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Bayshore Residence & Rehab Ctr

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About Bayshore Residence & Rehab Ctr

General Information

Legal Business NameBayshore Duluth Management LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 22, 1979 (38 years)
Capacity139
Residents120
Percent Occupied86%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bayshore Residence & Rehab Ctr

Bayshore Residence & Rehab Ctr
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Minnesota Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

February 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

October 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionMaintain comfortable sound levels.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

October 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

August 21, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$10,530 fine
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

January 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

December 19, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,080 fine
---Fine$1,950 fine
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
CManyPotential for Minimal HarmHealth InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
DFewPotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionLimit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bayshore Residence & Rehab Ctr require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 20min
ReportedExpected
CNA
20min
40min
ReportedExpected
LPN
60min
60min
ReportedExpected
RN
4hr
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.3%
98.3%
97.0%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
72.4%
72.1%
65.7%
94.9%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
49.1%
50.0%
49.1%
48.6%
Q1 2015Q2 2015Q3 2015MN
Low Risk Residents Who Lose Control of Their Bowel or Bladder
22.8%
17.4%
21.3%
13.4%
Q1 2015Q2 2015Q3 2015MN
Received an Antipsychotic Medication
14.7%
18.9%
11.1%
14.8%
Q1 2015Q2 2015Q3 2015MN
Need for Help with ADLs has Increased
9.0%
16.8%
22.0%
11.2%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
3.9%
3.9%
2.2%
7.0%
Q1 2015Q2 2015Q3 2015MN
Lose Too Much Weight
6.8%
4.1%
1.4%
4.2%
Q1 2015Q2 2015Q3 2015MN
High Risk Residents With Pressure Ulcers
6.4%
4.5%
5.5%
5.1%
Q1 2015Q2 2015Q3 2015MN
Have Depressive Symptoms
5.9%
3.8%
5.9%
4.2%
Q1 2015Q2 2015Q3 2015MN
With a Urinary Tract Infection
1.0%
1.9%
3.9%
4.2%
Q1 2015Q2 2015Q3 2015MN
Experiencing One or More Falls with Major Injury
7.0%
6.0%
4.3%
3.2%
Q1 2015Q2 2015Q3 2015MN
With a Catheter Inserted and Left in Their Bladder
1.0%
1.9%
2.9%
0.4%
Q1 2015Q2 2015Q3 2015MN
Were Physically Restrained

Quality Measures for Short Stay Residents

60.7%
50.0%
48.8%
83.3%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
89.8%
73.3%
73.3%
82.9%
Q1 2015Q2 2015Q3 2015MN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
30.8%
30.0%
36.8%
22.6%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
4.9%
0.0%
4.8%
1.7%
Q1 2015Q2 2015Q3 2015MN
Newly Received an Antipsychotic Medication
1.2%
3.4%
5.0%
1.2%
Q1 2015Q2 2015Q3 2015MN
With Pressure Ulcers That Are New or Worsened