Bayview Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Aug 22, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections relative to Covid-19, for 1 of 2 units observed, the Country Unit, affecting Resident ID #s 2, 6, 11, 14, 15, 19, 26, 28, 30, 38, 42, 44, 46, 47, 49, 54, 55, 58, 64, 65, 67, 80, 82, 84, 87, 88, 92, 97, 104, and 109, as the facility failed to have cleaning and disinfecting wipes effective at killing Covid-19 readily accessible to staff and was using Micro-Kill+ Disinfecting, Deodorizing Cleaning Wipes with Alcohol, which are ineffective at killing Covid-19, to clean and disinfect multi-use resident equipment. […]

• Immediate jeopardy, isolatedF760Mar 20, 2026

  Based on clinical record review and staff interviews, the facility failed to ensure that 1 of 1 residents reviewed was free from significant medication errors. Specifically, on 3/12/2026 at approximately 8:45 PM, a Certified Medication Technician administered clozapine 150 mg and melatonin 3 mg prescribed for another resident to Resident #1 without verifying identity, in violation of facility policy. As a direct result, the resident required emergency transfer and hospitalization due to altered responsiveness, hypothermia, aspiration pneumonia, and tachycardia, subsequently transitioned to comfort care, and expired on 3/18/2026. […]

• Actual harm, isolatedF726Mar 20, 2026

  Based on clinical record review and staff interview, the facility failed to have sufficient nursing staff with the necessary competencies and skills to provide the required nursing and related services. Specifically, the facility failed to assure that all persons administering medications conducted and documented 4 out of 4 quarterly evaluations per state requirements for 1 of 1 Certified Medication Technician (CMT) reviewed, Staff A, who administered medications erroneously to Resident ID #1. The resident was transferred to the hospital due to the medication errors and later expired. […]

• Actual harm, isolatedF600Aug 22, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to protect the residents' right to be free from abuse for 1 of 1 resident reviewed for abuse, Resident ID #46. Findings are as follows: Review of a facility policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program, dated October of 2022 states in part, .Residents have the right to be free from abuse .This includes but is not limited to .physical abuse .Protect residents from abuse .by anyone including .other residents . […]

• Actual harm, isolatedF740Aug 22, 2024

  Based on record review and staff interview, it has been determined that the facility failed to ensure that each resident receives and is provided the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, or psychosocial well-being, for 1 of 3 residents reviewed for behaviors, Resident ID #66. Findings are as follows: Record review revealed the resident was readmitted to the facility in April of 2024 with diagnoses including, but not limited to, bipolar disorder and schizophrenia. Review of the resident's care plan revealed a focus area initiated on 2/24/2024, for the use of anti-psychotic medications related to his/her diagnosis of schizophrenia. […]