Civita Care Bayview

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Mar 4, 2026

  Based on clinical record reviews, facility documentation, facility policies and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for medication administration, the facility failed to ensure the resident was free from a significant medication error when a schedule III opioid medication, which was prescribed for another resident, was inadvertently administered to Resident #1 causing the develop of an opioid-induced respiratory depression requiring hospitalization and treatment. The failure resulted in the finding of Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF600Jun 29, 2022

  Based on clinical record review, facility documentation, facility policy, and interviews for one of three residents reviewed for abuse, the facility failed to protect a resident (Resident #2) from sexual abuse, resulting in a finding of Immediate Jeopardy. The IJ template was given to the Administrator on 6/9/22 at 3:15 PM. During an onsite visit on 6/14/22 the action plan was reviewed and the IJ was removed effective 6/10/22. The findings include: Resident #1 had diagnoses that included Alzheimer's, dementia with behavioral disturbance, Wernicke's encephalopathy, and an adjustment disorder. A State Probate Court document dated 9/27/18 identified Resident #1 had a conservator of person. […]

• Immediate jeopardy, isolatedF689Jun 29, 2022

  Based on clinical record reviews, facility documentation, facility policy, and interviews for one of three residents reviewed for adequate supervision, the facility failed to supervise one resident (Resident #1) who had a history of inappropriate sexual behaviors and behavior of wandering, as a result, Resident #3 requested a room change to avoid Resident #1's continued intrusive behaviors, and Resident #2 was touched in a sexual manner, resulting in a finding of Immediate Jeopardy. The IJ template was provided to the Administrator on 6/9/22 at 3:15 PM. During an onsite visit on 6/14/22 the action plan was reviewed and the IJ was removed effective 6/10/22. The findings include: 1. […]

• Actual harm, isolatedF689Jan 13, 2026

  Based on record reviews, facility documentation, policy, and staff interviews for one (1) of three (3) sampled residents (Resident #1), who required two-person assistance and a mechanical lift for safe transfers, the facility failed to follow established transfer procedures during a transfer on 12/12/25. A Nurse Aide (NA #1) relied on an outdated assignment sheet indicating single-staff assistance, did not verify current transfer requirements on the resident care card, and attempted a manual pivot transfer without obtaining a second staff or mechanical lift. The wheelchair brakes were not reliably engaged, resulting in Resident #1 falling face-first, sustaining a bloody nose and nasal laceration requiring sutures and hospital transport. […]

• Actual harm, isolatedF600Oct 26, 2021

  Based on clinical record reviews, review of facility documentation, and interviews for 4 sampled residents (Residents #1001, 1002, 1003 and #1004) reviewed for resident-to-resident altercations and criminal history, the facility failed to ensure a resident was free from abuse when staff failed to communicate a resident's criminal history and probation status to the team resulting in an altercation with injury. The findings include: Resident #1001 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set assessment dated [DATE] identified Resident #1001 had a serious mental illness, was cognitively intact, used a wheelchair and had a conservator. […]