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Facility profile · CCN 555737

Bayshire San Dimas Post-acute

60 federal citations on record , and 8 federal enforcement actions totaling $85,083.

Record summary

Federal record · Q1 2026
60
Total citations
45
Last 3 years
3
Actual harm+
8
Federal penalties
$85,083
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

60 on record
SurveyF-TagViolationSeveritySource
Dec 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 11, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Dec 11, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 11, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 11, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Dec 11, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 29, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Feb 9, 2025F908Keep all essential equipment working safely.DStandard
Feb 9, 2025F880Provide and implement an infection prevention and control program.DStandard
Feb 9, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 9, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 9, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Feb 9, 2025F732Post nurse staffing information every day.DStandard
Feb 9, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Feb 9, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Feb 9, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard
Feb 9, 2025F584Honor 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.DStandard
Feb 9, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Feb 9, 2025F578Honor 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.EStandard
Feb 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 6, 2024F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jul 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 18, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Jul 18, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Jul 18, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jun 26, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Jun 26, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 29, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
Jan 29, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Jan 29, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Jan 29, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 29, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Jan 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 29, 2024F760Ensure that residents are free from significant medication errors.DStandard
Jan 29, 2024F732Post nurse staffing information every day.DStandard
Jan 29, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 29, 2024F693Ensure 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.DStandard
Jan 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jan 29, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 29, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jan 29, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 27, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 16, 2023F610Respond appropriately to all alleged violations.DComplaint
May 16, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Mar 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Mar 15, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HComplaint
Dec 2, 2021F880Provide and implement an infection prevention and control program.EStandard
Dec 2, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 2, 2021F761Ensure 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.EStandard
Dec 2, 2021F758Implement 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.DStandard
Dec 2, 2021F732Post nurse staffing information every day.BStandard
Dec 2, 2021F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Dec 2, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 2, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Dec 2, 2021F688Provide 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.EStandard
Dec 2, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 2, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 2, 2021F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Dec 2, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 8 enforcement actions against this facility, including 8 civil money penalties totaling $85,083 .

DateTypeFinePayment denial
Nov 6, 2024Fine$12,048
Feb 20, 2024Fine$4,938
Feb 12, 2024Fine$4,938
Jan 29, 2024Fine$25,058
Jan 22, 2024Fine$14,814
Jan 8, 2024Fine$4,938
Jan 2, 2024Fine$4,587
Dec 11, 2023Fine$13,762
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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