Baywood Court Health Center

In the surveyor’s words

From the most serious findings on record at Baywood Court Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Oct 11, 2024

  Based on interview, observation, and record review, the facility failed to remove discontinued controlled substances from the Med-Cart for Resident 30. The failure to ensure the proper disposition of discontinued controlled substances had the potential for administration to the resident or drug diversion. Findings: During a concurrent observation and interview on 10/8/24 at 10:55 with LVN1 the Med Cart A had multiple controlled medication in the locked bin that had been discontinued for Resident 30. LVN1 stated they are unaware of how long the medication had been there. […]

• No harm, potential for more than minimal, patternF761Oct 11, 2024

  During Observation, Interview and record review the facility failed to label multidose eye drops designed for multiple administrations for 4 out of 5 Residents. This failure had the potential for cross-contamination. Findings: During an observation on 10/8/24 at 10:55 a.m. with LVN 1, Med-Cart A contained 5 multidose eye drops for Resident 2, 7, 9, 20, and 23. (Artificial Tears, Liquid Gel Refresh, and Refresh Tears) with 4 of the 5 boxes labelled with room number only and not the Resident's name, for Residents 7, 9, 20, and 23. During an interview on 10/8/24 at 12:00 p.m. with Charge Nurse stated that multidose eye drops should have resident's full name on the box and not just the Resident's room number. Charge nurse stated this is done to prevent cross-contamination. […]

• No harm, potential for more than minimal, patternF812Oct 11, 2024

  Based on observation, interview and record review, the facility failed to store ready to eat food under sanitary conditions to prevent contamination from dust. This improper food safety practice had the potential for food contamination resulting in food-borne illnesses. Findings: On 10/8/24 at 9:25 A.M. during an initial tour of the facility kitchen with the Executive Chef (EC), there were undated, open plastic bags of various breads: 6 pieces of english muffin, 5 slices of raisin bread, 3 pieces of bagel, 10 pieces of square bread, and 7 pieces of hamburger buns. These food items were exposed to dust and possible splash contamination as they were stored on a corner counter top with binders and small kitchen appliances. […]

• No harm, potential for more than minimal, patternF755Mar 16, 2023

  Based on observation, interview, and record review, the facility failed to ensure medications were available and given according to the physician's order; and controlled substance (drugs with high potential for abuse or addiction) medications were fully accounted, when: 1. A prescription medication for itching was not available for a resident upon request. This resulted in the resident enduring the itching unnecessarily. 2. Morphine (a potent medication for pain) was administered not administered as prescribed for Resident 2. This resulted in a medication error. 3. […]

• No harm, potential for more than minimal, patternF761Mar 16, 2023

  Based on observation, interview, and record review, the facility failed to ensure expired medications were removed, and medications were labeled and stored according to manufacturer's instructions, and medication refrigerator temperature log was complete, for one out of one medication room and two out of two medication carts, when: 1. Expired and discontinued controlled drugs were not removed from the medication carts. 2. Expired drugs were not removed from the medication room. 3. Expired drugs were not replaced or removed from the emergency Kit (eKit -a kit containing medications for emergency situations) in the medication refrigerator. 4. […]