Bayview Nursing Home

In the surveyor’s words

From the most serious findings on record at Bayview Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF656Dec 21, 2025

  Based on observation, staff interviews, record review and review of the facility's policy titled Using the Care Plan, the facility failed to follow the care plans for two out of 27 sampled Residents (R) (R51) related to falls, and R17 related to oxygen . Actual harm occurred on 12/3/2025 when R51, who had increased confusion and required assistance from staff with Activities of Daily Living (ADL) care, was left on the toilet unassisted and unsupervised by a Certified Nursing Assistant (CNA). Subsequently, R51 was found on the floor in a puddle of blood after attempting to get off the toilet. […]

• Actual harm, isolatedF689Dec 21, 2025

  Based on observations, staff and family interviews, record review and review of the facility's policy titled Safety and Supervision of Residents, and Fall Management the facility failed to provide adequate supervision to prevent accidents for one of four sampled residents (R) (R51) reviewed for falls. Actual harm occurred on 12/3/2025 when R51, who had increased confusion and required assistance from staff with Activities of Daily Living (ADL) care, was left on the toilet unassisted and unsupervised by a Certified Nursing Assistant (CNA). Subsequently, R51 was found on the floor in a puddle of blood after attempting to get off the toilet. […]

• No harm, potential for more than minimal, patternF600Mar 11, 2021

  Based on record reviews, staff and resident interviews, and review of the facility policy titled, Abuse Prohibition Policy and Procedures, the facility failed to protect two of four sampled residents (R), R#3 and R#4 from abuse. Findings include: Review of the facility policy, Abuse Prohibition Policy and Procedures, updated January 2017, revealed, Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm or pain or mental anguish. […]

• No harm, potential for more than minimal, patternF609Mar 11, 2021

  Based on record reviews, resident and staff interviews and review of the facility policy, Abuse Prohibition Policy and Procedures, the facility failed to timely report initial reports and follow-up investigations of alleged violations of abuse, injury of unkown origin, and missing property for four of seven residents (Resident (R) R#1, R#2, R#3, and R#4) that were submitted. Findings include: Review of the facility policy titled, Abuse Prohibition Policy and Procedures, dated [DATE] revealed . Reporting: A. Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property the incident will be immediately reported. […]

• No harm, potential for more than minimal, isolatedF695Dec 21, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled Oxygen Administration, the facility failed to ensure that one of 16 residents (R) (R17) receiving oxygen was administered oxygen therapy in accordance with the physician orders. This deficient practice had the potential to place R17 at risk for respiratory complications and a diminished quality of life.Findings include:Review of the facility policy titled Oxygen Administration, dated 2/25/2024, under the Policy Statement revealed, The purpose of this procedure is to provide guidelines for safe oxygen administration. Under the Policy Interpretations and Implementation section revealed, 1. Verify that there is a physician's order for this procedure. […]