Manor at Blue Water Bay, The

In the surveyor’s words

From the most serious findings on record at Manor at Blue Water Bay, The, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF554Apr 23, 2026

  Based on observation, record review, resident interview, and staff interview, the facility failed to ensure the interdisciplinary team (IDT) assessed and determined a resident was capable of self-administration of medications prior to allowing 1 of 16 sampled residents to self-administer medications. (Resident #30) The findings include: An observation of Resident #30 was conducted on 4/20/2026 at 12:51 PM. A medication cup containing several pills was observed to be sitting on her overbed table in her room. (Photographic evidence obtained.) During the observation, Resident #30 stated she thought she was asleep when the nurse brought the medications in her room. […]

• No harm, potential for more than minimal, isolatedF880Oct 19, 2022

  Based on observations, interviews and facility policy review, the facility failed to ensure staff adhered to the appropriate hand hygiene and infection control procedures to prevent cross contamination of wounds for 1 of 1 resident observed for wound care (Resident #5). The findings include: On 10/19/22 at approximately 12:15 PM, Staff A, Registered Nurse (RN), was observed performing wound care to Resident #5. The RN was observed performing hand hygiene, applying gloves, creating a barrier, and setting up wound care supplies. The RN proceeded to assist the resident into the side lying position with the assistance of Staff B, Licensed Practical Nurse (LPN). The RN did not change gloves or perform hand hygiene and proceeded to remove the soiled dressing. […]