Inspection Reports for Bay Vista Commons Assisted Living Community

The inspection was conducted as a complaint investigation regarding allegations of resident neglect and inappropriate discharge at Bay Vista Commons Assisted Living Community.

The investigation found that the facility failed to adequately monitor a resident during a behavioral crisis, resulting in the resident being locked outside in inclement weather without staff checking on him. There was insufficient evidence to support a failed practice regarding the inappropriate discharge allegation.

The complaint involved two allegations: 1) Resident neglect where a resident was locked outside following a behavioral crisis, and 2) inappropriate discharge of a resident. The neglect allegation was substantiated with failed practice identified, while the discharge allegation was not substantiated.

The Office of the State Fire Marshal conducted a fire safety inspection at Bay Vista Commons Assisted Living Community to assess compliance with fire protection codes and standards.

The facility was found to have multiple fire safety violations including use of extension cords, penetration in electrical panel walls, failure to provide required sprinkler system documentation and maintenance, blocked fire alarm pull station, and blocked exit doors.

The inspection was conducted as an unannounced on-site complaint investigation regarding the facility's policy of calling EMS/9-11 to lift an uninjured resident from the floor instead of facility staff assisting.

The Assisted Living Facility failed to ensure residents could be safely lifted from the floor without outside agency intervention, placing one resident at risk of harm. The facility policy was to call the fire department or EMS to lift residents, and staff reported no capability or equipment to lift residents safely. The resident involved was not injured but was unable to get up independently.

Complaint #109819 involved an allegation that facility staff called EMS/9-11 only to lift an uninjured resident from the floor. The complaint was substantiated with findings that the facility policy required EMS assistance for resident lifts, placing the resident at risk.

The Department of Social and Health Services completed a full inspection of the Bay Vista Commons Assisted Living Facility on 05/25/2023 to determine compliance with Assisted Living Facility requirements.

The facility was found not to meet the Assisted Living Facility requirements due to safety concerns related to loose pavers on the common patio outside the dining area. The facility administrator and maintenance director implemented a safety plan and planned to begin repairs within a week.