| Bayberry Commons | |
| 181 Davis Drive, Pascoag, Rhode Island 02859 | |
| (401) 568-0600 | |
| Name | Bayberry Commons |
|---|---|
| Location | 181 Davis Drive, Pascoag, Rhode Island |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 110 |
| Occupancy Rate | 88.18% |
| Medicare ID (CCN) | 415080 |
| Legal Business Name | Burrillville Health Center |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1073554812 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Burrillville Health Center |
| Doing Business As | Bayberry Commons |
| Address | 181 Davis Dr, Pascoag, RI 02859 |
| Phone Number | 401-568-0600 |
| NPI Number | 1831819481 |
| Match | Possible same name, address or phone number |
| Organization Name | Bayberry Rehabilitation & Nursing, LLC |
| Doing Business As | Kadima Rehabilitation & Nursing at Bayberry |
| Address | 181 Davis Dr, Pascoag, RI 02859 |
| Phone Number | 401-568-0600 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.49 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.61 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.46 | 0.86 |
| Nurse aide hours per resident per day | 2.43 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.06 | 3.42 |
| RN hours per resident per day on the weekend | 0.51 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 45.6% | 45.8% |
| Registered nurse turnover | 35.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 3 |
| Total Amount of Fines in Dollars | $51,948 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 18, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Aug 17, 2025 |
| Jul 18, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 17, 2025 |
| Jul 18, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 17, 2025 |
| Jul 18, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 17, 2025 |
| Jul 3, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 2, 2025 |
| Feb 20, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Actual harm, isolated | Corrected by Mar 22, 2025 |
| Feb 20, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 22, 2025 |
| Dec 19, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jan 7, 2025 |
| Aug 15, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 15, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 4, 2024 |
| Aug 5, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Sep 4, 2024 |
| Jul 11, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Aug 10, 2024 |
| Jul 11, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 10, 2024 |
| Jul 11, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 10, 2024 |
| Jul 11, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 10, 2024 |
| Jul 11, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 10, 2024 |
| Jul 11, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Aug 10, 2024 |
| Jun 22, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2023 |
| Jun 22, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2023 |
| Jun 22, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 34.4 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.35 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 5.16 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 13.08 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.95 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.41 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.18 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.86 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.9 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.41 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.94 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.13 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 35.93 | 15.38 |
Crystal Lake Rehabilitation and Care Center Location: 999 South Main Street, Pascoag, Rhode Island 02859 Phone: (401) 568-3091 |
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