Bayview Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF657Nov 20, 2025

  Based on observations, record review and staff interviews the facility failed to revise the comprehensive care plan to accurately reflect code status and the use of bedrails. This was for 1 of 3 residents (Resident #45) reviewed dementia care, and 2 of 2 residents (Resident #11 and Resident #40) reviewed for the use of bed rails.Findings included: 1. Resident #45 was admitted to the facility on [DATE] with a diagnosis of dementia. A physician's order for Resident #45 dated [DATE] was Do Not Resuscitate. (DNR is the refusal of Cardio-Pulmonary Resuscitation, a lifesaving procedure performed when someone's heartbeat or breathing has stopped). Resident #45's current active comprehensive care plan revealed a focus area desiring Cardio-Pulmonary Resuscitation (CPR). […]

• No harm, potential for more than minimal, isolatedF700Nov 20, 2025

  Based on observations, record review, staff and resident interviews the facility failed to assess entrapment risk and failed to attempt alternatives prior to siderail use for 2 of 2 residents (Resident #11, Resident #40) reviewed for side rails. Findings included: 1. Resident #11 was admitted to the facility on [DATE] with diagnoses that included hypertensive heart disease, chronic kidney disease and heart failure. Review of Resident #11's electronic medical record revealed an assessment titled bed rail assessment dated [DATE] and completed by the Director of Nursing (DON). The assessment revealed Resident #11 used bilateral side rail/assist bars (u-shaped grab bars) on her bed. […]

• No harm, potential for more than minimal, isolatedF550Mar 9, 2022

  Based on observations, record reviews, and staff interviews, the facility failed to provide a dignified dining experience by standing over a resident while providing feeding assistance for 1 of 1 resident reviewed for dignity (Resident #28). Findings included: Resident #28 was admitted to the facility on [DATE]. A review of Resident #28's quarterly Minimum Data Set, dated dated dated [DATE] indicated she had severe cognitive impairment and required extensive assistance for most activities of daily living. On 3/06/22 at 12:34 PM an observation was made of Nurse Aide (NA) #1 standing at Resident #28's bedside while feeding the resident her lunch. The resident's head of bed was in an upright position and the NA stood above the resident's eye level during the dining experience. […]

• No harm, potential for more than minimal, isolatedF712Mar 9, 2022

  Based on record reviews, staff and physician interviews, the facility failed to ensure Physician visits were performed every sixty days as required for 1 of 2 residents reviewed for physician services (Resident #16). Findings included: Resident #16 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #16's quarterly Minimum Data Set, dated dated dated [DATE] indicated she had severe cognitive impairment and required limited assistance for most activities of daily living. Review of progress notes revealed that notes were written, signed, and dated by the NP for several consecutive visits with the most recent one dated 12/31/21. […]