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.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-24 | 8 | 15.6 | 9.5 | -7.6 better |
| 2 | 2024-01-11 | 11 | 17.4 | 9.8 | -6.4 better |
| 3 | 2022-12-09 | 20 | 17.1 | 9.3 | +2.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.61 | 41.4% |
| RN staffing (reported) | 0.46 | 28.6% |
| 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)
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-01-11 · Health · corrected 2024-02-16
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-01-11 · Health · corrected 2024-02-16
Potential for more than minimal harm
- 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
- DF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-01-11 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-11-08 · Health · corrected 2023-12-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2022-12-09 · Health · corrected 2023-01-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SKILLED MIRAGE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 |
| KIRBY, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 |
| STEWART, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-27 |
Other facilities in RANCHO MIRAGE
| Name | Overall | Beds |
|---|---|---|
| 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.