North Bay Post Acute

In the surveyor’s words

From the most serious findings on record at North Bay Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Apr 30, 2024

  Based on observation, interview, and record review, the facility failed to maintain a sanitary environment for food storage and preparation when the kitchen where the residents' food was stored and prepared was found to be infested with rats. This failure resulted in 90 out of 90 residents being served food that had been prepared in a kitchen contaminated with rat droppings and urine. On 4/3/24 at 11:06 a.m., due to the facility's failure to maintain sanitary conditions in the kitchen for food storage and preparation, Administrator and Director of Nursing (DON) were verbally notified of the Immediate Jeopardy. […]

• Actual harm, isolatedF600Oct 22, 2025

  Based on observation, interview, and record review the facility failed to ensure one resident (Resident 1) of two sampled residents was free from physical abuse when Resident 2 punched Resident 1 in the eye.This failure resulted in Resident 1 sustaining a bruise on the left eye.Findings:A review of Resident 2's admission record indicated admission to the facility on [DATE] with diagnosis which included Wernicke's Encephalopathy (a severe neurological disorder caused by a deficiency of Vitamin B1) and anxiety disorder (a mental health condition characterized by excessive worry, fear, and nervousness that can interfere with daily life).A review of Resident 2's Minimum Data Set (MDS, an assessment tool) dated 8/19/25 indicated Resident 2 had a Brief Interview for Mental Status (BIMS, an… […]

• Actual harm, isolatedF658Apr 7, 2025

  Based on interview and record review, the facility failed to ensure 1 of 2 sampled residents (Resident 1), who had a history of COPD (chronic obstructive pulmonary disease; a chronic lung disease causing difficulty in breathing) and cancer in her lungs received care consistent with nursing professional standards of quality and the resident's individualized nursing care plan (document that contains essential information about a patient's condition, diagnosis, goals, interventions, and outcomes). […]

• Actual harm, isolatedF689Jan 18, 2023

  During a record review for Resident 59, the Face sheet (A one-page summary of important information about a resident) indicated Resident 59 was admitted on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease (COPD - diseases that cause airflow blockage and breathing-related problems), Schizophrenia (a serious mental illness that interferes with a person's ability to think clearly, manage emotions, make decisions and relate to others) and Dementia (impaired ability to remember, think, or make decisions that interferes with doing everyday activities). During a record review for resident 59, the Care Plan for ADL (Activities of Daily Living) Self Care Deficit initiated on 7/09/2022 indicated, [Resident 59] ambulating independently without any assistive device. […]

• No harm, potential for more than minimal, widespreadF812Jan 9, 2026

  Based on observation, interview, and record review, the facility failed to store and prepare, food under sanitary conditions and in accordance with professional standards for a census of 92 when shelf surfaces in the walk-in refrigerator were observed to be discolored with rust-colored markings, indicating deterioration and potential contamination risk.This failure had the potential to contribute to the spread of foodborne illnesses among a vulnerable resident population.Findings:During the initial kitchen tour on 1/6/26 at 8:48 a.m. […]