Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12024-09-121115.69.5-4.6 better
22021-05-062017.49.8+2.6 worse
32019-09-262117.19.3+3.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Nutrition and dietary1
Pharmacy service5
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9139.7%
RN staffing (reported)0.2344.4%
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

  1. 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

  2. DF0641Ensure each resident receives an accurate assessment.2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  3. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  4. 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

  5. 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

  6. 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

  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.2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  8. DF0759Ensure medication error rates are not 5 percent or greater.2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  9. DF0760Ensure that residents are free from significant medication errors.2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  10. FF0814Dispose of garbage and refuse properly.2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  11. 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

  12. FF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. DF0880Provide and implement an infection prevention and control program.2023-04-25 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. DF0759Ensure medication error rates are not 5 percent or greater.2021-05-06 · Health · corrected 2021-06-21

    Potential for more than minimal harm

  27. DF0760Ensure that residents are free from significant medication errors.2021-05-06 · Health · corrected 2021-06-21

    Potential for more than minimal harm

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. EF0880Provide and implement an infection prevention and control program.2021-05-06 · Health · corrected 2021-06-21

    Potential for more than minimal harm

  34. EF0881Implement a program that monitors antibiotic use.2021-05-06 · Health · corrected 2021-06-21

    Potential for more than minimal harm

  35. 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

  36. DF0558Reasonably accommodate the needs and preferences of each resident.2019-09-26 · Health · corrected 2019-10-28

    Potential for more than minimal harm

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. EF0880Provide and implement an infection prevention and control program.2019-09-26 · Health · corrected 2019-10-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BAYSHIRE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-03-25
KIRBY, SCOTTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2021-03-25
KIRBY, SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROL2021-03-25
KIRBY, SCOTTIndividualCORPORATE OFFICER2021-03-25

Other facilities in EL CENTRO

NameOverallBeds

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