Facility profile · CCN 056042
Bay Vista Healthcare & Wellness Centre, Lp
55 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $36,304.
Record summary
Federal record · Q1 202655
Total citations
37
Last 3 years
5
Actual harm+
4
Federal penalties
$36,304
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
55 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 23, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jun 26, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 26, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jun 26, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jun 26, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jun 26, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jun 26, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jun 26, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Jun 26, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 26, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jun 26, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 26, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jun 26, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Jun 26, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Jun 26, 2025 | F578 | Honor 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. | D | Standard |
| Apr 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 13, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jan 29, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Dec 20, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 10, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Jun 30, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Jun 30, 2024 | F908 | Keep all essential equipment working safely. | F | Standard |
| Jun 30, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jun 30, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Jun 30, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 30, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Jun 30, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jun 30, 2024 | F758 | Implement 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. | E | Standard |
| Jun 30, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jun 30, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| Jun 30, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Jun 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 13, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Dec 12, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 15, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Sep 15, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Aug 7, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 6, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 19, 2021 | F908 | Keep all essential equipment working safely. | F | Standard |
| Jul 19, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 19, 2021 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jul 19, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Jul 19, 2021 | F803 | Ensure 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. | E | Standard |
| Jul 19, 2021 | F761 | Ensure 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. | E | Standard |
| Jul 19, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jul 19, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | K | Standard |
| Jul 19, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jul 19, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 19, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Standard |
| Jul 19, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jul 19, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jul 19, 2021 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Jul 19, 2021 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Jul 19, 2021 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Jul 19, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $36,304 and 1 payment-denial actions spanning 43 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 4, 2025 | Fine | $9,110 | — |
| Jan 29, 2025 | Fine | $23,920 | — |
| May 13, 2024 | Payment Denial | — | Jun 12, 2024 · 43 days |
| May 23, 2023 | Fine | $3,274 | — |
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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