Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bayside Care Center during CMS and state inspections, most recent first.
Medication Administration Errors Exceeded Allowed Rate: Two residents were involved in medication administration errors identified during observation and record review. An LPN gave incorrect doses of Cholecalciferol and cranberry to one resident, and gave metoprolol to another resident even though the BP was outside the ordered hold parameters. The DON confirmed the dosage should have been double checked and the metoprolol should have been held per the order.
A resident with intact cognition, frequent bowel and bladder incontinence, and a care plan for incontinence assistance was observed in bed with stool-like matter on the buttock and a strong fecal odor in the room for hours. The resident said he was waiting to be cleaned up and reported delays in care, while a CNA confirmed the bowel movement and another CNA said she did not visually check for care needs and expected the resident to tell staff when he needed changing. Staff interviews confirmed residents were supposed to be checked every two hours and that visual and odor checks should be used to identify incontinence needs.
PASARR screening was not kept accurate for two residents with MI diagnoses. One resident had bipolar disorder, MDD, anxiety, insomnia, and dementia, but the Level I PASARR omitted depression and anxiety and no Level II was submitted. Another resident had schizophrenia, bipolar disorder, MDD, and anxiety, yet the Level I PASARR indicated no SMI/ID and no Level II review was sent. The DON said she relied on the system to trigger Level II referrals.
The facility failed to enforce its smoking policy when a resident was observed smoking in the parking lot with no staff present, and two other residents were also found smoking unsupervised on facility property. Two residents had personal lighters in their rooms or on their persons, despite policy requiring smoking articles to be stored by staff and not kept in resident living areas. Records showed one resident had PTSD with intact cognition, another had COPD and nicotine dependence with intact cognition, and a third resident had COPD with intact cognition; care plans and smoking agreements required supervision, designated smoking areas, and staff control of smoking materials.
Unsecured medications were found at a resident’s bedside and on an unattended bingo cart, and a medication cart in a hallway had inhalation meds left on top where residents and guests could pass by. A medication cart also contained an unopened insulin pen that should have been refrigerated, opened inhalers without dates, and multiple expired meds. In an East medication room, expired syringes and other expired meds were stored with bleach wipes, and bleach wipes were also kept with wound care supplies in a wound care cart. Staff and the DON confirmed the improper storage and expired items.
Failure to follow contact precaution PPE requirements: a CNA and an LPN were observed entering a room with a Contact Precaution sign without gowns or gloves. The sign directed staff to clean hands and don gloves and a gown before room entry, but both staff members stated PPE was only needed when making contact with the resident. The DON/IP confirmed that rooms with contact precaution signs required gloves and gown prior to entry and stated staff were mixing up enhanced barrier precautions and contact precautions.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility did not ensure the medication error rate remained below 5% for two of four residents sampled for medication administration, with 3 errors identified in 28 medication administration opportunities for a 10.71% error rate. During an observation on 3/17/2026 at 9:30 AM, an LPN prepared and administered Cholecalciferol 25 mcg/1000 units and Cranberry 450 mg to Resident #7, although the physician orders were for Cholecalciferol 400 units daily and Cranberry 400 mg twice daily. The LPN stated she did not realize the medications were the wrong doses and said she should have double checked the bottles before administering them. During another observation on 3/17/2026 at 9:12 AM, an LPN administered Metoprolol Tartrate 25 mg, 0.5 tablet to Resident #83 even though the order directed the medication to be held for systolic blood pressure less than 100 mmHg or diastolic blood pressure less than 60 mmHg. The resident's blood pressure at 7:17 AM was documented as 106/58, and the LPN stated the blood pressure was outside the parameters and she should not have given the medication. The DON also stated the nurse should have double checked the dosage for Resident #7 and that the metoprolol for Resident #83 should have been held according to the physician order.
Failure to Provide Timely Incontinence Care and Maintain Dignity
Penalty
Summary
The facility failed to maintain dignity related to incontinence care for one resident who was observed lying in bed with a brown mushy substance with a stool-like appearance on the lower left buttock area and a strong odor of feces in the room. The resident stated he knew when he had a bowel or bladder movement and was waiting for staff to clean him up, and he reported that staff would go on breaks for an hour with no coverage in place, causing delays in being changed. The same condition was observed repeatedly over several hours, with the brown matter still present on the resident’s left buttock area and the odor still noted. During the observation, a CNA confirmed the resident had a bowel movement on the left buttock and said she was not the assigned CNA. Another CNA stated she did not know the resident needed to be changed, had given him coffee, did not visually check him for care needs, and expected him to tell staff when he needed to be changed. Records showed the resident had diagnoses including chronic kidney disease, end stage renal disease, chronic pain, and major depressive disorder, had a BIMS score of 15 indicating intact cognition, was frequently incontinent of bowel and bladder, and required assistance with toileting hygiene. The care plan directed staff to provide incontinence care and observe for stool, and staff interviews confirmed CNAs were expected to check residents every two hours and use visual checks and odor to identify incontinence needs.
PASARR Screening Not Updated or Referred for Level II Review
Penalty
Summary
PASARR screening for residents with mental disorders or intellectual disabilities was not kept accurate or updated for two residents. For Resident #63, the record showed diagnoses including bipolar disorder, major depressive disorder, generalized anxiety disorder, primary insomnia, and unspecified dementia. Psychiatric notes stated the resident was stable on psychiatric medication and the MDS showed use of an antidepressant and anticonvulsant. The Level I PASARR completed by an acute care facility marked bipolar disorder, schizoaffective disorder, and insomnia under mental illness, but did not mark depressive disorder or anxiety disorder, and no Level II PASARR was submitted for consideration. During interview, the DON reviewed Resident #63’s chart and confirmed the anxiety and depression diagnoses should have been marked but were overlooked. She stated she did not submit a Level II because the system did not trigger one and that she depended on the system to trigger Level II reviews. The record also showed Resident #4 was admitted with diagnoses including paranoid schizophrenia, bipolar disorder, major depressive disorder, generalized anxiety disorder, and epilepsy. A psychiatric note documented confirmed schizophrenia with chronic and consistent psychosis, along with bipolar disorder, major depressive disorder, and generalized anxiety disorder. Resident #4’s Level I PASARR marked questions 1 through 7 as no and indicated no diagnosis or suspicion of serious mental illness or intellectual disability, and no Level II PASARR was submitted. In interview, the DON stated she reviewed diagnoses on admission, added depression and anxiety when present, and relied on the form and system to tell her when a Level II was needed. She stated she had not submitted any Level II PASARRs for any residents and explained that Resident #4’s PASARR did not trigger a Level II despite schizophrenia and depression being present.
Unsafe Smoking Practices and Unsecured Smoking Materials
Penalty
Summary
The facility failed to ensure residents who smoked followed the facility’s smoking rules and policies regarding loose smoking items inside the building and residents smoking unsupervised in the parking lot. Survey observations on multiple days found residents smoking on facility property, including in the parking lot behind the facility and between parked cars, without staff present. The report also documented residents keeping cigarette lighters on their persons or in their rooms, despite the facility’s smoking policy requiring smoking articles to be stored by staff and not kept in resident rooms or on the resident’s person. Resident #51 was observed smoking in the parking lot with another resident and an unknown resident, with no staff outside supervising them. During an interview, he stated he smoked either in the designated area or after signing out on LOA, but he also acknowledged keeping his lighter rather than checking it in and out each time. His record showed a diagnosis of PTSD, a BIMS score of 15/15, and a smoking assessment indicating he was able to smoke independently. His care plan directed staff to monitor for unsafe smoking practices, provide assistance in the designated smoking area, maintain smoking materials in the designated area, and redirect unsafe smoking behavior. Resident #32 was observed with a personal cigarette lighter in his room and was also seen smoking in the parking lot with two other residents without supervision. His record showed diagnoses including COPD and nicotine dependence, with a BIMS score of 13/15 and a smoking assessment indicating he was a safe smoker. His care plan stated he was able to smoke with supervision and required smoking materials to be returned to designated staff upon re-entry from LOA. Resident #30 was also observed with a lighter on his bedside table and stated he had taken it the night before and had not told staff; his record showed COPD and a BIMS score of 15/15. The facility’s smoking policy stated smoking articles, including lighters and lighter fluids, were not permitted in resident rooms or on the resident’s person, and residents on LOA were to turn in smoking articles, but the observations and interviews showed these rules were not consistently followed.
Unsecured and Improperly Stored Medications and Chemicals
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted principles when medications were found unsecured and accessible. Resident #19 had antiseptic mouth rinse and ammonium lactate lotion at the bedside while the resident was away from the room, and the same medications were still there on follow-up observation. During bingo, two bottles of antiseptic mouth rinse were also observed underneath the cart holding bingo balls on a shelf that was left unattended and accessible to residents. In addition, a medication cart in the West High area was observed unattended in a hallway where residents and guests were passing through, with inhalation medications on top of the cart. Expired medications were also found in medication storage areas and on a medication cart. The West High medication cart contained an unopened insulin pen marked to refrigerate, two opened inhalers without dates, and three expired medications: bisacodyl, CoQ10, and carisoprodol. In the East Side medication storage room refrigerator, a box labeled Avonex contained two sealed syringes expired in 11/2025, along with bleach wipes and expired bisacodyl suppositories stored on the same shelf. Additional expired items were found on a shelf above oxygen tanks, including nicotine transdermal packages, nicotine lozenges, Gvoke hypo pen, and elder tonic. Chemical storage was also not separated from wound care supplies. In the East Side wound care cart, a container of bleach wipes was stored in the bottom drawer with wound care supplies. Staff interviews confirmed the expired medications, the improper storage of the insulin pen, and that bleach and wound care supplies were being stored together. The DON and NHA stated that nursing staff were responsible for cleaning medication rooms and carts, and that the expired medications should have been discarded.
Failure to Follow Contact Precaution PPE Requirements
Penalty
Summary
The facility failed to follow contact isolation precaution protocols in one room observed with contact precautions. On 03/19/2026 at 01:20 PM, a CNA was observed entering the room without a gown or gloves, and at 01:21 PM, an LPN was observed entering the same room without a gown or gloves. The room door had a Contact Precaution sign with the word STOP in red, and the sign stated that staff must clean their hands before entering and when leaving the room, put on gloves before room entry, discard gloves before room exit, put on a gown before room entry, and discard the gown before room exit. During interviews, the CNA stated gown and gloves were only needed for contact precaution signs when making contact with the resident, and said the sign did not specify the bed it was assigned to in order to protect resident identity. The CNA stated gown and gloves were not needed before entering the room because contact was not made with the resident. The LPN stated gown and gloves were only needed for contact precaution signs when making contact with the resident, and confirmed entering the room without gown and gloves because medication was provided and no contact was made with the resident. The DON, who was also the IP, stated rooms with contact precaution signs required gloves, gown, and mask if respiratory, prior to entry, and stated staff were getting enhanced barrier precautions and contact precautions mixed up. The DON/IP stated the actions of the staff were not appropriate.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
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| North Healthcare And Rehabilitation Center | 0.5 mi | ★★★★★ | 10 | 0 |
| Concordia Manor | 0.7 mi | ★★★★★ | 4 | 3 |
| Apollo Healthcare & Rehabilitation Center | 1 mi | ★★★★★ | 1 | 0 |
| Golfview Nursing Center | 2.1 mi | ★★★★★ | 2 | 0 |
| South Heritage Health & Rehabilitation Center | 2.2 mi | ★★★★★ | 9 | 0 |
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