Cycle 1
Health 2024-06-13 · Fire 2024-06-13
42 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Virginia Beach, VA
Bayside Health & Rehabilitation Center
1-star overall rating with 1-star inspections with $113,068 in total fines with 42 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
1004 Independence Blvd, Virginia Beach, VA
(757) 464-4058
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifeworks Rehab
Operator or chain grouping
Approved since
1990-08-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
59 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.68
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
2.77
CMS adjusted total nurse staffing hours
Case-mix index
1.75
Higher values indicate more complex resident acuity
RN turnover
91%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
77%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,715
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.62% · Performance 24.49% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.48% · Performance 9.01% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.30
Baseline 88.17% · Performance 83.10% · Measure score 0.30 · Achievement 0 · Improvement 0.30
Adjusted total nurse staffing
0
Baseline 2.97 hours · Performance 2.61 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.31% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 353 · Observed rate 13.03% · Lower 95% interval 9.55% |
| Discharge to community | 55.69% |
50.57%
5.1 pts better
|
Better than the National Rate · Eligible stays 390 · Observed rate 48.97% · Lower 95% interval 50.8% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 85.1% |
95.27%
10.2 pts worse
|
Numerator 217 · Denominator 255 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 255 |
| Discharge self-care score | 64.81% |
53.69%
11.1 pts better
|
Numerator 70 · Denominator 108 |
| Discharge mobility score | 75.93% |
50.94%
25 pts better
|
Numerator 82 · Denominator 108 |
| Pressure ulcers or injuries, new or worsened | 2.36% |
2.29%
0.1 pts worse
|
Numerator 6 · Denominator 254 · Adjusted rate 2.02% |
| Healthcare-associated infections requiring hospitalization | 9.01% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 265 · Observed rate 10.57% · Lower 95% interval 6.71% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 58 |
| Staff flu vaccination coverage | 36% |
42%
6 pts worse
|
Numerator 18 · Denominator 50 |
| Discharge function score | 68.52% |
56.45%
12.1 pts better
|
Numerator 74 · Denominator 108 |
| Transfer of health information to provider | 68.52% |
95.95%
27.4 pts worse
|
Numerator 74 · Denominator 108 |
| Transfer of health information to patient | 78.99% |
96.28%
17.3 pts worse
|
Numerator 109 · Denominator 138 |
| Resident COVID-19 vaccinations up to date | 4.76% |
25.2%
20.4 pts worse
|
Numerator 6 · Denominator 126 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.6% |
3.6%
4 pts worse
|
3.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 12.0% · Q4 11.1% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 54.7% |
15.7%
39 pts worse
|
11.4%
43.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 38.5% · Q3 65.2% · Q4 92.0% · 4Q avg 54.7% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
5.7%
3.7 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.9% |
20.2%
15.3 pts better
|
19.6%
14.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.7% · Q3 4.2% · Q4 4.0% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.0% |
15.0%
9 pts better
|
16.7%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 13.0% · Q3 5.0% · Q4 0.0% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 33.4% |
17.5%
15.9 pts worse
|
16.3%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.8% |
15.7%
4.1 pts worse
|
14.9%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 36.0% · Q3 13.0% · Q4 8.3% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
0.5%
1.4 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 40.2% |
22.2%
18 pts worse
|
19.8%
20.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.5% · Q2 39.1% · Q3 42.1% · Q4 31.3% · 4Q avg 40.2% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
5.2%
2.8 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.2% · Q3 4.9% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.7% |
74.6%
16.1 pts better
|
81.7%
9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.4% · Q2 92.8% · Q3 94.6% · Q4 91.0% · 4Q avg 90.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.2% |
11.7%
6.5 pts worse
|
12.0%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 18.1% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.2%
0.4 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 2.4% · Q4 3.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.0% |
73.6%
15.4 pts better
|
79.7%
9.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
22.0%
6.3 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 28.6% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-02-19 · Fire 2021-02-19
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-10-04 · Fire 2018-10-04
16 health deficiencies
Top issue: Resident Rights (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-13
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-01
E · Potential for more than minimal harm
2024-06-13
E1 · Emergency Preparedness Deficiencies
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-08-01
E · Potential for more than minimal harm
2024-06-13
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
K221 · Egress Deficiencies
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-08-01
D · Potential for more than minimal harm
2024-06-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-06
F584 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2025-04-02
D · Potential for more than minimal harm
2025-03-06
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-02
G · Actual harm
2024-06-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-24
G · Actual harm
2024-06-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-24
F · Potential for more than minimal harm
2024-06-13
F680 · Quality of Life and Care Deficiencies
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2024-09-10
E · Potential for more than minimal harm
2024-06-13
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-10
E · Potential for more than minimal harm
2024-06-13
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-09-10
E · Potential for more than minimal harm
2024-06-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F727 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-10
E · Potential for more than minimal harm
2024-06-13
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-09-10
E · Potential for more than minimal harm
2024-06-13
F940 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F941 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F942 · Resident Rights Deficiencies
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F945 · Infection Control Deficiencies
Health
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F946 · Administration Deficiencies
Health
Provide training in compliance and ethics.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-13
F949 · Administration Deficiencies
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-06-13
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-06-13
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F809 · Nutrition and Dietary Deficiencies
Health
Ensure 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.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-06-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-13
F840 · Administration Deficiencies
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-06-13
F843 · Administration Deficiencies
Health
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected 2024-09-10
E · Potential for more than minimal harm
2023-07-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-07-03
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-07-03
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-07-03
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-03
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-03
F584 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-03
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-08-04
E · Potential for more than minimal harm
2021-02-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-03-19
D · Potential for more than minimal harm
2021-02-19
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2021-03-19
D · Potential for more than minimal harm
2021-02-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-03-19
D · Potential for more than minimal harm
2021-02-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-03-19
D · Potential for more than minimal harm
2021-02-19
F727 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2021-03-19
D · Potential for more than minimal harm
2018-10-04
F574 · Resident Rights Deficiencies
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-11-04
D · Potential for more than minimal harm
2018-10-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-04
Penalties and ownership
What sits behind the stars
$113,068
2024-06-13
Fine
Fine · fine $113,068
Fine
Ownership
Bayside Holdings I LLC
5% Or Greater Direct Ownership Interest · Organization
Boesch, Madison
W-2 Managing Employee · Individual
Charles 1994 Family Grantor Trust
5% Or Greater Indirect Ownership Interest · Organization
Chesapeake East LLC
5% Or Greater Indirect Ownership Interest · Organization
Edward 1998 Family Grantor Trust
5% Or Greater Indirect Ownership Interest · Organization
Ek 2005 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Fay 2014 Family Grantor Trust
5% Or Greater Indirect Ownership Interest · Organization
Fay 2014 LLC
5% Or Greater Indirect Ownership Interest · Organization
Ll 2013 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Mms 2008 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Mzr East LLC
5% Or Greater Indirect Ownership Interest · Organization
Rylbss East Manager LLC
Operational/Managerial Control · Organization
Silverstone East LLC
5% Or Greater Indirect Ownership Interest · Organization
Sol 2000 Family Grantor Trust
5% Or Greater Indirect Ownership Interest · Organization
Sol 2000 LLC
5% Or Greater Indirect Ownership Interest · Organization
Stevens 3920 & Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Stevens 3920 Family Grantor Trust
5% Or Greater Indirect Ownership Interest · Organization
Stevens 3920 LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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Cypress Pointe Rehabilitation And Nursing
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2-star overall rating with 2-star inspections with 26 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Thalia Gardens Rehabilitation And Nursing
Virginia Beach, VA
1-star overall rating with 1-star inspections with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Birchwood Park Rehabilitation
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1-star overall rating with 1-star inspections with abuse icon flag with $131,178 in total fines with 52 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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