Inspection Reports for Bayview Rehabilitation and Healthcare Center at Scalabrini
860 NORTH QUIDNESSETT ROAD, NORTH KINGSTOWN, RI, 02852
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% worse than Rhode Island average
Rhode Island average: 3.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
78% occupied
Based on a April 2022 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Plan of Correction
Deficiencies: 0
Jan 2, 2026
Visit Reason
An off-site desk audit was conducted on January 2, 2026, to review all previous deficiencies cited on December 1, 2025.
Findings
Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected and the facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Deficiencies: 3
Dec 1, 2025
Visit Reason
A complaint survey was conducted at Bayview Rehabilitation and Healthcare Center on 12/1/2025 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
Deficiencies were identified related to failure to meet professional standards of quality in comprehensive care plans, unnecessary drug use, and medication errors. Specific issues included failure to administer medications as ordered, incomplete wound treatments, and failure to ensure residents were free from significant medication errors.
Complaint Details
The survey was complaint-driven, referencing complaint IQIES numbers 2676993 and 2665898. The findings were substantiated by record reviews and staff interviews indicating failures in medication administration and wound care.
Severity Breakdown
E: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure services provided met professional standards of quality related to medication orders and wound treatment for Resident #1. | E |
| Failure to ensure drug regimen was free from unnecessary drugs for Resident #1 receiving Metoprolol Tartrate. | D |
| Failure to ensure residents are free of significant medication errors for Resident #3 receiving Warfarin/Coumadin. | D |
Report Facts
Deficiencies cited: 3
Completion date for plan of correction: Dec 22, 2025
Inspection Report
Complaint Investigation
Deficiencies: 3
Dec 1, 2025
Visit Reason
A complaint survey was conducted at Bayview Rehabilitation and Healthcare Center on 12/1/2025 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
Deficiencies were identified related to failure to meet professional standards of quality in care, including medication administration errors and incomplete wound treatment. Specific issues involved failure to administer Midodrine and Metoprolol as ordered, incomplete wound care, and failure to ensure residents were free from unnecessary drugs and significant medication errors.
Complaint Details
The survey was complaint-based, referencing iQIES complaint numbers 2676993 and 2665898. Deficiencies were substantiated as a result of the survey findings.
Severity Breakdown
E: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure services provided met professional standards of quality related to medication orders for Midodrine and wound treatment for Resident ID #1. | E |
| Failure to ensure the resident's drug regimen was free from unnecessary drugs, specifically Metoprolol Tartrate for Resident ID #1. | D |
| Failure to ensure residents are free of significant medication errors, specifically Warfarin/Coumadin administration for Resident ID #3. | D |
Report Facts
Deficiencies cited: 3
Blood pressure readings: 8
Medication administration dates: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse | Acknowledged not administering Midodrine as ordered and was the resident's nurse during day shift on 11/14/2025 |
| Staff B | Certified Medication Technician | Acknowledged signing off on Metoprolol administration on 11/19/2025 |
| Staff C | Registered Nurse | Acknowledged revising medication administration times and unaware of removal of medication parameters |
| Director of Nursing Services | Director of Nursing | Acknowledged Midodrine was not administered as ordered and issues with Coumadin order transcription and resident medication administration |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 16, 2025
Visit Reason
A complaint investigation survey was conducted at Bayview Rehabilitation and Healthcare Center on 09/16/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified as a result of this complaint investigation survey.
Complaint Details
The survey was a complaint investigation with intake ID reference numbers 2615174 and 2610211. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 20, 2025
Visit Reason
A complaint investigation survey was conducted at Bayview Rehabilitation and Healthcare Center on 08/20/2025 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities.
Findings
No deficiency was identified as a result of this complaint investigation survey.
Complaint Details
The survey was conducted based on complaint intake ID reference numbers 206957 and 2587096. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 11, 2025
Visit Reason
A complaint survey was conducted at this Nursing Home on 6/11/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified during the complaint survey.
Complaint Details
Complaint survey with ACTS reference number 101208 was conducted; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 5, 2025
Visit Reason
A complaint survey was conducted at this Nursing Home on 06/05/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified during the complaint survey.
Complaint Details
Complaint surveys, ACTS reference numbers 101051, 100975, were conducted. No deficiencies were identified.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 20, 2025
Visit Reason
A complaint survey was conducted at this Nursing Home on 03/20/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified during the complaint survey.
Complaint Details
Complaint survey, ACTS reference numbers 99965, conducted to determine compliance with regulatory requirements; no deficiencies found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 9, 2025
Visit Reason
A complaint survey was conducted at the nursing home to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified during the complaint survey.
Complaint Details
The survey was conducted based on complaint reference numbers 98853 and 98860. No deficiencies were found, indicating the complaints were not substantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 26, 2024
Visit Reason
A complaint survey was conducted at this Nursing Home on 11/26/2024 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified during the complaint survey.
Complaint Details
Complaint survey with ACTS reference numbers 98516 was conducted; no deficiencies were found.
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 19, 2024
Visit Reason
An off-site desk audit was conducted on November 19, 2024, to review all previous deficiencies cited on October 23, 2024.
Findings
Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected and the facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 23, 2024
Visit Reason
A complaint survey was conducted from 10/22/2024 through 10/23/2024 at Bayview Rehabilitation and Healthcare Center to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
A deficiency was identified related to the resident's right to participate in planning care. The facility failed to provide a resident the right to participate in the development and implementation of his or her person-centered plan of care, including facilitating care plan meetings as required.
Complaint Details
The complaint investigation was based on a community reported complaint submitted to the Rhode Island Department of Health on 10/17/2024 alleging concerns about care for Resident ID #1. The complaint was substantiated as the facility failed to conduct quarterly care plan meetings for the resident since admission.
Deficiencies (1)
| Description |
|---|
| Failure to provide a resident the right to participate in the development and implementation of his or her person-centered plan of care, including care plan meetings. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Armani Lopez | LNHA | Signed as the facility representative on the Plan of Correction. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 26, 2024
Visit Reason
A complaint survey was conducted at this Nursing Home on 09/26/2024 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified as a result of this survey.
Complaint Details
Complaint survey, ACTS reference number 97759, was conducted to determine compliance; no deficiencies were found.
Inspection Report
Follow-Up
Deficiencies: 0
Sep 19, 2024
Visit Reason
A follow-up to a previous complaint investigation survey was conducted at this facility on 09/19/2024.
Findings
All previous deficiencies were corrected and no new deficiencies were identified during this follow-up survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 19, 2024
Visit Reason
A complaint survey was conducted at this Nursing Home on 09/19/2024 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.
Findings
No deficiencies were identified during the complaint survey.
Complaint Details
Complaint survey, ACTS reference numbers 97484, no deficiencies identified.
Inspection Report
Follow-Up
Deficiencies: 0
Sep 19, 2024
Visit Reason
A follow-up to a previous complaint investigation survey was conducted at this facility on 09/19/2024.
Findings
All previous deficiencies were corrected and no new deficiencies were identified during this follow-up survey.
Complaint Details
This was a follow-up to a previous complaint investigation survey.
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 3, 2024
Visit Reason
A complaint survey was conducted at Bayview Rehabilitation and Healthcare Center on 09/03/2024 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint regarding a resident's fecal impaction and related care.
Findings
The facility was found deficient in providing appropriate treatment and services for bowel incontinence and constipation for one of three residents reviewed. Specifically, the facility failed to ensure timely and effective bowel management, including lack of a bowel protocol and failure to notify the physician when residents had no bowel movements for extended periods.
Complaint Details
The complaint investigation was substantiated based on findings that the facility failed to provide appropriate bowel care to Resident #2, who was admitted with diagnoses including urinary tract infection and Parkinson's disease, and had a fecal impaction leading to hospitalization.
Deficiencies (1)
| Description |
|---|
| Failure to provide appropriate treatment and services for bowel incontinence and constipation for Resident #2, including lack of bowel protocol and failure to notify physician after no bowel movement for 7 days. |
Report Facts
Residents reviewed for constipation: 3
Mental Status score: 2
Days without bowel movement: 7
Date of care plan: Jul 29, 2024
Date of physician constipation orders: Jul 26, 2024
Date of medication administration: Aug 19, 2024
Date of progress note: Aug 20, 2024
Inspection Report
Annual Inspection
Deficiencies: 11
Aug 22, 2024
Visit Reason
Recertification and complaint surveys were conducted at Bayview Rehabilitation and Nursing Home from 8/19/2024 through 8/22/2024 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.
Findings
The facility was found to have multiple deficiencies including failure to maintain infection prevention and control program, failure to protect residents from abuse, failure to develop comprehensive care plans, failure to ensure medication error rates below 5%, failure to maintain medical records, failure to ensure food safety, and failure to comply with emergency preparedness requirements. Immediate Jeopardy related to infection control was identified and later removed after corrective actions.
Complaint Details
Complaint surveys were part of the inspection process, including allegations of resident abuse and neglect involving resident-to-resident altercations and medication errors.
Severity Breakdown
Immediate Jeopardy: 1
Level G: 2
Level E: 4
Level D: 3
Deficiencies (11)
| Description | Severity |
|---|---|
| Failure to maintain an infection prevention and control program to prevent transmission of communicable diseases including COVID-19. | Immediate Jeopardy |
| Failure to protect residents from abuse, neglect, and exploitation, including failure to prevent resident-to-resident altercations resulting in injury. | Level G |
| Failure to develop and implement comprehensive, person-centered care plans for residents with measurable objectives and timeframes. | Level E |
| Failure to provide behavioral health services to maintain highest practicable physical, mental, and psychosocial well-being. | Level G |
| Failure to provide services meeting professional standards of quality for residents with behavioral issues. | Level D |
| Failure to ensure regular in-service education for nursing staff. | Level E |
| Failure to maintain medication error rates below 5%, with observed error rate of 10.34%. | Level D |
| Failure to provide adequate labeling, storage, and security of drugs and biologicals. | Level D |
| Failure to maintain medical records accurately and completely, including hearing aids documentation. | Level E |
| Failure to ensure food safety requirements including proper labeling, dating, and storage of food items. | Level E |
| Failure to comply with emergency preparedness requirements including annual review and update of emergency preparedness plan. | — |
Report Facts
Deficiencies cited: 11
Medication error rate: 10.34
Medication error threshold: 5
Dates reviewed for RN coverage: 22
Residents affected by emergency preparedness deficiency: 115
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff L | Nursing Assistant | Witnessed resident-to-resident altercation resulting in injury. |
| Staff A | Licensed Practical Nurse | Reported resident wandering and need for frequent redirection. |
| Staff B | Licensed Practical Nurse | Reported resident wandering and psychiatric recommendations. |
| Staff F | Nurse Practitioner | Authored progress note on resident with homicidal ideations and medication management. |
| Staff N | Medication Technician | Observed blood pressure measurements and medication administration. |
| Staff K | Registered Nurse | Observed medication cart left unlocked and medication administration. |
| Staff I | Certified Medication Technician | Observed resident hearing aids not in place. |
| Staff M | Nursing Assistant | Entered COVID-19 positive room without proper PPE. |
| Staff O | Nursing Assistant | Entered COVID-19 positive room without proper PPE. |
| Staff H | Licensed Practical Nurse | Observed medication administration and flushing of feeding tube. |
| Staff C | Licensed Practical Nurse | Reported lack of wound consult order and blood pressure monitoring. |
| Staff J | Certified Medication Technician | Observed medication storage and expiration dates. |
| Staff P | Registered Nurse | Acknowledged medication administration policy and audits. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 11, 2024
Visit Reason
A complaint investigation survey was conducted at the facility on 3/11/2024 to determine compliance with Federal and State Laws and Regulations.
Findings
No deficiencies were identified during the complaint investigation survey.
Complaint Details
The survey was conducted in response to complaint reference numbers 94721 and 94735. No deficiencies were found, indicating no substantiated issues.
Inspection Report
Re-Inspection
Deficiencies: 0
Jan 26, 2024
Visit Reason
An off-site desk audit was conducted on January 26, 2024, to review all previous deficiencies cited on December 28, 2023.
Findings
Based on an acceptable plan of correction and supporting documentation, the previously cited deficiencies have been corrected and the facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 2, 2024
Visit Reason
A complaint investigation survey was conducted at the facility on 01/02/2024 to determine compliance with Federal and State Laws and Regulations.
Findings
No deficiencies were identified during the complaint investigation survey.
Complaint Details
The survey was conducted based on complaint reference numbers 93608 and 93567. No deficiencies were found, indicating the complaints were unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 1
Dec 28, 2023
Visit Reason
A complaint investigation survey was conducted from 12/19/2023 through 12/28/2023 to determine compliance with Federal and State Laws and Regulations, triggered by allegations of sexual abuse of a resident by staff.
Findings
The facility failed to protect a resident's right to be free from sexual abuse by staff, as evidenced by the investigation of Resident ID #1's allegations of sexual abuse by Staff A. The investigation included interviews, record reviews, and staff statements confirming the abuse. The facility submitted a Plan of Correction addressing the issue.
Complaint Details
The complaint investigation was based on allegations received by the Rhode Island Department of Health on 12/16/2023 regarding staff to resident sexual abuse. The investigation substantiated the abuse involving Staff A and Resident ID #1. The resident was no longer at the facility at the time of the Plan of Correction submission. Multiple interviews and record reviews confirmed the abuse. The facility took corrective actions including education, interviews, and reporting to authorities.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to protect a resident's right to be free from sexual abuse for 1 of 5 residents reviewed, Resident ID #1. | D |
Report Facts
Residents reviewed: 5
Residents indicating intact cognition: 15
Dates of investigation: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse | Named in sexual abuse allegation and investigation |
| Staff D | Nursing Assistant | Witnessed events related to abuse and provided statement |
| Staff E | Unit Manager | On-call supervisor who received abuse report |
| Staff C | Licensed Practical Nurse | Reported abuse allegation to on-call provider |
| Staff B | Telehealth Advanced Practice Registered Nurse (APRN) | Authored progress note regarding abuse allegation |
| Staff F | Primary Care Provider APRN | Interviewed regarding resident's report of sexual abuse |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 19, 2023
Visit Reason
A complaint investigation, ACTS reference numbers 92617, was conducted at this facility on 10/19/2023 to determine compliance with Federal and State Laws and Regulations.
Findings
No deficiencies were cited during the complaint investigation.
Complaint Details
Complaint investigation ACTS reference numbers 92617; no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 10, 2023
Visit Reason
A complaint investigation was conducted at the facility on 10/10/2023 to determine compliance with Federal and State Laws and Regulations.
Findings
No deficiencies were cited during the complaint investigation.
Complaint Details
Complaint investigation, ACTS reference numbers 92446, no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 24, 2023
Visit Reason
A complaint investigation, ACTS reference number 91788, was conducted at this facility on 8/24/2023 to determine compliance with Federal and State Laws and Regulations.
Findings
No deficiencies were cited during the complaint investigation.
Complaint Details
Complaint investigation ACTS reference number 91788; no deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 1, 2023
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 08/01/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was conducted based on complaint/incident investigations with ACTS Reference Numbers 91308, 91284, 91157, and 91155. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 10, 2023
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 07/10/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey with ACTS Reference Numbers 91020, 90996, and 91082 was conducted; no deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 6, 2023
Visit Reason
A Complaint/Incident Investigation Survey was conducted at Bayview Rehabilitation and Healthcare Center on 06/06/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey, ACTS Reference Numbers 90608. No deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 3, 2023
Visit Reason
A Complaint/Incident Investigation Survey was conducted at the nursing home on 05/03/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey, ACTS Reference Numbers 90098, was conducted. No deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 21, 2023
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 04/21/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was conducted in response to complaint/incident investigation ACTS Reference Numbers 90014. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 12, 2023
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 04/12/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was conducted based on complaint/incident investigations referenced by numbers 89586 and 89866. No deficiencies were found.
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 28, 2022
Visit Reason
An off-site desk audit was conducted on November 28, 2022 for all previous deficiencies cited on October 26, 2022 to verify correction.
Findings
Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected and the facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 15, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted at the nursing home on 11/15/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey, ACTS Reference Numbers 87843, 87845. No deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 26, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted from 10/21/2022 through 10/26/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint regarding Resident ID #4.
Findings
The facility failed to provide necessary ADL care to Resident ID #4, including bathing, bladder continence, boosting in bed, bowel continence, skin care, and other personal hygiene tasks on multiple dates. The Director of Nursing was unable to provide evidence that care was provided on specified dates. A plan of correction was submitted addressing these deficiencies.
Complaint Details
The complaint alleged that on October 23, 2022, Resident ID #4 was found soaked with urine and the smell was unbearable. The investigation substantiated that the facility failed to provide necessary ADL care to this resident on multiple dates including October 8, 9, and 23, 2022.
Deficiencies (1)
| Description |
|---|
| Facility failed to provide necessary ADL care to a resident unable to carry out activities of daily living, including bathing, bladder continence, boosting in bed, bowel continence, skin checks, dressing, mobility, personal hygiene, and preventative skin care. |
Report Facts
Reference Numbers: 5
Resident reviewed: 4
Dates of care failure: 3
Plan of Correction Completion Date: Nov 21, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Vaccaro | Administrator | Signed the plan of correction document |
| Director of Nursing | Interviewed during survey; unable to provide evidence of care provided |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 5, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 10/05/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was conducted based on complaint/incident investigations with ACTS Reference Numbers 87048, 86774, 86741, 86611, and 86769. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 7, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was conducted based on complaint/incident investigation with ACTS Reference Numbers 86509, 86047, 85955, 86536. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 18, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted from 07/15/2022 to 07/18/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was complaint/incident investigation related, with ACTS Reference Number 85871. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 17, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted at Bayview Rehabilitation and Healthcare Center on 06/17/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was complaint-related under ACTS Reference Number 84138. No deficiencies were found.
Inspection Report
Complaint Investigation
Census: 93
Capacity: 120
Deficiencies: 1
Apr 27, 2022
Visit Reason
A Complaint/Incident Investigation Survey and a Compliance Vaccination Survey were conducted on 04/27/2022 and 04/28/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to quality of care, specifically the facility's failure to ensure residents received treatment and care in accordance with professional standards for non-pressure related skin wounds for one resident. The resident had a saturated dressing left for hours without a physician's order for treatment until several days later.
Complaint Details
The complaint investigation was triggered by a community reported complaint submitted to the Rhode Island Department of Health on 4/25/2022 alleging that a resident had a saturated dressing left on for hours without proper treatment orders.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure residents received treatment and care in accordance with professional standards for non-pressure related skin wounds, specifically Resident ID #1 had a saturated dressing left for hours without a physician's order for treatment until 4/25/2022. | SS=D |
Report Facts
Census: 93
Total Capacity: 120
Reference Numbers: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Racca | Administrator | Signed the plan of correction on 05/17/2022 |
| Director of Nurses | Director of Nurses (DON) | Interviewed on 4/26/2022 acknowledging no physician's order was in place until 4/25/2022 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 28, 2022
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 03/28/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey, ACTS Reference Number 84001, 84181. No deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 1, 2021
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 11/01/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
The survey was complaint/incident investigation related with reference numbers 82137, 81982, 81864, 82095, and 82094. No deficiencies were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 6, 2021
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 10/06/21 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey with ACTS Reference Numbers 81799, 81600, 80536; no deficiencies were found.
Inspection Report
Complaint Investigation
Census: 70
Capacity: 120
Deficiencies: 1
Aug 17, 2021
Visit Reason
A Complaint/Incident Investigation Survey was conducted on 08/17/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
The facility was found deficient for failing to ensure that PRN psychotropic drug orders were limited to 14 days as required. Specifically, one resident had a PRN order that was not limited to 14 days, and the facility failed to monitor and review these orders appropriately.
Complaint Details
The survey was complaint/incident investigation related, with reference numbers 80871 and 80968. The deficiency was cited as a result of this survey.
Deficiencies (1)
| Description |
|---|
| Failure to ensure PRN psychotropic drug orders were limited to 14 days as required by regulation. |
Report Facts
Bed count: 120
Census: 70
Audit duration: 3
PRN order limit: 14
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 16, 2021
Visit Reason
An off-site desk audit was conducted on August 16, 2021 for all previous deficiencies cited on July 22, 2021.
Findings
Based on an acceptable plan of correction, all deficiencies have been corrected. The facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 22, 2021
Visit Reason
A Complaint/Incident Investigation Survey was conducted at Scalabrini Villa Nursing Home on 07/22/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
The facility failed to revise the baseline care plan for one resident with suicidal ideation within the required timeframe. The resident's care plan did not include suicidal ideation and interventions until 4 days after the resident expressed intent to self-harm. The facility implemented corrective actions including staff education and audits to prevent recurrence.
Complaint Details
The visit was complaint-related under ACTS Reference Number 80654. The complaint was substantiated as a deficiency was cited related to the baseline care plan for Resident #1 with suicidal ideation.
Deficiencies (1)
| Description |
|---|
| Failure to revise the baseline care plan for a resident with suicidal ideation within 24-48 hours as required by facility policy and regulations. |
Report Facts
Days delay in care plan revision: 4
Audit frequency: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Social Worker | Educated on Suicide Threats Policy and Baseline Care Plan Policy; acknowledged delay in care plan revision. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 25, 2021
Visit Reason
A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 06/25/21 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
No deficiencies were cited as a result of this survey.
Complaint Details
Complaint/Incident Investigation Survey, ACTS Reference Number 80297 & 80044. No deficiencies were cited.
Inspection Report
Abbreviated Survey
Census: 61
Capacity: 120
Deficiencies: 0
Jan 13, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Center for Health Facilities and Regulation on 01/13/2021 to assess compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 Infection Control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
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