Bayshire Torrey Pines Post-Acute
13101 Hartfield Ave · San Diego, CA · 92130 · 8582592222
45 certified beds For profit - Limited Liability company Chain: Bayshire Senior Communities Part of a CCRC
- Staffing hours comfortably above national benchmarks.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 4.68 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 22 · $106,914 |
Inspection citations (50 in the current record)
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Potential for harm · D March 25, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D February 21, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 24, 2024 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 24, 2024 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 24, 2024 · Pharmacy Service
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Potential for harm · D December 12, 2024
Implement 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.
Corrected December 24, 2024 · Pharmacy Service
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Potential for harm · E December 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 24, 2024 · Nutrition and Dietary
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Potential for harm · D December 12, 2024
Provide and implement an infection prevention and control program.
Corrected December 24, 2024 · Infection Control
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Potential for harm · D November 8, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 10, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 11, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 10, 2024 · Quality of Life and Care
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Potential for harm · E January 11, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 10, 2024 · Nutrition and Dietary
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Potential for harm · E January 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 10, 2024 · Nutrition and Dietary
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Potential for harm · D December 21, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 2, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 16, 2023 · Quality of Life and Care
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Immediate jeopardy · L March 8, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected April 20, 2023 · Nutrition and Dietary
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Potential for harm · D March 8, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 20, 2023 · Resident Rights
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Potential for harm · D March 8, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected April 20, 2023 · Resident Rights
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Potential for harm · D March 8, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 20, 2023 · Resident Rights
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Potential for harm · D March 8, 2023
Notify 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.
Corrected April 20, 2023 · Resident Rights
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Potential for harm · D March 8, 2023
Assess the resident when there is a significant change in condition
Corrected April 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 8, 2023
Ensure each resident receives an accurate assessment.
Corrected April 20, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $13,762 |
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 30, 2023 | Fine | $4,587 |
| October 23, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $4,587 |
| October 10, 2023 | Fine | $4,587 |
| October 2, 2023 | Fine | $4,587 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
| September 11, 2023 | Fine | $4,587 |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,235 |
| August 14, 2023 | Fine | $3,882 |
| August 7, 2023 | Fine | $3,529 |
| July 17, 2023 | Fine | $8,469 |
| June 26, 2023 | Fine | $2,117 |
| June 20, 2023 | Fine | $1,764 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555746 · certified since October 14, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.