Inspection Reports for Bay Square at Yarmouth

ME, 04096

Back to Facility Profile

Inspection Report Summary

The most recent inspection on August 20, 2024, identified deficiencies related to Alzheimer’s/Dementia training, medication storage security, and resident record documentation. Earlier inspections showed some of these issues before, indicating recurring challenges with staff training and medication security. Inspectors cited missing clinical orientation hours for employees, unlocked medication storage, and incomplete release of information forms in resident files. There were no complaint investigations or enforcement actions listed in the available reports. The pattern suggests ongoing areas for improvement, particularly in staff training and medication handling procedures.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

47% better than Maine average
Maine average: 5.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
Inspection Report Annual Inspection Census: 50 Capacity: 60 Deficiencies: 3 Aug 20, 2024
Visit Reason
The inspection was a biennial survey to assess compliance with regulations governing assisted living programs, including infection prevention and control.
Findings
The facility was found not in substantial compliance due to deficiencies in pre-service Alzheimer’s/Dementia training for employees, medication storage security, and incomplete dated release of information authorizations in resident records. Some deficiencies were repeats from a prior survey dated 8/4/2022.
Severity Breakdown
Class III: 1
Deficiencies (3)
DescriptionSeverity
Five employees did not have the required minimum of eight hours of clinical orientation for Alzheimer’s/Dementia care.
Medications were not kept in a locked storage cabinet when not in use; medication cart was found unlocked and room door open.Class III
Four resident records lacked a dated release of information authorization form.
Report Facts
Employees without required Alzheimer’s/Dementia training: 5 Resident records missing dated release authorization: 4 Facility census: 50 Facility total capacity: 60
Employees Mentioned
NameTitleContext
Megan ToothakerAdministratorInterviewed and confirmed lack of documentation for Alzheimer’s/Dementia training and release forms.
Employee #1Certified Residential Medication Aide (CRMA)Responsible for medication cart found unlocked and confirmed lock was not engaged.

Loading inspection reports...