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Facility profile · CCN 056120

North Bay Post Acute

91 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $142,514.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
91
Total citations
68
Last 3 years
4
Actual harm+
2
Federal penalties
$142,514
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

91 on record
SurveyF-TagViolationSeveritySource
Jan 9, 2026F926Have policies on smoking.DStandard
Jan 9, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard
Jan 9, 2026F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Jan 9, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 9, 2026F791Provide or obtain dental services for each resident.DStandard
Jan 9, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 9, 2026F700Try 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 9, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 9, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 9, 2026F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jan 9, 2026F641Ensure each resident receives an accurate assessment.EStandard
Jan 9, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jan 9, 2026F584Honor 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
Jan 9, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Oct 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jul 15, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Jul 15, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 28, 2025F610Respond appropriately to all alleged violations.DComplaint
Apr 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 7, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.GComplaint
Jan 17, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard
Jan 17, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.EStandard
Jan 17, 2025F881Implement a program that monitors antibiotic use.EStandard
Jan 17, 2025F880Provide and implement an infection prevention and control program.FStandard
Jan 17, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jan 17, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Jan 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 17, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Jan 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 17, 2025F791Provide or obtain dental services for each resident.DStandard
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.EStandard
Jan 17, 2025F760Ensure that residents are free from significant medication errors.DStandard
Jan 17, 2025F759Ensure medication error rates are not 5 percent or greater.FStandard
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, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 17, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Jan 17, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard
Jan 17, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jan 17, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard
Jan 17, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
Jan 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
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.DStandard
Jan 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 17, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jan 17, 2025F641Ensure each resident receives an accurate assessment.EStandard
Jan 17, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 17, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FStandard
Jan 17, 2025F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard
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.FStandard
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.DStandard
Jan 17, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 17, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Dec 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 3, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EComplaint
Dec 3, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EComplaint
Sep 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Apr 30, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Apr 30, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Apr 30, 2024F814Dispose of garbage and refuse properly.FComplaint
Apr 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.LComplaint
Apr 30, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 23, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 11, 2023F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Aug 11, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 11, 2023F584Honor 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
Mar 23, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 23, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 18, 2023F926Have policies on smoking.EStandard
Jan 18, 2023F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.FStandard
Jan 18, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jan 18, 2023F880Provide and implement an infection prevention and control program.EStandard
Jan 18, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jan 18, 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.FStandard
Jan 18, 2023F761Ensure 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
Jan 18, 2023F759Ensure medication error rates are not 5 percent or greater.EStandard
Jan 18, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jan 18, 2023F727Have 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.DStandard
Jan 18, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Jan 18, 2023F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jan 18, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jan 18, 2023F679Provide activities to meet all resident's needs.FStandard
Jan 18, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 18, 2023F641Ensure each resident receives an accurate assessment.EStandard
Jan 18, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard
Jan 18, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.FStandard
Jan 18, 2023F637Assess the resident when there is a significant change in conditionDStandard
Jan 18, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $142,514 .

DateTypeFinePayment denial
Apr 7, 2025Fine$23,322
Apr 30, 2024Fine$119,192
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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