BAYSHIRE YORBA LINDA POST-ACUTE
17803 IMPERIAL HIGHWAY, YORBA LINDA, CA 92886 · CCN 555768
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 45
- Avg residents/day
- 36.5
- Phone
- 7147779666
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 | 2025-04-07 | 16 | 15.6 | 9.5 | +0.4 worse |
| 2 | 2024-01-26 | 30 | 17.4 | 9.8 | +12.6 worse |
| 3 | 2023-01-13 | 11 | 17.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 4 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.93 | 35.2% |
| RN staffing (reported) | 0.64 | — |
| Total nurse staffing (adjusted) | 3.67 | — |
Fines & penalties
- Total fines
- $4,368
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- BAYSHIRE SENIOR COMMUNITIES
- Facilities in chain
- 12
- Chain avg overall
- 3.10 / 5
Inspection citations (57)
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-25 · Health · corrected 2025-12-05
Potential for more than minimal harm
- BF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-04-07 · Health · corrected 2025-05-03
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-07 · Health · corrected 2025-05-03
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.2025-04-07 · Health · corrected 2025-05-03
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.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-04-07 · Health · corrected 2025-05-03
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.2025-04-07 · Health · corrected 2025-05-03
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.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- BF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-04-07 · Health · corrected 2025-05-03
Potential for minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2025-04-07 · Health · corrected 2025-05-03
Potential for more than minimal harm
- DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2025-04-07 · Health · corrected 2025-05-03
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.2025-03-04 · Health · corrected 2025-03-17
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0578Honor 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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-26 · Health · corrected 2024-02-23
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 admitted2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-26 · Health · corrected 2024-02-23
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-01-26 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-26 · Health · corrected 2024-02-23
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.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-01-26 · Health · corrected 2024-02-22
Potential for more than minimal harm
- BF0814Dispose of garbage and refuse properly.2024-01-26 · Health · corrected 2024-02-23
Potential for minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-26 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-01-26 · Health · corrected 2024-02-21
Potential for more than minimal harm
- DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- 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.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-01-13 · Health · corrected 2023-01-24
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.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-13 · Health · corrected 2023-01-24
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.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-01-13 · Health · corrected 2023-01-24
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.2023-01-13 · Health · corrected 2023-01-24
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.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-01-13 · Health · corrected 2023-01-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COLEMAN, CHAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| KIRBY, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 |
| MORRIS, AUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
Other facilities in YORBA LINDA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.