Bayside Care Center

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure: 1) The dry food storage room had proper ventilation and temperature control. This failure had the potential to lead to the spoilage of the stored food items thereby increasing the risk of contracting foodborne illness (caused by eating or drinking something that is contaminated with germs or chemicals) among the residents. 2) Kitchen staff consistently followed proper hand hygiene and sanitary practices when handling clean dishes and trays. This failure could facilitate the spread of harmful microorganisms, increasing the risk of contracting foodborne illness among the residents.

Inspectors wroteBased on observation and interview, the facility failed to ensure a potentially contaminated tube of medication was not stored in the medication room. This facility failure had the potential for ineffective treatment for residents. During a concurrent observation and interview on 12/3/2025 at 3:07 p.m. with the assistant director of nursing (ADON), in the medication room, a tube of clotrimazole 1% (a topical antifungal) stored in the medication room was observed to be opened. The ADON was unable to determine if the tube of clotrimazole 1% was used or not due to the absence of labeling. The ADON acknowledged that the medication might be contaminated and indicated it should have been disposed of. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 2), rights for a fair and proper discharge when the facility failed to do an accurate assessment of the resident's mental capacity to understand the meaning of leaving the facility against medical advice (AMA) and denied the resident an appropriate assessment to determine return to the facility after being cleared by the emergency department (ED) physician. This facility failure resulted in an extended hospital stay and transfer from the ED to a facility more than two hours away limiting the resident's only nearby advocate's ability to visit and provide support.

Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 2) had Ativan (lorazepam -antianxiety medication): 1) administered as ordered by the physician and 2) reported to the physician when the Ativan was not effective. These failures resulted in Resident 2 receiving more Ativan than prescribed, and to a delay in notifying the physician when medication did not appear effective.

Inspectors wroteBased on observation, interview, and review of facility documents, the facility failed to ensure food and ice were stored, prepared, and served in accordance with professional standards for food service safety when: 1. Facial hair coverings were not worn during food preparation; 2. One ice machine contained a brownish pink substance on the censor on the metal grate where ice is formed; and 3. There was lack of an air gap for one of the ice machines located in central supply room. This failure has the potential to result in the growth of microorganisms that can cause foodborne illness to residents.

Inspectors wroteBased on interview and record review, the facility failed to ensure language assistance services were provided for one of 18 sampled residents (Resident 36), whose primary language is Farsi. This failure had the potential to violate Resident 36's right to be fully informed, in a language he could understand, and make decisions about his medical condition.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure two of 18 sampled residents (Resident 39 and Resident 40) had their call light within reach. These failures had the potential to result in residents not being assisted timely and had the potential to affect their psychosocial and personal hygiene needs.

Inspectors wroteBased on observation and interview the facility failed to ensure expired medications were not stored and available for use. This failure had the potential for unsafe and ineffective medication administration to residents.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pureed food was prepared by methods that conserved nutritive value, flavor, and was palatable. This failure resulted in lack of flavor and palatability in pureed foods and has the potential for the eight residents on a pureed diet to have a decreased food intake which can further compromise the nutrition and medical status.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident preferences were accommodated on meal trays for three of 18 sampled residents (Resident 18, 27, and 63). This failure has the potential to result in residents not having their food preferences met.

Inspectors wroteBased on observation, interview, and record review the facility failed to implement transmission-based precautions (actions to control how infection is spread) for one of 18 sampled residents (Resident 446) when the facility staff did not implement their Policy and Procedure (P&P) titled, Enhanced Barrier Precautions. This failure placed Resident 18 at an increased risk of acquiring an infection due to their medical condition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two of three sampled residents (Resident 1 and 3), had their preference for bedtime honored. This facility failure resulted in Residents 1 and 3 not having their rights supported when making their choice of when to go to bed for the evening.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store and label opened containers of food in the refrigerator and freezer as indicated in the facility policy and procedure. This failure had the potential for food items to be stored for a duration that could cause the growth of microorganisms, which could lead to food borne illnesses in the facility's vulnerable population.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of one sampled residents (Resident 11), personal information was protected. For Resident 11, this facility failure had the potential to result in a loss of dignity.

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a person-centered, comprehensive care plan (describes the care and support provided to meet health needs), to two of 18 sampled residents, to address respiratory care needs (Resident 76) and dementia care needs (Resident 45). These facility failures had the potential for care and services not to be provided to residents to attain or maintain quality of life.

Inspectors wroteBased on interview and record review, the facility failed to ensure timeliness in the development and revision/update of the person-centered, comprehensive care plans (describe the care and support provided to meet health needs), to two of 18 sampled residents (Residents 76 and 45), when: 1. Care plan was not developed and initiated timely to address Resident 76's respiratory care needs, 2. Care plan to address Resident 76's care needs related to difficulty in swallowing was not updated to reflect current speech-language therapy recommendations, 3. Care plan was not developed and initiated timely to address Resident 45's dementia care needs. These failures had the potential for the provision of care and services to these residents not being provided timely which could affect residents quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of 9 sampled residents (Resident 14), had an accurate Face Sheet ((FS) a document used by physicians and care givers to have quick access to essential facts about a resident). For Resident 14, this facility failure had the potential to result in life saving procedures being performed against their wishes.