Starfile / California

BAYSHIRE TORREY PINES POST-ACUTE

13101 HARTFIELD AVE, SAN DIEGO, CA 92130 · CCN 555746

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

$110,088

Number of fines

23

Number of penalties

23

Payment denials

0

Chain

Chain

BAYSHIRE SENIOR COMMUNITIES

Facilities in chain

12

Chain avg overall

3.10 / 5

Inspection citations (49)1 immediate jeopardy

1. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-21 · Health · corrected 2025-03-07

   Potential for more than minimal harm

2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-21 · Health · corrected 2025-03-07

   Potential for more than minimal harm

3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-12 · Health · corrected 2024-12-24

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-12 · Health · corrected 2024-12-24

   Potential for more than minimal harm

5. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-12-12 · Health · corrected 2024-12-24

   Potential for more than minimal harm

6. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-12 · Health · corrected 2024-12-24

   Potential for more than minimal harm

7. 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.2024-12-12 · Health · corrected 2024-12-24

   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.2024-12-12 · Health · corrected 2024-12-24

   Potential for more than minimal harm

9. DF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2024-12-24

   Potential for more than minimal harm

10. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-11-08 · Health · corrected 2024-12-16

    Potential for more than minimal harm

11. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-11 · Health · corrected 2024-02-10

    Potential for more than minimal harm

12. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-01-11 · Health · corrected 2024-02-10

    Potential for more than minimal harm

13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-11 · Health · corrected 2024-02-10

    Potential for more than minimal harm

14. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-11 · Health · corrected 2024-02-10

    Potential for more than minimal harm

15. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-11 · Health · corrected 2024-02-10

    Potential for more than minimal harm

16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-21 · Health · corrected 2024-01-11

    Potential for more than minimal harm

17. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-02 · Health · corrected 2023-11-16

    Potential for more than minimal harm

18. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

19. DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

20. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

21. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

22. DF0637Assess the resident when there is a significant change in condition2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

23. DF0641Ensure each resident receives an accurate assessment.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

24. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

25. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

28. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

29. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

30. 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.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

31. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

32. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

33. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

34. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

35. EF0758Implement 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.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

36. 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.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

37. LF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-03-08 · Health · corrected 2023-04-20

    Immediate jeopardy

38. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

39. FF0803Ensure 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.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

40. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-08 · Health · corrected 2023-05-19

    Potential for more than minimal harm

41. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

42. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

43. FF0814Dispose of garbage and refuse properly.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

44. EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

45. EF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

46. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

47. EF0880Provide and implement an infection prevention and control program.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

48. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

49. FF0908Keep all essential equipment working safely.2023-03-08 · Health · corrected 2023-04-20

    Potential for more than minimal harm

Ownership

Other facilities in SAN DIEGO

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