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Bay At Waters Edge Health And Rehabilitation (the)

📍 3415 N Sheridan Rd, Kenosha, WI 53140 📞 (262) 657-6175 🛏️ 128 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $80,586

$48,840
Mar 7, 2022

Fine

$31,746
Mar 7, 2022

Fine

$0
Mar 7, 2022

Payment Denial

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Health Violations by Year

2024 24 violations

Tag 0584 D Aug 5, 2024

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.

✓ Corrected: Sep 5, 2024
Tag 0637 D Aug 5, 2024

Assess the resident when there is a significant change in condition

✓ Corrected: Sep 5, 2024
Tag 0641 B Aug 5, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 5, 2024
Tag 0685 D Aug 5, 2024

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Sep 5, 2024
Tag 0686 D Aug 5, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 5, 2024
Tag 0688 D Aug 5, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Sep 5, 2024
Tag 0689 D Aug 5, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 5, 2024
Tag 0690 D Aug 5, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 5, 2024
Tag 0693 D Aug 5, 2024

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.

✓ Corrected: Sep 5, 2024
Tag 0725 E Aug 5, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Sep 5, 2024
Tag 0804 E Aug 5, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Sep 5, 2024
Tag 0559 D May 20, 2024

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Jun 18, 2024
Tag 0565 E May 20, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Jun 18, 2024
Tag 0572 E May 20, 2024

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Jun 18, 2024
Tag 0609 E May 20, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 18, 2024
Tag 0646 D May 20, 2024

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

✓ Corrected: Jun 18, 2024
Tag 0677 D May 20, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 18, 2024
Tag 0684 D May 20, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 18, 2024
Tag 0686 J May 20, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 18, 2024
Tag 0689 D May 20, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 18, 2024

2023 33 violations

Tag 0580 D Dec 6, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 6, 2024
Tag 0600 D Dec 6, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 6, 2024
Tag 0660 D Dec 6, 2023

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Jan 6, 2024
Tag 0684 D Dec 6, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 6, 2024
Tag 0686 D Dec 6, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 6, 2024
Tag 0558 D Oct 4, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Nov 3, 2023
Tag 0644 D Oct 4, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Nov 3, 2023
Tag 0684 D Oct 4, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 3, 2023
Tag 0585 D May 24, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jun 23, 2023
Tag 0677 D May 24, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 23, 2023
Tag 0684 D May 24, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 23, 2023
Tag 0692 D May 24, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 23, 2023
Tag 0755 D May 24, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jun 23, 2023
Tag 0759 D May 24, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 23, 2023
Tag 0761 E May 24, 2023

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.

✓ Corrected: Jun 23, 2023
Tag 0812 E May 24, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 23, 2023
Tag 0880 D May 24, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 23, 2023
Tag 0812 E Feb 1, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 13, 2023
Tag 0812 K Feb 1, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag 0835 L Feb 1, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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2022 35 violations

Tag 0684 D Oct 6, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 1, 2022
Tag 0600 E Jun 10, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 8, 2022
Tag 0609 D Jun 10, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 8, 2022
Tag 0553 E Mar 7, 2022

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Apr 4, 2022
Tag 0558 D Mar 7, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Apr 4, 2022
Tag 0580 D Mar 7, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 4, 2022
Tag 0584 D Mar 7, 2022

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.

✓ Corrected: Apr 4, 2022
Tag 0604 D Mar 7, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Apr 4, 2022
Tag 0622 D Mar 7, 2022

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.

✓ Corrected: Apr 4, 2022
Tag 0623 E Mar 7, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Apr 4, 2022
Tag 0625 D Mar 7, 2022

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.

✓ Corrected: Apr 4, 2022
Tag 0626 D Mar 7, 2022

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Apr 4, 2022
Tag 0636 E Mar 7, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Apr 5, 2022
Tag 0644 E Mar 7, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Apr 4, 2022
Tag 0655 D Mar 7, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 4, 2022
Tag 0660 D Mar 7, 2022

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Apr 4, 2022
Tag 0676 D Mar 7, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Apr 4, 2022
Tag 0677 D Mar 7, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 4, 2022
Tag 0684 D Mar 7, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 4, 2022
Tag 0686 G Mar 7, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 4, 2022

2021 8 violations

Tag 0580 D Dec 14, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 3, 2022
Tag 0684 D Dec 14, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 3, 2022
Tag 0688 D Dec 14, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jan 3, 2022
Tag 0690 G Dec 14, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jan 3, 2022
Tag 0744 D Dec 14, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Jan 3, 2022
Tag 0755 D Dec 14, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 3, 2022
Tag 0684 D Apr 26, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 26, 2021
Tag 0686 D Apr 26, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 26, 2021
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2020 13 violations

Tag 0552 D Sep 29, 2020

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Oct 29, 2020
Tag 0580 D Sep 29, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 29, 2020
Tag 0585 D Mar 17, 2020

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: May 20, 2020
Tag 0558 D Feb 6, 2020

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 5, 2020
Tag 0584 E Feb 6, 2020

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.

✓ Corrected: Mar 5, 2020
Tag 0622 D Feb 6, 2020

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.

✓ Corrected: Mar 5, 2020
Tag 0623 D Feb 6, 2020

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Mar 5, 2020
Tag 0686 D Feb 6, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 5, 2020
Tag 0688 D Feb 6, 2020

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 5, 2020
Tag 0695 D Feb 6, 2020

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 5, 2020
Tag 0758 D Feb 6, 2020

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.

✓ Corrected: Mar 5, 2020
Tag 0825 D Feb 6, 2020

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Mar 5, 2020
Tag 0880 D Feb 6, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 5, 2020

2019 6 violations

Tag 0584 D Apr 29, 2019

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.

✓ Corrected: May 29, 2019
Tag 0693 D Apr 29, 2019

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.

✓ Corrected: May 29, 2019
Tag 0757 D Apr 29, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: May 29, 2019
Tag 0758 D Apr 29, 2019

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.

✓ Corrected: May 29, 2019
Tag 0791 D Apr 29, 2019

Provide or obtain dental services for each resident.

✓ Corrected: May 29, 2019
Tag 0804 E Apr 29, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: May 29, 2019
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2018 30 violations

Tag 0578 D Dec 19, 2018

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.

✓ Corrected: Jan 19, 2019
Tag 0692 D Dec 19, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jan 19, 2019
Tag 0660 E Sep 27, 2018

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Oct 27, 2018
Tag 0686 D Jul 31, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 31, 2018
Tag 0569 D May 31, 2018

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Jun 23, 2018
Tag 0550 E Feb 27, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 26, 2018
Tag 0554 D Feb 27, 2018

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Mar 26, 2018
Tag 0558 D Feb 27, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 26, 2018
Tag 0580 D Feb 27, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 26, 2018
Tag 0582 D Feb 27, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Mar 26, 2018
Tag 0606 D Feb 27, 2018

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

✓ Corrected: Mar 26, 2018
Tag 0609 D Feb 27, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 26, 2018
Tag 0610 D Feb 27, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Mar 26, 2018
Tag 0623 D Feb 27, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Mar 26, 2018
Tag 0641 E Feb 27, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 26, 2018
Tag 0644 D Feb 27, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Mar 26, 2018
Tag 0645 E Feb 27, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Mar 26, 2018
Tag 0676 D Feb 27, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Mar 26, 2018
Tag 0686 D Feb 27, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 26, 2018
Tag 0688 D Feb 27, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 26, 2018

2017 1 violations

Tag 0329 D Jul 6, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Aug 4, 2017
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