Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215067

Bay Harbor Post Acute Healthcare Center

89 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $13,090.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
89
Total citations
68
Last 3 years
3
Actual harm+
2
Federal penalties
$13,090
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care17 Resident Rights15 Care Planning14 Abuse & Neglect11 Nutrition & Dietary10

Most common F-tags at this facility

F8425 F8804 F8124 F5503 F6003

Citation history

89 on record
SurveyF-TagViolationSeveritySource
Oct 17, 2025F880Provide and implement an infection prevention and control program.EComplaint
Oct 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 17, 2025F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.DComplaint
Oct 17, 2025F610Respond appropriately to all alleged violations.KComplaint
Oct 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KComplaint
Oct 17, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Oct 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 17, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint
Oct 17, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Oct 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jan 17, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jan 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 17, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Jan 17, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint
Jan 17, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Jan 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 17, 2025F679Provide activities to meet all resident's needs.DComplaint
Jan 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 17, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jan 17, 2025F610Respond appropriately to all alleged violations.DComplaint
Jan 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 17, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Jan 17, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 17, 2025F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
Jan 17, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Jan 17, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 17, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jan 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 17, 2025F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jan 17, 2025F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Jan 17, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 17, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 17, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jan 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 17, 2025F732Post nurse staffing information every day.DStandard
Jan 17, 2025F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard
Jan 17, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Jan 17, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Jan 17, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 17, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jan 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jan 17, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jan 17, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Jan 17, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Jan 17, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Jan 17, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jan 17, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jan 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Feb 28, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Feb 28, 2024F908Keep all essential equipment working safely.EComplaint
Feb 28, 2024F880Provide and implement an infection prevention and control program.EComplaint
Feb 28, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Feb 28, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Feb 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Feb 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 28, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Feb 28, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Feb 28, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Feb 28, 2024F610Respond appropriately to all alleged violations.EComplaint
Feb 28, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 28, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 28, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Feb 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 16, 2019F908Keep all essential equipment working safely.EStandard
Oct 16, 2019F880Provide and implement an infection prevention and control program.DStandard
Oct 16, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Oct 16, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 16, 2019F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Oct 16, 2019F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Oct 16, 2019F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Oct 16, 2019F685Assist a resident in gaining access to vision and hearing services.DStandard
Oct 16, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Jun 18, 2018F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Jun 18, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jun 18, 2018F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jun 18, 2018F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 18, 2018F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 18, 2018F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 18, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 18, 2018F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 18, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 18, 2018F641Ensure each resident receives an accurate assessment.DStandard
Jun 18, 2018F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 18, 2018F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $13,090 and 1 payment-denial actions spanning 13 days.

DateTypeFinePayment denial
Jan 17, 2025Payment Denial—Mar 6, 2025 · 13 days
Feb 28, 2024Fine$13,090—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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