BAYSIDE OF POQUOSON HEALTH AND REHAB
BAYSIDE OF POQUOSON HEALTH AND REHAB is a 60-bed nursing home in POQUOSON, Virginia. CMS has certified it for Medicare and Medicaid since 1992-06-01. It averages 55.6 residents a day.
What harm was found in the violations cited at BAYSIDE OF POQUOSON HEALTH AND REHAB?
CMS lists 70 health-inspection deficiencies for BAYSIDE OF POQUOSON HEALTH AND REHAB since 2019-08-16, 22 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-03-27.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-03-27 | F0584, F0656, F0677, F0690, F0695, F0761 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E |
| 2025-03-27 | F0684, F0693, F0842, F0849 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2024-08-29 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2024-08-29 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-08-29 | F0550, F0577, F0584, F0657, F0658, F0677, F0756, F0758, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2021-05-11 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2021-05-11 | F0578, F0582, F0584, F0602, F0655, F0658, F0727, F0741, F0755, F0760, F0806, F0865, F0868, F0880 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Protect each resident from the wrongful use of the resident's belongings or money. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. | E |
| 2021-05-11 | F0553, F0555, F0558, F0577, F0583, F0600, F0622, F0625, F0657, F0684, F0687, F0690, F0698, F0756, F0758, F0761, F0804, F0812, F0881, F0882, F0886 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Honor the resident's right to choose his or her attending physician. / Reasonably accommodate the needs and preferences of each resident. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Keep residents' personal and medical records private and confidential. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Perform COVID19 testing on residents and staff. | D |
| 2019-08-16 | F0712, F0812, F0880 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2019-08-16 | F0641, F0656, F0657, F0658, F0690, F0695, F0755, F0758, F0773 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D |
How is BAYSIDE OF POQUOSON HEALTH AND REHAB staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.56738 | 3.75779 |
| Total nursing staff turnover (%) | 50.0 | 48.1 |
| Average number of residents per day | 55.6 | 99.5 |
Who owns BAYSIDE OF POQUOSON HEALTH AND REHAB, and what chain is it in?
BAYSIDE OF POQUOSON HEALTH AND REHAB is registered with CMS as For profit - Corporation, operates under the legal business name GL VIRGINIA POQUOSON LLC and belongs to the TRIO HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GL VIRGINIA HOLDINGS LLC | since 12/16/2016 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | TRIO HEALTH CARE - EAST, LLC, TRIO HEALTHCARE INVESTORS LLC, TRIO HEALTHCARE LLC, GENTRY, BOYD, RUBENSTEIN, DAVID | since 05/24/2019 |
| W-2 MANAGING EMPLOYEE | SCHLAIKOWSKI, AMANDA | since 09/12/2023 |
| CORPORATE OFFICER | GENTRY, BOYD, RUBENSTEIN, DAVID | since 12/16/2016 |
Were you or a family member harmed at BAYSIDE OF POQUOSON HEALTH AND REHAB?