Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bayonet Point Health Center By Harborview during CMS and state inspections, most recent first.
The facility's kitchen had several deficiencies, including a malfunctioning dishwashing machine that did not meet temperature specifications, ceiling vents with heavy dust and debris, and a walk-in freezer with significant ice build-up. The dishwashing logs were inaccurately filled, and the Dietary Manager was unaware of the last cleaning of the vents. The Maintenance Director confirmed the need for more frequent cleaning and was unaware of the freezer's condition.
The facility failed to identify PTSD triggers for two residents with a history of trauma, leading to a lack of trauma-informed care. One resident, a veteran with PTSD, reported no discussion of her condition or triggers, and her care plan lacked relevant goals. Another resident's care plan also omitted PTSD triggers, and staff were generally unaware of these diagnoses. The facility's policy requires trauma-informed care, which was not provided.
A resident on the GNR 300 unit frequently yelled loudly, disturbing other residents despite staff interventions. The resident, who has dementia and anxiety, continued to yell after staff left the room. Other residents reported the noise as disruptive, but the situation remained unchanged, failing to meet the facility's policy for a homelike environment.
The facility failed to implement baseline care plans within the required 48-72 hours for two residents. One resident, admitted with coronary artery bypass graft complications and a PEG tube, lacked specific care plans for the urinary catheter and dietary instructions. Another resident with COPD and pulmonary fibrosis did not receive a completed care plan within the required timeframe. Interviews revealed that the baseline care plans were not provided to the residents or their representatives as required by the facility's policy.
Sanitation and Equipment Maintenance Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain the kitchen and kitchen equipment in a sanitary and functional manner, as observed during a survey. The dishwashing machine was not operating according to the manufacturer's specifications, with the rinse cycle failing to reach the required temperature of 180 degrees Fahrenheit. Despite staff documenting incorrect temperatures and chemical sanitizer levels, the machine was not functioning as a low-temperature machine, and there was no actual chemical sanitizer delivery system in place. The logs for July and August showed consistent inaccuracies, with temperatures recorded at 200 degrees Fahrenheit and a chemical sanitizer level of 150 ppm, which was not possible given the machine's configuration. Additionally, the kitchen's ceiling vents above food preparation areas were observed to be covered in heavy black dust and debris, posing a risk of contamination. The Dietary Manager, who was new to the facility, was unaware of when the vents were last cleaned. The Maintenance Director confirmed that the vents were on a cleaning schedule but could not specify when they were last serviced, acknowledging that they required more frequent cleaning. The walk-in freezer was also found to have significant ice build-up on food packages and shelves, with icicles forming from the electric fan motors and insulated tubing. The Dietary Manager admitted to not being aware of any mechanical issues and had not reported the problem to the Maintenance department. The Maintenance Director was also unaware of the ice build-up and stated that it was the responsibility of the Dietary staff to report any mechanical issues with the freezer.
Failure to Identify PTSD Triggers for Residents
Penalty
Summary
The facility failed to ensure that two residents with a history of trauma had their triggers identified to prevent re-traumatization. Resident #216, a veteran diagnosed with PTSD, reported that no one at the facility had discussed her PTSD diagnosis or any potential triggers with her. Despite being cognitively intact, as indicated by a BIMS score of 14, her baseline care plan lacked social service goals related to PTSD or identified triggers. Interviews with staff revealed a lack of awareness regarding residents with PTSD, including Resident #216. The Social Services Director acknowledged the oversight and noted that the trauma assessment questionnaire should have reflected the PTSD diagnosis to identify triggers. Similarly, Resident #21, who was readmitted with a diagnosis of PTSD among other conditions, had no mention of PTSD triggers in their care plan interventions or tasks. Staff interviews indicated a general unawareness of Resident #21's PTSD diagnosis or history of trauma. The facility's policy on trauma-informed care mandates that residents who are trauma survivors receive culturally competent, trauma-informed care, which was not adhered to in these cases.
Failure to Maintain a Quiet and Homelike Environment
Penalty
Summary
The facility failed to ensure a quiet and homelike environment on the GNR 300 unit, as observed over three days. Resident #69 was frequently heard yelling loudly, causing disturbances to other residents in the hallway. Despite staff interventions, the resident continued to yell after staff left the room. Interviews with staff and residents confirmed that the noise was a persistent issue, affecting the comfort of other residents. Resident #69, who has dementia and anxiety, was observed to have cognitive deficits and confusion. The resident's yelling was not due to pain or discomfort, as confirmed by staff and the Director of Nursing (DON). The resident's care plan included interventions to manage her behaviors, and she was under the care of psychology services. However, these measures did not effectively reduce the yelling, which was noted to be a regular occurrence. Interviews with other residents on the GNR 300 unit revealed that the noise from Resident #69 was disruptive and had been reported to staff multiple times. Despite these complaints, the situation remained unchanged, indicating a failure to maintain a comfortable noise level as per the facility's policy. The facility's policy emphasized providing a homelike environment with comfortable noise levels, which was not achieved in this case.
Failure to Implement Timely Baseline Care Plans
Penalty
Summary
The facility failed to ensure that baseline care plans were developed and implemented within the required 48-72 hours for two residents. Resident #98 was admitted with multiple diagnoses, including coronary artery bypass graft complications, urinary retention, and a PEG tube. Despite these conditions, the interim care plan for Resident #98, started on the day of admission, lacked specific care plans for the urinary catheter and dietary instructions for the PEG tube and was not completed until nearly two weeks later. Similarly, Resident #260, admitted with chronic obstructive pulmonary disease, pulmonary fibrosis, and atrial fibrillation, did not receive a completed interim care plan within the required timeframe, as it was started three days post-admission and completed almost two weeks later. Interviews with the residents and facility staff revealed that the baseline care plans were not provided to the residents or their representatives within the stipulated time. Resident #260 and their spouse confirmed not receiving any treatment plan or care plan. The MDS Coordinator acknowledged that the interim care plans were completed outside the required timeframe, and the Director of Nursing confirmed the expectation for baseline care plans to be completed within 48-72 hours of admission. The facility's policy mandates the development of a baseline care plan within 48 hours, including necessary healthcare information and a written summary provided to the resident and representative, which was not adhered to in these cases.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hudson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Windsor Woods Rehab And Healthcare Center | 0.6 mi | — | 0 | 0 |
| Solaris Healthcare Bayonet Point | 1.8 mi | — | 9 | 2 |
| Bear Creek Nursing Center | 1.9 mi | — | 0 | 0 |
| Heather Hill Healthcare Center | 7.2 mi | — | 0 | 0 |
| Madison Pointe Care Center | 7.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.