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Bayside Village

Open-data reference.

Bayside Village is a non profit - corporation facility in L' Anse, MI with 59 certified beds and a 1-star overall CMS rating. The facility has 47 deficiency records on file. Total penalties: $40K.

832 Sicotte Street, L' Anse, MI 49946

Phone: 9065246531

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
235144
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
59
Residents
54
In Hospital
No
County
Baraga
Last Inspection
Sep 10, 2025
Special Focus
SFF Candidate

Staffing Data

RN Hours
0.76 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
1.90
Total Nursing Hours
3.23 (nat'l avg: 3.89)
PT Hours
0.02

What the CMS Record Reveals About Bayside Village

Bayside Village operates 59 certified beds in L' Anse, MI with approximately 54 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 47 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $40K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.23 total nursing hours per resident day (national average 3.89), with RN coverage at 0.76 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Bayside Village falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (47 most recent)

J — Isolated - Jeopardy Oct 8, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2025

F — Widespread - Minimal harm Sep 10, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2025

F — Widespread - Minimal harm Sep 10, 2025 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Oct 13, 2025

F — Widespread - Minimal harm Sep 10, 2025 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Oct 13, 2025

E — Pattern - Minimal harm Sep 10, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 22, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2025

F — Widespread - Minimal harm Sep 10, 2025 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2025

F — Widespread - Minimal harm Sep 10, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2025

F — Widespread - Minimal harm Sep 10, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 22, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2025

G — Isolated - Actual harm Sep 10, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 22, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2025

E — Pattern - Minimal harm Sep 10, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Nov 6, 2025

D — Isolated - Minimal harm Sep 10, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 6, 2025

E — Pattern - Minimal harm Sep 10, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 13, 2025

D — Isolated - Minimal harm May 7, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 5, 2025

G — Isolated - Actual harm May 7, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 5, 2025

G — Isolated - Actual harm May 7, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2025

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Aug 10, 2024

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2024

C — Widespread - No harm Jul 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 10, 2024

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Aug 10, 2024

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 10, 2024

E — Pattern - Minimal harm Jul 11, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 10, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 10, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 10, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 10, 2024

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2024

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2024

F — Widespread - Minimal harm Jul 11, 2024 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2024

E — Pattern - Minimal harm Jul 11, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 10, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 10, 2024

E — Pattern - Minimal harm Jul 11, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 10, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0604

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2024

D — Isolated - Minimal harm Apr 22, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Jul 17, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

E — Pattern - Minimal harm Jul 17, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 17, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 17, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 17, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

D — Isolated - Minimal harm Jul 17, 2023 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Aug 15, 2023

F — Widespread - Minimal harm Jun 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 10, 2023

D — Isolated - Minimal harm Jun 9, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 31.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 4.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 68.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 30.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 5.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 33.7% Yes

Penalty History 1 penalties totaling $40K

Date Type Amount
Sep 10, 2025 Payment Denial -
May 7, 2025 Fine $40K
May 7, 2025 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Bayside Village?
Bayside Village has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (1★).
What are the staffing levels at Bayside Village?
Bayside Village reports 3.23 total nursing hours per resident day (national average: 3.89). RN hours are 0.76 per resident day (national average: 0.68).
How many beds does Bayside Village have?
Bayside Village has 59 certified beds with approximately 54 residents. The facility is located at 832 Sicotte Street, L' Anse, MI 49946.
Does Bayside Village have any deficiencies on record?
Yes, Bayside Village has 47 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Bayside Village received any fines or penalties?
Yes, Bayside Village has received 1 penalties totaling $40K.
Who owns Bayside Village?
Bayside Village is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Bayside Village last inspected?
The most recent health inspection for Bayside Village was on Sep 10, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Bayside Village?
Bayside Village is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial