EL CENTRO POST-ACUTE CARE
1700 S. IMPERIAL AVE, EL CENTRO, CA 92243 · CCN 555158
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 123
- Avg residents/day
- 115.3
- Phone
- 7603528471
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 | 2024-09-12 | 11 | 15.6 | 9.5 | -4.6 better |
| 2 | 2021-05-06 | 20 | 17.4 | 9.8 | +2.6 worse |
| 3 | 2019-09-26 | 21 | 17.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.91 | 39.7% |
| RN staffing (reported) | 0.23 | 44.4% |
| Total nurse staffing (adjusted) | 3.26 | — |
Fines & penalties
- Total fines
- $10,254
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- BAYSHIRE SENIOR COMMUNITIES
- Facilities in chain
- 12
- Chain avg overall
- 3.10 / 5
Inspection citations (52)1 actual harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-24 · Health · corrected 2024-10-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-12 · Health · corrected 2024-10-04
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.2024-09-12 · Health · corrected 2024-10-04
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.2024-09-12 · Health · corrected 2024-10-04
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.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-08-15 · Health · corrected 2024-09-20
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.2024-06-05 · Health · corrected 2024-06-27
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-03 · Health · corrected 2024-04-20
Actual harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-03 · Health · corrected 2024-04-20
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.2023-10-25 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-25 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-25 · Health · corrected 2023-05-16
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0688Provide 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.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2021-05-06 · Health · corrected 2021-06-21
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.2021-05-06 · Health · corrected 2021-06-21
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.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-05-06 · Health · corrected 2021-06-21
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.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2021-05-06 · Health · corrected 2021-06-21
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- EF0584Honor 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.2019-09-26 · Health · corrected 2019-10-28
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 admitted2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0659Provide care by qualified persons according to each resident's written plan of care.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-09-26 · Health · corrected 2019-10-28
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.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- EF0803Ensure 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.2019-09-26 · Health · corrected 2019-10-28
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.2019-09-26 · Health · corrected 2019-10-28
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.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2019-09-26 · Health · corrected 2019-10-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BAYSHIRE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-03-25 |
| KIRBY, SCOTT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-03-25 |
| KIRBY, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-25 |
| KIRBY, SCOTT | Individual | CORPORATE OFFICER | — | 2021-03-25 |
Other facilities in EL CENTRO
| 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.