner indicated R14 was do-not-resuscitate (DNR). The administrator was notified of the IJ on [DATE], at 8:03 p.m. […]

• Actual harm, isolatedF689Oct 10, 2023

  Based on observation, interview, and document review the facility failed to ensure safe transfer techniques using a gait belt and failed to complete a comprehensive post fall analysis and investigation for 2 of 3 residents (R1, R2) reviewed for falls. The facility's failures resulted in actual harm when R1 sustained a pelvic and R2 sustained a rib fracture. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], identified R2 had diagnoses that included hemiplegia/hemiparesis with fluctuating cognition. R1 required extensive physical assistance from one staff for bed mobility, transfers, locomotion on and off the unit, dressing, and toilet use. R1 had impaired balance and was not steady with transitions without staff assistance to maintain balance. […]

• No harm, potential for more than minimal, widespreadF761Dec 11, 2025

  Based on observation, interview and document review the facility failed to destroy expired over the counter medication (OTC) for 1 of 2 sampled medication rooms. In addition, the facility failed to ensure 1 of 1 resident's (R10) lorazepam (anti-anxiety medication) was immediately removed from 1 of 2 medication carts and not co-mingled and stored with in-use medications for other residents. Findings include: Observation and interview on 12/08/25 at 12:25 p.m., of 1 of 2 sampled medication rooms located across from the dining room with registered nurse (RN)-B, identified over the counter (OTC) medications and house stock medications that was both in bottles stored in multiple plastic bags and in blister packs. The medications were placed in a pile on the counter in the medication room. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2025

  Based on observation, interview, and document review the facility failed to ensure staff followed sanitary guidelines on appropriate food handling during 1 of 1 meal service. This had the potential to affect all 29 residents who received meals served from the kitchen. Findings include: Observations on 12/9/25 of the noon meal service identified multiple incidents of potential cross contamination. At:12:00 a.m., Cook-A applied gloves and arranged serving utensils on top of the covered steam table pans. She removed the covers from the food items on the steam table and picked up a plate, picked up the individual menu choice slip and plated food items which were them placed on the tray to be delivered by dining room staff. […]