Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
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 Solaris Healthcare Bayonet Point during CMS and state inspections, most recent first.
A deficiency was cited when a resident's right to request, refuse, or discontinue treatment, participate in or refuse experimental research, and formulate an advance directive was not honored by the facility. The facility did not ensure these rights were upheld as required.
Surveyors observed several containers of food in the walk-in cooler that were not labeled or dated, contrary to facility policy. The Dietary Manager confirmed that all food items should be labeled and dated when placed in the cooler, but this was not done for food from the breakfast meal.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified during the survey.
A resident's MDS assessment was not transmitted to CMS within the required 14 days after completion. The assessment, completed and marked as ready for submission, was not forwarded to the corporate office for review in a timely manner, resulting in a missed deadline for transmission.
The facility did not consistently administer insulin and cardiovascular medications as ordered for several residents, and nursing staff failed to notify the physician or document appropriately when medications were withheld due to abnormal blood sugar or blood pressure readings. Nurses often relied on their own judgment without following established parameters or facility policy, resulting in missed doses and lack of timely communication with providers.
A deficiency was cited when a resident’s drug regimen included medications that were not clinically indicated or were excessive, without proper justification documented.
Two residents were found with topical medications stored openly at their bedsides without physician orders or documented assessment for self-administration. Staff and the DON confirmed that neither resident was authorized to self-administer medications, and facility policy requires locked storage unless specific criteria are met.
The facility did not adequately protect resident-identifiable information or maintain medical records according to professional standards, as observed by surveyors during their review of documentation and information handling practices.
The facility did not ensure that physicians documented their rationale when disagreeing with pharmacy recommendations for two residents, one with multiple pulmonary and psychiatric diagnoses and another with a history of falls and polypharmacy. Despite pharmacist concerns about medication appropriateness and duplication, the attending physician marked disagreement without providing explanations in the medical records, as confirmed by staff interviews.
An LPN failed to perform hand hygiene at required times during medication administration for three residents, including before handling medications, after direct resident contact, and after glove removal. The LPN also administered oral medication after performing a blood glucose check without removing gloves or sanitizing hands, contrary to facility policy. The DON confirmed that staff are expected to follow infection control protocols, which were not adhered to in these instances.
A resident was found with a tube of Ease-Z Diabetics dry skin therapy foot cream and a bottle of ActivICE pain reliever gel roll-on left unsecured on her bedside table. Staff confirmed these items were brought in by family, were not secured, and lacked physician orders or proper labeling, contrary to facility policy. The DON and Regional Nurse Consultant verified the unsecured medications during their observation.
Failure to Honor Resident Rights Regarding Treatment and Advance Directives
Penalty
Summary
A deficiency was identified regarding the failure to honor a resident's right to request, refuse, or discontinue treatment, to participate in or refuse experimental research, and to formulate an advance directive. The report notes that the facility did not ensure these resident rights were upheld, as required by regulations. Specific actions or omissions by facility staff led to this deficiency, but no further details about the residents involved or their medical conditions are provided in the report. The deficiency centers on the lack of adherence to protocols that protect resident autonomy in making decisions about their care and participation in research, as well as the formulation of advance directives.
Improper Food Labeling and Storage in Kitchen Cooler
Penalty
Summary
During a walk-through tour of the kitchen, several containers of food were observed in the walk-in cooler without identifying labels or dates. The Dietary Manager confirmed that all items placed in the cooler should be labeled and dated, and acknowledged that there were no identifying labels on food that had been placed in the walk-in cooler from the breakfast meal. Facility policy requires that all foods stored in the refrigerator or freezer be covered, labeled, and dated, but this procedure was not followed for the observed items.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report does not specify particular actions, inactions, or events, nor does it mention any specific residents or staff involved in the deficiency.
Failure to Transmit MDS Assessment Within Required Timeframe
Penalty
Summary
The facility failed to ensure that a resident's Minimum Data Set (MDS) assessment was transmitted to the Centers for Medicare and Medicaid Services (CMS) within the required 14 days after completion. Review of the electronic medical record showed that the annual MDS assessment for a resident was completed and marked as 'Production Batch' on 8/3/2025, indicating it was ready for submission. However, the assessment was not transmitted to CMS by the required deadline of 8/17/2025. Interviews with facility staff revealed that the process involved sending the completed MDS assessment to the corporate office for review before submission to CMS. The Care Plan Coordinator and the MDS Coordinator both confirmed that the assessment was not forwarded to the corporate office for initial review when completed, resulting in no validation report being received and the assessment not being transmitted on time. The delay in forwarding the assessment to the corporate office directly led to the failure to meet the CMS transmittal requirement.
Failure to Administer Medications and Notify Physician per Standards
Penalty
Summary
The facility failed to administer insulin and cardiovascular medications according to professional standards of practice for multiple residents. For one resident with a history of diabetes, chronic kidney disease, and heart disease, insulin was not administered as ordered on two occasions, and there was no documentation of physician notification when the medication was held or when the resident experienced hypoglycemia. The nurse involved stated uncertainty about the reason for holding the insulin and did not notify the physician, despite the absence of parameters to hold the medication. Facility policy required physician notification when medications are held due to abnormal vital signs or test results, but this was not followed. Another resident with hypertension had their prescribed Lisinopril withheld on multiple occasions due to low blood pressure or hypotension, as documented in the medication administration record. Nursing staff reported using their own judgment to hold the medication and did not consistently notify the physician, sometimes leaving notes for the charge nurse or physician instead. The Director of Nursing acknowledged that nurses should notify the physician when medications are held, but there was inconsistency in how and when this was done, and the facility's policy required notification in such cases. A third resident with diabetes had insulin and metformin held on certain days, sometimes without following the specific parameters in the physician's orders. In one instance, insulin was held despite the blood sugar being above the threshold for administration, and the nurse attributed this to confusion with another order. The Director of Nursing and the physician confirmed that nurses should follow parameters and document accurately, but there was a lack of consistent communication and documentation when medications were withheld. Facility policies required accurate documentation and physician notification when medications were held, but these procedures were not consistently followed.
Unnecessary Drugs in Resident Drug Regimens
Penalty
Summary
A deficiency was identified regarding the management of residents' drug regimens. The facility failed to ensure that each resident’s drug regimen was free from unnecessary drugs, as required by regulations. This indicates that at least one resident was prescribed or administered medications that were not clinically indicated or were excessive in dose or duration, without adequate justification documented in the medical record.
Improper Bedside Storage of Medications Without Authorization
Penalty
Summary
Surveyors observed that two residents had medications, specifically Arnica cream and Vicks Vaporub, stored openly on their bedside tables in their rooms. These medications were accessible to the residents without any documented physician orders permitting self-administration, and there was no evidence that the residents had been assessed or approved by the facility's interdisciplinary team to self-administer medications. Staff interviews confirmed that neither resident had orders to self-administer, and that the facility's policy required medications to be stored in locked compartments unless a resident was specifically authorized and provided with a lock box for self-administration. Further review of facility policies indicated that bedside medication storage is only permitted with a prescriber's written order and after an assessment of the resident's ability to self-administer. Despite these requirements, both residents had medications at their bedsides without the necessary orders or assessments. Staff and the DON acknowledged that medications should not be left unattended at the bedside and confirmed that the observed practice was not in accordance with facility policy.
Failure to Safeguard Resident Information and Maintain Medical Records
Penalty
Summary
The facility failed to safeguard resident-identifiable information and/or did not maintain medical records for each resident in accordance with accepted professional standards. This deficiency was identified through surveyor observation and review of facility practices related to the handling and documentation of resident medical records. The report notes that the required standards for protecting confidential information and maintaining accurate, complete records were not met.
Lack of Physician Rationale for Not Following Pharmacy Recommendations
Penalty
Summary
The facility failed to ensure that the attending physician documented the rationale for not following pharmacy recommendations in the medical records for two of three residents reviewed. For one resident with diagnoses including depression, anxiety disorder, pulmonary hypertension, emphysema, and pulmonary fibrosis, the consultant pharmacist identified the use of Xanax as potentially inappropriate for older adults and recommended deprescribing. The attending physician disagreed with the recommendation, but no rationale was documented in the resident's medical record or on the recommendation form. For another resident with a history of urinary tract infection, traumatic subarachnoid hemorrhage, repeated falls, and hypertension, the pharmacist noted a duplication in therapy with Bupropion XL and Fluoxetine for depression and recommended a dose reduction. The attending physician again disagreed with the recommendation, but did not provide a rationale in the medical record. Interviews with the DON and the physician confirmed that rationales for disagreeing with pharmacy recommendations were not documented, as required by facility policy.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program by not ensuring proper hand hygiene during medication administration for three residents. Observations revealed that an LPN repeatedly neglected to perform hand hygiene at critical points, such as before and after entering resident rooms, before handling medications, and after direct resident contact. The LPN was seen unlocking the medication cart, preparing medications, and assisting residents with repositioning and medication administration without using hand sanitizer or washing hands. In one instance, the LPN donned gloves without prior hand hygiene, performed a blood glucose check, and then administered oral medication without removing gloves or sanitizing hands, potentially exposing residents to contaminants. Interviews with the LPN confirmed a lack of adherence to hand hygiene protocols, with the staff member acknowledging the failure to use hand sanitizer or wash hands at appropriate times. The Director of Nursing stated that staff are expected to follow infection control policies, which require hand hygiene before and after medication administration and after glove removal. Policy reviews further supported that the facility's procedures mandate hand hygiene at these points, but these were not followed during the observed medication passes.
Unsecured and Unlabeled Medications at Bedside
Penalty
Summary
Surveyors observed that a resident had a tube of Ease-Z Diabetics dry skin therapy foot cream containing zinc and a bottle of ActivICE pain reliever gel roll-on left unsecured on her bedside table. Staff interviews confirmed that these items were brought in by the resident's family and were not secured or labeled with a pharmacy label, nor was there a physician's order for their use. The LPN on duty was unaware of the contents or necessity of these creams, and the DON acknowledged that all medications, including creams, should be secured and have appropriate orders. Further review of facility policy indicated that non-prescription medications not labeled by a pharmacy should be kept in the manufacturer's original container and identified with the resident's name. The DON and Regional Nurse Consultant verified the presence of the unsecured creams during their observation. The facility's failure to secure these medications and ensure proper labeling and orders led to the deficiency cited by surveyors.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 48 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hudson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bear Creek Nursing Center | 1.2 mi | — | 0 | 0 |
| Windsor Woods Rehab And Healthcare Center | 1.3 mi | — | 0 | 0 |
| Bayonet Point Health Center By Harborview | 1.8 mi | — | 0 | 0 |
| Heather Hill Healthcare Center | 5.6 mi | — | 0 | 0 |
| Madison Pointe Care Center | 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.