Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-04-071615.69.5+0.4 worse
22024-01-263017.49.8+12.6 worse
32023-01-131117.19.3-6.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning4
Resident rights1
Nutrition and dietary2
Pharmacy service4
Environmental2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.9335.2%
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)

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  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.2025-04-07 · Health · corrected 2025-05-03

    Potential for more than minimal harm

  8. DF0759Ensure medication error rates are not 5 percent or greater.2025-04-07 · Health · corrected 2025-05-03

    Potential for more than minimal harm

  9. 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

  10. 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

  11. 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

  12. 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

  13. DF0880Provide and implement an infection prevention and control program.2025-04-07 · Health · corrected 2025-05-03

    Potential for more than minimal harm

  14. DF0908Keep all essential equipment working safely.2025-04-07 · Health · corrected 2025-05-03

    Potential for more than minimal harm

  15. 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

  16. 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

  17. 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

  18. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. DF0692Provide enough food/fluids to maintain a resident's health.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. DF0759Ensure medication error rates are not 5 percent or greater.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. BF0814Dispose of garbage and refuse properly.2024-01-26 · Health · corrected 2024-02-23

    Potential for minimal harm

  40. 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

  41. 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

  42. DF0880Provide and implement an infection prevention and control program.2024-01-26 · Health · corrected 2024-02-22

    Potential for more than minimal harm

  43. DF0881Implement a program that monitors antibiotic use.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  44. EF0908Keep all essential equipment working safely.2024-01-26 · Health · corrected 2024-02-21

    Potential for more than minimal harm

  45. 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

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. 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

  53. 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

  54. 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

  55. 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

  56. 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

  57. DF0880Provide and implement an infection prevention and control program.2023-01-13 · Health · corrected 2023-01-24

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
COLEMAN, CHADIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-01
KIRBY, SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROL2024-04-01
MORRIS, AUSTINIndividualOPERATIONAL/MANAGERIAL CONTROL2024-10-01

Other facilities in YORBA LINDA

NameOverallBeds

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