Complete Care at Bayshore LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Bayshore LLC, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 3, 2022

  Based on observation, interviews, review of medical records and other facility documentation, it was determined that from 12/30/2021 through 03/22/2022, the facility failed to properly assess a skin opening of the left intergluteal cleft (groove between the buttocks) immediately upon identification, obtain treatment orders, and consistently implement timely interventions in adherence with the facility wound evaluation policy, physician's orders and the resident's care plan to prevent the development of a Stage 4 Pressure Ulcer. This deficient practice occurred for 1 of 2 residents reviewed, who were previously identified as being at risk for the development of a Pressure Ulcer and for Pressure Ulcer management (Resident #73). […]

• No harm, potential for more than minimal, widespreadF800May 8, 2026

  Based on observation, interview and document review it was determined that the facility failed to ensure staff responsible for the facility food and nutrition services necessary had the skills and competencies to ensure a) the facility was maintained in a clean and sanitary manner, b) the mechanical dish machine was functioning appropriately, c) menus were followed to ensure appropriate portion sizes were provided and recipes were utilized to ensure nutritional adequacy of the food served, and d) residents received appetizing meals. […]

• No harm, potential for more than minimal, widespreadF803May 8, 2026

  Based on observation, interview and document review it was determined that the facility failed to ensure a process was in place to ensure that menus and recipes were followed and appropriate portion sizes were provided to the residents. This deficient practice was identified for 10 of 10 residents who attended a resident council meeting and for Resident #69 and Resident #75 reviewed for food, and was evidenced by the follwoing: On 5/3/26 at 7:30 PM, the surveyor interviewed Resident #69 and Resident #75 in their room. When asked about the meals both residents stated the food was not good the hot food was served cold and the food was disgusting. Resident #69 also stated they were on a puree diet. […]

• No harm, potential for more than minimal, widespreadF804May 8, 2026

  Based on observation, interview and document review it was determined that the facility failed to ensure that foods were prepared utilizing standardized recipes and ensure that meals were provided to residents at an appetizing temperature. The deficient practice occurred for 10 of 10 residents who attended a residents council meeting, for 2 of 2 residents reviewed for food (Resident #69 and Resident #75) and affected the nutritional adequacy and consistency of all foods served and affected all residents who resided at the facility. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2026

  Based on observation, interview, and document review, it was determined that the facility failed to ensure a) that equipment used to clean dishes and other kitchen items was utilized per manufacturer's specifications for temperature, b) foods were stored in a manner to prevent potential foodborne illness, and c) the kitchen environment and equipment was maintained in a clean and sanitary manner to prevent contamination from foreign substances and limit the potential for the development a foodborne illness. […]