BAY TERRACE REHABILITATION AND HEALTH CENTER

DOVER, DE · 77 beds · For profit - Limited Liability company

51 Trust Score
Grade: D MEDIUM Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm

Green Flags

  • 4-star staffing rating

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
18
1.3x state avg
Deficiencies
$19,937
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

February 18, 2025

18 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0568 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0697 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0756 No Harm Scope/Severity: C

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

December 1, 2024

2 deficiencyies
F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

See full violation history →

Staffing

0.80
RN hrs/res/day
1.07
LPN hrs/res/day
2.20
CNA hrs/res/day
3.82
Weekend hrs/res/day
34%
Total nurse turnover
44%
RN turnover

A nurse checks on each resident roughly every 5.9 hours on average.

Fines & Penalties

  • Fine Apr 10, 2025
    $9,113
  • Fine Dec 1, 2024
    $10,824
Total $19,937

Ownership

For profit - Limited Liability company Chain: PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES
  • BTRC HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    100% Organization
  • AYSAN TR

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • BUAH TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • COPPER DE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • GOLD DE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • PA & DE NOBLE PARENTCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • SILVER DE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • STAR DE I HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • STAR DE I TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2024

    NO PERCENTAGE PROVIDED Organization
  • ELLENBOGEN, MOSS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2024

    Individual
  • STUDD, ANNE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual

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