Bayside of Poquoson Health and Rehab

In the surveyor’s words

From the most serious findings on record at Bayside of Poquoson Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF686May 11, 2021

  Based on observations, staff interviews, facility documentation review and clinical record review the facility staff failed to ensure 3 residents (Resident #43, #17, #7) of 34 residents in the survey sample, received care to prevent pressure ulcers from developing prior to an advanced stage which constitutes harm; facility staff failed to do initial and weekly assessments for 1 of 34 residents in the survey sample, Resident #19 and facility staff failed to provide pressure ulcer care as ordered by the physician for 1 of 34 residents in the survey sample, Resident #346. The findings included: 1. For Resident #43, the facility staff failed to prevent pressure ulcer on the sacrum from developing to an advanced stage which constitutes harm. […]

• No harm, potential for more than minimal, widespreadF947Aug 29, 2024

  Based on staff interviews and review of facility documents, the facility staff failed to ensure that twelve hours of in-service education/training within twelve months was completed by five of five sampled Certified Nurse Aides (CNA) #7, 6, 3, 8 and 9. The findings included: A review of the five CNA training transcripts and education records revealed that they had not completed the mandatory 12- hours of in-service education/training including dementia management and resident abuse prevention training. An interview was conducted with CNA #7 on 8/28/24 at 10:05 AM. CNA #7 stated she did not recall if she had completed twelve hours of in-service training to include working with residents with dementia and resident abuse prevention training. […]

• No harm, potential for more than minimal, patternF584Mar 27, 2025

  Based on observations and staff interviews the facility staff failed to ensure resident equipment was kept clean for 1 of 12 residents (Resident #7), in the survey sample. The findings included: Resident #7 was originally admitted to the facility 09/17/2021 after an acute care hospital stay. The current diagnoses included advanced dementia, paranoid schizophrenia, and severe protein-calorie malnutrition. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 2/10/25 coded the resident as not having the ability to complete the Brief Interview for Mental Status (BIMS). The staff interview was coded for long and short term memory problems as well as severely impaired daily decision making abilities. […]

• No harm, potential for more than minimal, patternF656Mar 27, 2025

  Based on observations, family interview, and staff interviews, the facility staff failed to develop person-centerd care plan for a percutaneous endoscopic gastrostomy (PEG) tube for 1 of 12 residents (Resident #8), in the survey sample. The findings included: Resident #8 was originally admitted to the facility 03/03/2023 after an acute care hospital stay. The current diagnoses included vascular dementia and chronic gastric outlet obstruction status post PEG tube placement. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 2/01/25 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 3 out of a possible 15. This indicated Resident #8's cognitive abilities for daily decision making were severely impaired. […]

• No harm, potential for more than minimal, patternF677Mar 27, 2025

  2. The facility staff failed to provide showers to a dependent resident (Resident #6). Resident #6 was originally admitted to the facility 1/9/25 after an acute care hospital stay. The resident's current diagnoses included a stroke resulting in left hemiplegia, spatial neglect of left side, left visual deficit and obstructive sleep apnea. The admission Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 1/15/25 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 11 out of a possible 15. This indicated Resident #6's cognitive abilities for daily decision making were moderately impaired. […]