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BAYSHIRE SAN DIMAS POST-ACUTE

Open-data reference.

BAYSHIRE SAN DIMAS POST-ACUTE is a for profit - corporation facility in SAN DIMAS, CA with 45 certified beds and a 3-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $85K.

1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773

Phone: 9093940304

Overall Rating

3/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

N/A

Facility Information

Provider Number
555737
Ownership
For profit - Corporation
Provider Type
Medicare
Beds
45
Residents
37
In Hospital
No
County
Los Angeles
Last Inspection
Feb 9, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
1.28
CNA Hours
2.48
Total Nursing Hours
4.36 (nat'l avg: 3.89)
PT Hours
0.22
Nursing Turnover
50.0%
RN Turnover
60.0%

What the CMS Record Reveals About BAYSHIRE SAN DIMAS POST-ACUTE

BAYSHIRE SAN DIMAS POST-ACUTE operates 45 certified beds in SAN DIMAS, CA with approximately 37 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 8 penalties totaling $85K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.36 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare" provider, BAYSHIRE SAN DIMAS POST-ACUTE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 50.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Dec 11, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jan 5, 2026

D — Isolated - Minimal harm Aug 29, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 5, 2025

E — Pattern - Minimal harm Feb 9, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 20, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 5, 2025

E — Pattern - Minimal harm Feb 9, 2025 Tag: 0578

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 5, 2025

G — Isolated - Actual harm Nov 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 26, 2024

E — Pattern - Minimal harm Nov 6, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 27, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 27, 2024

D — Isolated - Minimal harm Jul 18, 2024 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 27, 2024

D — Isolated - Minimal harm Jun 26, 2024 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2024

D — Isolated - Minimal harm Jun 26, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2024

E — Pattern - Minimal harm Jan 29, 2024 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Feb 25, 2024

E — Pattern - Minimal harm Jan 29, 2024 Tag: 0887

Educate 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.

Category: Infection Control Deficiencies

Corrected: Feb 25, 2024

E — Pattern - Minimal harm Jan 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 25, 2024

E — Pattern - Minimal harm Jan 29, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0693

Ensure 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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

G — Isolated - Actual harm Jan 29, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2024

E — Pattern - Minimal harm Jan 29, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2024

E — Pattern - Minimal harm Jan 29, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Jan 29, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2024

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 27, 2023

D — Isolated - Minimal harm May 16, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 16, 2023

E — Pattern - Minimal harm May 16, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 16, 2023

E — Pattern - Minimal harm Mar 15, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 13, 2023

H — Pattern - Actual harm Mar 15, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 13, 2023

D — Isolated - Minimal harm Feb 8, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2023

E — Pattern - Minimal harm Feb 6, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 13, 2023

K — Pattern - Jeopardy Feb 6, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.5% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History 8 penalties totaling $85K

Date Type Amount
Nov 6, 2024 Fine $12K
Feb 20, 2024 Fine $5K
Feb 12, 2024 Fine $5K
Jan 29, 2024 Fine $25K
Jan 22, 2024 Fine $15K
Jan 8, 2024 Fine $5K
Jan 2, 2024 Fine $5K
Dec 11, 2023 Fine $14K

Frequently Asked Questions

What is the overall CMS rating for BAYSHIRE SAN DIMAS POST-ACUTE?
BAYSHIRE SAN DIMAS POST-ACUTE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at BAYSHIRE SAN DIMAS POST-ACUTE?
BAYSHIRE SAN DIMAS POST-ACUTE reports 4.36 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 50.0%.
How many beds does BAYSHIRE SAN DIMAS POST-ACUTE have?
BAYSHIRE SAN DIMAS POST-ACUTE has 45 certified beds with approximately 37 residents. The facility is located at 1740 S SAN DIMAS AVE, SAN DIMAS, CA 91773.
Does BAYSHIRE SAN DIMAS POST-ACUTE have any deficiencies on record?
Yes, BAYSHIRE SAN DIMAS POST-ACUTE has 50 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has BAYSHIRE SAN DIMAS POST-ACUTE received any fines or penalties?
Yes, BAYSHIRE SAN DIMAS POST-ACUTE has received 8 penalties totaling $85K.
Who owns BAYSHIRE SAN DIMAS POST-ACUTE?
BAYSHIRE SAN DIMAS POST-ACUTE is classified as "For profit - Corporation" ownership. The facility type is "Medicare".
When was BAYSHIRE SAN DIMAS POST-ACUTE last inspected?
The most recent health inspection for BAYSHIRE SAN DIMAS POST-ACUTE was on Feb 9, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for BAYSHIRE SAN DIMAS POST-ACUTE?
BAYSHIRE SAN DIMAS POST-ACUTE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial