O'Neill Healthcare Bay Village

In the surveyor’s words

From the most serious findings on record at O'Neill Healthcare Bay Village, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 21, 2026

  Based on observation, interview, and facility policy, the facility failed to ensure proper food storage and sanitation of the food preparation and storage area. This had the potential to affect all residents residing in the facility. The facility census was 117.Findings include: Observations during the initial kitchen tour on 01/13/26 at 8:30 A.M. with the Dietary Manager (DM) #586 revealed the following: Observation of the dry storage area, four containers of lemon-flavored thickened water were identified with an expiration date of 10/07/24. Thirteen packages of submarine rolls were observed in storage labeled with a best-by date of 01/10/26. Additionally, three yellow onions were observed with visible root growth, stored in a container in which multiple fruit flies were actively present. […]

• No harm, potential for more than minimal, widespreadF925Jan 21, 2026

  Based on observation, staff interview, work orders, facility policy review and facility documents review, the facility failed to ensure an effective pest control program in the kitchen area and failed to ensure garbage receptacles had lids. This had the potential to affect all residents receiving food from the kitchen. The facility census was 117.Findings include:Observation of the main kitchen on 01/13/26 at 8:30 A.M. with the Dietary Manager (DM) #586 revealed several fruit flies were near the main freezer and juice dispenser. Three garbage receptacles in the kitchen had visible trash with no lids. Fruit flies were observed in the trash and in the yellow onion storage container. […]

• No harm, potential for more than minimal, widespreadF812Mar 13, 2024

  Based on observation, staff interview and facility policy review, the facility failed to ensure food was served in a sanitary manner and food was stored and dated properly. This had the potential to affect 114 residents receiving meals from the facility. The facility identified three residents (#14, #113, and #168) who received nothing by mouth. The facility census was 117. Findings include: A tour of the kitchen was conducted on 03/10/24 from 9:05 A.M. to 9:55 A.M. with Dietary Manager #200. The following concerns were observed during the kitchen tour. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure the high temperature dishwasher was maintained at appropriate temperatures to effectively wash and rinse dishes to help prevent food borne illnesses. This had the potential to affect 90 residents who receive meals daily from the kitchen, one resident, Resident #67 was ordered nothing by mouth. The facility census was 91. Findings include: Initial tour kitchen observation on 02/28/22 at 7:20 A.M. revealed the high temperature dishwasher wash temperature was 121 degrees Fahrenheit (F) and rinse temperature 176 degrees (F). The dishwasher was ran twice and temperatures were the same. Interview on 02/28/22 at 7:20 A.M. […]

• No harm, potential for more than minimal, patternF804Jan 21, 2026

  Based on observation, family interview, resident interview, and facility policy review, the facility failed to ensure foods were served at a palatable temperature and were visually pleasing. This affected sixteen (Residents #1, #4, #24, #25, #26, #28, #31, #48, #59, #65, #71, #72, #85, #98, #116, and #137) of 18 residents reviewed for dietary services. The facility census was 117. Findings include: 1. Interview with a family member of Resident #48 on 01/12/26 at 10:30 A.M. revealed multiple concerns related to food quality and temperature.2. Interview with Resident #137 on 01/12/26 at 10:55 A.M. revealed the food at the facility is always cold and Resident #137 has to ask the facility's Certified Nursing Assistants (CNAs) to warm up the food, which they do reluctantly.3. […]