Civita Care Bayview
CIVITA CARE BAYVIEW in WATERFORD, CT — inspection on August 11, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the Medication Administration policy dated 4/2015 directed, in part, that medication orders are to be verified on the Medication Administration Record, checked against the physician's order and all medication administration is to be documented.
Review of the Nursing Documentation policy dated 2/2016 directed, in part, that the licensed nursing personnel is to document information related to the resident's condition and care provided in the resident's medical record.
Notes should be clear, concise and not subject to misinterpretation.
Any incident/accident or any unusual happening or situation which could result in bodily injury must be documented in the nurse's notes.
Request for physician services must be documented to include what the physician was notified of and the action taken by the physician.
Review of the Transcription of Physician's Orders policy dated 4/2015 directed, in part, that all written physician's orders or telephone physician's orders must be duly noted and accurately transcribed by licensed nursing staff.
Although requested, facility policies for following physician's orders and medication refills were not provided.
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