Starfile

Starfile / California

BAYSHIRE RANCHO MIRAGE

72-201 COUNTRY CLUB DRIVE, RANCHO MIRAGE, CA 92270 · CCN 555775

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Individual
Certified beds
45
Avg residents/day
39.5
Phone
7603405999

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-04-24815.69.5-7.6 better
22024-01-111117.49.8-6.4 better
32022-12-092017.19.3+2.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning1
Nutrition and dietary2
Pharmacy service3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.6141.4%
RN staffing (reported)0.4628.6%
Total nurse staffing (adjusted)3.28

Fines & penalties

Total fines
$15,524
Number of fines
4
Number of penalties
5
Payment denials
1

Chain

Chain
BAYSHIRE SENIOR COMMUNITIES
Facilities in chain
12
Chain avg overall
3.10 / 5

Inspection citations (39)

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-25 · Health · corrected 2025-12-15

    Potential for more than minimal harm

  2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  3. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  4. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  5. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  6. EF0761Ensure 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.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  7. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-24 · Health · corrected 2025-05-18

    Potential for more than minimal harm

  9. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-17 · Health · corrected 2024-04-25

    Potential for more than minimal harm

  10. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  11. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  15. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  16. DF0759Ensure medication error rates are not 5 percent or greater.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  17. DF0761Ensure 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.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  18. DF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  19. DF0908Keep all essential equipment working safely.2024-01-11 · Health · corrected 2024-02-16

    Potential for more than minimal harm

  20. DF0610Respond appropriately to all alleged violations.2023-11-08 · Health · corrected 2023-12-08

    Potential for more than minimal harm

  21. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

  22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-03 · Health · corrected 2023-09-07

    Potential for more than minimal harm

  23. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-03 · Health · corrected 2023-09-07

    Potential for more than minimal harm

  24. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-08-03 · Health · corrected 2023-09-07

    Potential for more than minimal harm

  25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-20 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  26. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-20 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  27. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-07-20 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  28. DF0584Honor 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.2023-07-17 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-17 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

  31. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-08 · Health · corrected 2023-07-08

    Potential for more than minimal harm

  32. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-15 · Health · corrected 2023-06-14

    Potential for more than minimal harm

  33. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

  34. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

  35. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

  36. DF0758Implement 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.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

  37. DF0761Ensure 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.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

  38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

  39. DF0880Provide and implement an infection prevention and control program.2022-12-09 · Health · corrected 2023-01-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SKILLED MIRAGE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-03-01
KIRBY, SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROL2021-03-01
STEWART, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL2023-11-27

Other facilities in RANCHO MIRAGE

NameOverallBeds
RANCHO MIRAGE HEALTH AND REHABILITATION CENTER★★★☆☆99

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.