Bayside Village

In the surveyor’s words

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

• Immediate jeopardy, patternF700Sep 27, 2022

  Based on observation, interview, and record review, the facility failed to: 1. Consistently complete bed rail assessments to determine resident initial need and continued use for bed rails. 2. Assess all residents with bed rails for risk of entrapment and ensure the absence of bed entrapment zones through consistent and scheduled measurement by facility staff, 3. Ensure compatibility between facility bed frames and bed rails, 4. Follow the manufacturer's recommendations for installation and maintenance of bed rails, 5. Ensure the presence of, and compliance with physician orders for bed rails, and/or 6. […]

• Immediate jeopardy, patternF880Jun 14, 2021

  Based on observation, interview, and record review, the facility failed to implement a complete infection control program. This deficient practice has four noted deficiencies: 1. Failed to timely test an unvaccinated, symptomatic COVID-19 Resident (#17). 2. Failed to perform hand hygiene during water pass observations 3. Failed to adhere to COVID-19 staff screening process to prevent entry into the facility and risk exposure. 4. Failed to use proper Personal Protective Equipment (PPE) for COVID-19 TBP. These deficient practices resulted in the potential for cross-contamination of microorganisms and the potential spread of communicable diseases which had the potential to affect all 40 residents residing in the facility. […]

• Immediate jeopardy, isolatedF689Oct 8, 2025

  Based on observation, interview, and record review, the facility failed to accurately assess elopement risk assessment, ensure exit doors were properly secured, and provide adequate supervision to prevent an elopement from the facility for one Resident (#1) of 1 resident reviewed for elopement risk. This deficient practice resulted in an Immediate Jeopardy when Resident #1 exited the facility unsupervised for approximately 30 minutes in 53 degree weather without proper attire and was found in a ditch where Resident #1 fell and was complaining of being cold and had head and neck pain, which required transfer to the Emergency Department (ED) for evaluation. […]

• Actual harm, isolatedF689Sep 10, 2025

  This deficient practice pertains to Facility Reported Incident (FRI) 61588.Based on observation, interview, and record review the facility failed to provide adequate supervision to prevent a fall, adequate supervision with use of a razor, and ensure reassessment and follow-up for exit-seeking for three Residents (R7, R23, & R38) of 12 residents reviewed for accidents/hazards/supervision. This deficient practice resulted in harm for R7 who incurred a fall with major injury (right pubis fracture), a tongue injury related to unsupervised access to hazardous hygiene supplies, and lack of accurate assessment data to ensure resident safety. […]

• Actual harm, isolatedF684May 7, 2025

  Based on interview and record review, the facility failed to ensure: 1. Proper care of a catheter, 2. Accurate and timely documentation was entered for care decisions, and 3. Notification of significant changes were communicated to the physician for one Resident #5 (R5) of three residents reviewed for quality of care. This deficient practice resulted in harm when R5 was hospitalized due to a ruptured bladder, urinary tract infection, and septic shock (a subset of sepsis in which particularly profound circulatory, cellular, and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone.), with continued decline resulting in death. […]