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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525371

Bayshore Nursing & Rehab

143 federal citations on record , including 9 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $178,395.

Abuse Icon Special Focus Status 9 Immediate Jeopardy

Record summary

Federal record · Q1 2026
143
Total citations
117
Last 3 years
16
Actual harm+
3
Federal penalties
$178,395
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care31 Resident Rights25 Abuse & Neglect15 Medication & Pharmacy14 Care Planning13

Most common F-tags at this facility

F5848 F6897 F6096 F6845 F8805

Citation history

143 on record
SurveyF-TagViolationSeveritySource
Sep 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Sep 30, 2025F610Respond appropriately to all alleged violations.DComplaint
Sep 30, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 30, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FStandard
Sep 30, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Sep 30, 2025F946Provide training in compliance and ethics.FStandard
Sep 30, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Sep 30, 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.FStandard
Sep 30, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Sep 30, 2025F881Implement a program that monitors antibiotic use.FStandard
Sep 30, 2025F880Provide and implement an infection prevention and control program.FStandard
Sep 30, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Sep 30, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Sep 30, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 30, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.LStandard
Sep 30, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LStandard
Sep 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 30, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Sep 30, 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.EStandard
Sep 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Sep 30, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
Sep 30, 2025F727Have 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.FStandard
Sep 30, 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
Sep 30, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Sep 30, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard
Sep 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JStandard
Sep 30, 2025F679Provide activities to meet all resident's needs.EStandard
Sep 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 30, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Sep 30, 2025F641Ensure each resident receives an accurate assessment.EStandard
Sep 30, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Sep 30, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Sep 30, 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
Sep 30, 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.DStandard
Sep 30, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Sep 30, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Sep 30, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard
Sep 30, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jul 30, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jul 28, 2025F732Post nurse staffing information every day.CComplaint
Jul 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jul 28, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 28, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 3, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Jul 3, 2025F946Provide training in compliance and ethics.FComplaint
Jul 3, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FComplaint
Jul 3, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint
Jul 3, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FComplaint
Jul 3, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.FComplaint
Jul 3, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FComplaint
Jul 3, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Jul 3, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Jul 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 3, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 3, 2025F692Provide enough food/fluids to maintain a resident's health.JComplaint
Jul 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 3, 2025F610Respond appropriately to all alleged violations.DComplaint
Jul 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 29, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 29, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 29, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 29, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 29, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 29, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
May 29, 2025F641Ensure each resident receives an accurate assessment.DComplaint
May 29, 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.DComplaint
May 29, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Jan 29, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jan 29, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 29, 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.DComplaint
Jan 29, 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.FComplaint
Jan 29, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 29, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Oct 30, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Oct 30, 2024F814Dispose of garbage and refuse properly.FComplaint
Oct 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 30, 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.FComplaint
Jul 24, 2024F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FComplaint
Jun 20, 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
Jun 20, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jun 20, 2024F908Keep all essential equipment working safely.FStandard
Jun 20, 2024F880Provide and implement an infection prevention and control program.FStandard
Jun 20, 2024F814Dispose of garbage and refuse properly.FStandard
Jun 20, 2024F761Ensure 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.DStandard
Jun 20, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 20, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 20, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jun 20, 2024F578Honor 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.DStandard
Jun 20, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 30, 2024F880Provide and implement an infection prevention and control program.EComplaint
May 30, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint
May 30, 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
Oct 10, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Oct 10, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Oct 10, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Oct 10, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Oct 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 10, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 1 civil money penalties totaling $178,395 and 2 payment-denial actions spanning 160 days.

DateTypeFinePayment denial
Oct 30, 2024Payment Denial—Jan 22, 2025 · 36 days
Mar 21, 2023Fine$178,395—
Mar 21, 2023Payment Denial—Apr 20, 2023 · 124 days
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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