Bayview Manor Homes

No documentation provided to verify annual inspection of fire-resistance-rated construction.

Facility failed to provide documentation for monthly generator battery testing.

Facility unable to provide documentation for monthly smoke alarm testing.

Facility unable to provide documentation that the Fire Department Connection has been hydrostatically tested per NFPA 25.

Facility unable to provide documentation for the annual 90-minute power test for emergency lights.

Fire door in AL dining room 263 was blocked; no documentation provided for annual fire door inspection.

Facility unable to provide documentation for monthly carbon monoxide detector testing.

Facility could not provide documentation for completion of unannounced fire drills (one per shift, per quarter) in the previous 12 months.

The 2nd floor Memory Care Activity exit and the dining room area exit were blocked.

Facility cannot provide documentation for the completion of unannounced fire drills, one drill per shift, per quarter, in the previous 12 months.

There was no documentation provided to verify that the facility is conducting the required annual inspection of fire-resistance-rated construction.

The fire door in the AL dining room 263 was blocked; facility is unable to provide documentation that the annual fire door inspection has been completed.

Facility was unable to provide documentation that the Fire Department Connection has been hydrostatically tested in accordance with NFPA 25.

Facility is unable to provide documentation for the monthly single or multi station smoke alarm testing.

Facility is unable to provide documentation for the monthly carbon monoxide detector testing.

The 2nd floor Memory Care Activity exit is blocked and the dining room area exit was blocked.

Facility is unable to provide documentation for the annual 90 minute power test for the emergency lights.

The facility failed to provide documentation indicating a monthly generator battery test was being conducted in accord with NFPA 110.

The facility failed to maintain secured/alarmed exits in the memory care unit, leading to an elopement incident. No policy existed for routine checks of exit functionality.

Facility failed to maintain medical clearance records for respirator masks for 17 of 37 healthcare workers.

Facility failed to ensure a national fingerprint background check was completed for 1 of 5 sampled staff.

Facility failed to ensure staff consistently and accurately documented medication administration for 6 of 8 sampled residents.

Facility failed to develop/document Negotiated Service Agreements for 3 of 8 residents regarding side rail use and anti-coagulant medications.

Facility failed to follow handwashing protocols, maintain proper food temperatures, maintain sanitation chemical concentrations, and maintain valid food handler permits for staff.

The facility failed to notify the prescribing physician and evaluate when a resident refused their morning medications on 09/02/2023.

Multiple fire doors throughout the facility were failing to close and latch properly, or lacked required coordinators.

Sprinkler head in kitchen dry storage needs to be lowered; sprinkler head in cooler #4 has significant loading and needs replacement; other cooler sprinklers need age evaluation.

Missing signage listing the kitchen lineup for the automatic fire-extinguishing system.

Multiple manual fire alarm pull stations were mounted too high above the required 42-48 inch height limit.