All citations for Bayshore Nursing & Rehab

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 Bayshore Nursing & Rehab

Last standard health inspection on record

September 30, 2025

Showing 1 to 25 of 63 citations

  1. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level L.

    Health citation F-0835, Administration Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

  2. Immediate jeopardy to resident health or safety

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Widespread (many residents). CMS level L.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

  3. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

  4. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

  5. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 30, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

  7. 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 September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

  12. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0887, Infection Control Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0949, Administration Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2025).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  20. 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 September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  21. 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 September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  23. 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 September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  24. 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 September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  25. 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 September 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.