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 128 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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level L.

    Health citation F-0882, Infection Control Deficiencies. Inspection of March 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 17, 2023).

  4. 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).

  5. 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).

  6. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  7. Immediate jeopardy to resident health or safety

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  8. 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).

  9. 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 March 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 24, 2023).

  10. Harm to a resident

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 13, 2023).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0940, Administration Deficiencies. Inspection of July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Widespread (many residents). CMS level F.

    Health citation F-0942, Resident Rights Deficiencies. Inspection of July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 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.