All citations for Complete Care at Bayshore LLC

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 Complete Care at Bayshore LLC

Last standard health inspection on record

May 8, 2026

Showing 1 to 25 of 50 citations

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Widespread (many residents). CMS level F.

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

    The home is disputing this citation.

  4. 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 May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

  6. 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 October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2024).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2024).

  8. 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 October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 12, 2024).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

  11. 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 October 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

  12. 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 May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

  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 May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

  16. 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 May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

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

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2026).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2026).

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.