Starfile / California

BAYSHIRE SAN DIMAS POST-ACUTE

1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773 · CCN 555737

Inspection history vs California & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$85,083

Number of fines

8

Number of penalties

8

Payment denials

0

Chain

Chain

BAYSHIRE SENIOR COMMUNITIES

Facilities in chain

12

Chain avg overall

3.10 / 5

Inspection citations (60)3 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-11 · Health · corrected 2026-01-05

   Potential for more than minimal harm

2. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-12-11 · Health · corrected 2026-01-05

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-11 · Health · corrected 2026-01-05

   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.2025-12-11 · Health · corrected 2026-01-05

   Potential for more than minimal harm

5. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-12-11 · Health · corrected 2026-01-05

   Potential for more than minimal harm

6. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-11 · Health · corrected 2026-01-05

   Potential for more than minimal harm

7. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-08-29 · Health · corrected 2025-09-19

   Potential for more than minimal harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-09 · Health · corrected 2025-03-05

   Potential for more than minimal harm

9. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-02-09 · Health · corrected 2025-03-05

   Potential for more than minimal harm

10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

11. 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.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

12. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

13. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

14. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

15. DF0732Post nurse staffing information every day.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-09 · Health · corrected 2025-02-20

    Potential for more than minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

19. DF0880Provide and implement an infection prevention and control program.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

20. DF0908Keep all essential equipment working safely.2025-02-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

21. EF0558Reasonably accommodate the needs and preferences of each resident.2024-11-06 · Health · corrected 2024-12-01

    Potential for more than minimal harm

22. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-06 · Health · corrected 2024-11-26

    Actual harm

23. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-07-18 · Health · corrected 2024-08-27

    Potential for more than minimal harm

24. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-07-18 · Health · corrected 2024-08-27

    Potential for more than minimal harm

25. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-18 · Health · corrected 2024-08-27

    Potential for more than minimal harm

26. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-18 · Health · corrected 2024-08-27

    Potential for more than minimal harm

27. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-26 · Health · corrected 2024-07-19

    Potential for more than minimal harm

28. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-06-26 · Health · corrected 2024-07-19

    Potential for more than minimal harm

29. DF0641Ensure each resident receives an accurate assessment.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

30. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

31. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

32. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-29 · Health · corrected 2024-02-25

    Actual harm

33. 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.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

34. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

35. DF0732Post nurse staffing information every day.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

36. DF0760Ensure that residents are free from significant medication errors.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

37. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

38. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

39. EF0880Provide and implement an infection prevention and control program.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

40. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

41. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

42. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-01-29 · Health · corrected 2024-02-25

    Potential for more than minimal harm

43. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-27 · Health · corrected 2023-10-27

    Potential for more than minimal harm

44. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-05-16 · Health · corrected 2023-06-16

    Potential for more than minimal harm

45. DF0610Respond appropriately to all alleged violations.2023-05-16 · Health · corrected 2023-06-16

    Potential for more than minimal harm

46. HF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-15 · Health · corrected 2023-04-13

    Actual harm

47. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-15 · Health · corrected 2023-04-13

    Potential for more than minimal harm

48. DF0558Reasonably accommodate the needs and preferences of each resident.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

49. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

51. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

52. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

53. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

54. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

55. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

56. BF0732Post nurse staffing information every day.2021-12-02 · Health · corrected 2022-02-09

    Potential for minimal harm

57. 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.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

58. 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.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

59. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

60. EF0880Provide and implement an infection prevention and control program.2021-12-02 · Health · corrected 2022-02-09

    Potential for more than minimal harm

Ownership

Other facilities in SAN DIMAS

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