01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-12-12 | 8 | 2024-12-12 | 10 |
| Cycle 2 | 2024-01-11 | 8 | 2024-01-11 | 4 |
| Cycle 3 | 2023-03-08 | 34 | 2023-03-08 | 13 |
CMS CCN 5557462026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bayshire Torrey Pines Post-Acute
13101 Hartfield Ave · San Diego, CA 92130 · San Diego County
Certified beds45CMS provider file
Recent citation rows77current CMS citation release
Penalty rows17current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
77 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-04-10 · complaint2025-02-21 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2025-02-21 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2024-12-12 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-12-242024-12-12 · FIREK0161Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-12 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-11-08 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-12-16 · complaint2024-01-11 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-02-102024-01-11 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-02-102024-01-11 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-02-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-01-08 | Fine | $4,938 | 0 |
| 2024-01-02 | Fine | $4,587 | 0 |
| 2023-12-11 | Fine | $13,762 | 0 |
| 2023-11-20 | Fine | $4,587 | 0 |
| 2023-11-13 | Fine | $4,587 | 0 |
| 2023-11-06 | Fine | $4,587 | 0 |
| 2023-10-30 | Fine | $4,587 | 0 |
| 2023-10-23 | Fine | $4,587 | 0 |
| 2023-10-17 | Fine | $4,587 | 0 |
| 2023-10-10 | Fine | $4,587 | 0 |
| 2023-10-02 | Fine | $4,587 | 0 |
| 2023-09-25 | Fine | $4,587 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAYSHIRE CONTINUING CARE LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/03/2024
- GOLDEN STATE CARE HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/30/2023
- KIRBY, SCOTTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/30/2023
- COLEMAN, CHADIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/30/2023
- KIRBY, SCOTTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/30/2023
- SKILLED HARTFIELD LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2023
- DANENHAUER, JEREMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/29/2024
- KIRBY, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/17/2023
- SIT, ALANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2024
- BAYSHIRE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/30/2023
- CTR PARTNERSHIP LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/20/2023
- GOLDEN STATE CARE HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/17/2025
- SKILLED HARTFIELD LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/30/2023
- COLEMAN, CHADIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2023
- DANENHAUER, JEREMYIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/29/2024
- FOX, CYNTHIAIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/29/2024
- KIRBY, SCOTTIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/17/2023
- PARROTT, JASONIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.84per resident day
RN hours0.77per resident day
Weekend nurse hours4.55per resident day
Staff turnover44.4%CMS reported field
06 / LOCAL RECORDS
Open the San Diego ledger →Other published facilities nearby
Arroyo Vista Nursing Center53 beds · CMS overall 5/540 citation rowsBalboa Nursing & Rehabilitation Center194 beds · CMS overall 4/572 citation rowsBrighton Place San Diego99 beds · CMS overall 1/574 citation rowsCarmel Mountain Rehabilitation & Healthcare Center120 beds · CMS overall 3/570 citation rowsCasa De Las Campanas99 beds · CMS overall 2/568 citation rowsGolden Hill Post Acute99 beds · CMS overall 3/568 citation rowsHelen Bernardy Center D/P Snf43 beds · CMS overall 5/525 citation rowsHillcrest Heights Healthcare Center96 beds · CMS overall 5/560 citation rows