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Bayshore Residence & Rehab Ctr

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About Bayshore Residence & Rehab Ctr

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 22, 1979 (38 years)
Capacity139
Residents108
Percent Occupied78%
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

October 27, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
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 InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

November 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionEnsure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services.
FManyPotential for HarmHealth InspectionEnsure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements.
FManyPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
FManyPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
CManyPotential for Minimal HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
CManyPotential for Minimal HarmHealth InspectionHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
CManyPotential for Minimal HarmHealth InspectionEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
CManyPotential for Minimal HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

October 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$64,968 fine
GFewActual HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

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 - 3 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.

August 21, 2014 - 3 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.

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 40min
2hr 20min
ReportedExpected
CNA
25min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
3hr 50min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.3%
99.0%
99.0%
99.0%
96.5%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
71.4%
89.7%
96.8%
95.7%
95.0%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
34.6%
40.4%
40.0%
42.9%
50.5%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of low risk long-stay residents who lose control of their bowels or bladder
24.7%
23.9%
22.0%
20.7%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
4.1%
19.9%
17.2%
21.5%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents whose ability to move independently worsened
17.6%
16.5%
12.3%
11.0%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who received an antipsychotic medication
13.8%
12.2%
12.9%
14.3%
14.7%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents whose need for help with daily activities has increased
20.3%
14.3%
7.1%
6.2%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who self-report moderate to severe pain
5.4%
12.5%
11.0%
6.5%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who lose too much weight
3.2%
6.6%
4.9%
5.1%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of high risk long-stay residents with pressure ulcers
2.2%
7.8%
10.1%
10.7%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who have depressive symptoms
4.1%
6.2%
8.8%
9.6%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents with a urinary tract infection
1.0%
1.0%
2.2%
3.2%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents experiencing one or more falls with major injury
5.3%
4.4%
4.8%
3.8%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents with a catheter inserted and left in their bladder
3.1%
2.1%
1.1%
0.0%
0.2%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

54.1%
61.0%
68.4%
57.8%
83.6%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.3%
70.3%
70.3%
70.3%
81.4%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
96.0%
85.9%
72.9%
79.6%
73.5%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of short-stay residents who made improvements in function
36.8%
41.9%
36.2%
34.8%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of short-stay residents who self-report moderate to severe pain
7.0%
2.2%
2.8%
3.1%
1.8%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of short-stay residents who newly received an antipsychotic medication
1.5%
1.3%
3.4%
1.8%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of short-stay residents with pressure ulcers that are new or worsened