Bayshire Torrey Pines Post-Acute, San Diego, CA: Nursing home

Overall5★★★★★

Inspections4★★★★☆

Staffing3★★★☆☆

Quality5★★★★★

Federal fines$50,8099 fines

Inspection citations

34’23

13’24

2’25

1’26

Year

50 shown

Date	Severity	What inspectors found	Visit
Mar 25, 2026	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Feb 21, 2025	D · potential	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	Complaint
Feb 21, 2025	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Dec 12, 2024	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
Dec 12, 2024	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Routine
Dec 12, 2024	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Routine
Dec 12, 2024	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Dec 12, 2024	D · potential	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.	Routine
Dec 12, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Dec 12, 2024	D · potential	Provide and implement an infection prevention and control program.	Routine
Nov 8, 2024	D · potential	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	Complaint
Jan 11, 2024	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Jan 11, 2024	D · potential	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	Routine
Jan 11, 2024	D · potential	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	Routine
Jan 11, 2024	E · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Jan 11, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Dec 21, 2023	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Complaint
Nov 2, 2023	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Complaint
Mar 8, 2023	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Mar 8, 2023	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Mar 8, 2023	D · potential	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Routine
Mar 8, 2023	D · potential	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.	Routine
Mar 8, 2023	D · potential	Assess the resident when there is a significant change in condition	Routine
Mar 8, 2023	D · potential	Ensure each resident receives an accurate assessment.	Routine
Mar 8, 2023	D · potential	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	Routine
Mar 8, 2023	D · potential	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	Routine
Mar 8, 2023	D · potential	Provide care and assistance to perform activities of daily living for any resident who is unable.	Routine
Mar 8, 2023	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Mar 8, 2023	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Mar 8, 2023	D · potential	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	Routine
Mar 8, 2023	D · potential	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.	Routine
Mar 8, 2023	D · potential	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.	Routine
Mar 8, 2023	E · potential	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.	Routine
Mar 8, 2023	E · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Mar 8, 2023	D · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Routine
Mar 8, 2023	E · potential	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.	Routine
Mar 8, 2023	D · potential	Ensure 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.	Routine
Mar 8, 2023	L · harm	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.	Routine
Mar 8, 2023	F · potential	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	Routine
Mar 8, 2023	F · potential	Ensure 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.	Routine
Mar 8, 2023	F · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Mar 8, 2023	F · potential	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	Routine
Mar 8, 2023	F · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Mar 8, 2023	F · potential	Dispose of garbage and refuse properly.	Routine
Mar 8, 2023	E · potential	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	Routine
Mar 8, 2023	E · potential	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.	Routine
Mar 8, 2023	E · potential	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Routine
Mar 8, 2023	E · potential	Provide and implement an infection prevention and control program.	Routine
Mar 8, 2023	E · potential	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	Routine
Mar 8, 2023	F · potential	Keep all essential equipment working safely.	Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Bayshire Torrey Pines Post-Acute
13101 Hartfield Ave, San Diego, CA 92130 · (858) 259-2222

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 555746
Certified beds: 45
Legal owner: Skilled Hartfield LLC
Part of: Bayshire Senior Communities

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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