SANTA FE POST-ACUTE
50 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2023-09-21 — IMMEDIATE JEOPARDY (tag F0741, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
2023-09-21 — ACTUAL HARM (tag F0838, severity G)
Administration Deficiencies · correction not recorded in CMS data
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.
2023-09-21 — ACTUAL HARM (tag F0740, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Staffing, from payroll records
Nursing hours / resident / day
3.60
state median 3.94
Weekend staffing gap
−1%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.23
registered nurses only
Contract (agency) staff
28%
share of all nursing hours
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $64,269 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-04 | Fine | $64,269 |
| 2025-09-04 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the BAYSHIRE SENIOR COMMUNITIES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- EL CENTRO POST-ACUTE CARE (EL CENTRO, CA) —
- BAYSHIRE SAN DIMAS POST-ACUTE (SAN DIMAS, CA) —
- BAYSHIRE CARLSBAD (CARLSBAD, CA) —
- BAYSHIRE TORREY PINES POST-ACUTE (SAN DIEGO, CA) —
- BAYSHIRE YORBA LINDA POST-ACUTE (YORBA LINDA, CA) —
- BAYSHIRE RANCHO MIRAGE (RANCHO MIRAGE, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-23 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-04 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-04 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-04 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-19 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-02 | F0567 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-02 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-02 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-05-02 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-02 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-02-06 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-31 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-21 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-21 | F0740 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-09-21 | F0741 | Quality of Life and Care Deficiencies | K | not recorded |
| 2023-09-21 | F0838 | Administration Deficiencies | G | not recorded |
| 2023-09-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-14 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-07-14 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-07-14 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-07-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-07-14 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-07-14 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-07-14 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-07-14 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-07-14 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-07-14 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-07-14 | F0802 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-07-14 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-07-14 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-07-14 | F0813 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-07-14 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-07-14 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2022-07-14 | F0914 | Environmental Deficiencies | D | not recorded |
| 2019-02-07 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2019-02-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-02-07 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-02-07 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-02-07 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-02-07 | F0801 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2019-02-07 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-02-07 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2019-02-07 | F0813 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-02-07 | F0838 | Administration Deficiencies | E | not recorded |
| 2019-02-07 | F0908 | Environmental Deficiencies | E | not recorded |
| 2019-02-07 | F0925 | Environmental Deficiencies | D | not recorded |