All citations for Bay Harbor Post Acute Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bay Harbor Post Acute Healthcare Center

Last standard health inspection on record

April 17, 2026

Showing 1 to 25 of 62 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  2. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    A waiver was granted (April 22, 2025).

  3. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  4. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  5. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  6. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  7. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  8. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  10. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  11. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  13. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  14. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  15. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  17. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  18. No harm, with potential for more than minimal harm

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  20. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  22. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  23. No harm, with potential for more than minimal harm

    Educate 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  24. No harm, with potential for more than minimal harm

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0909, Environmental Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

  25. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.