★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle8
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$50,809
Beds45
Inspection findings
Inspectors recorded 50 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Mar 25, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 10, 2026 |
| Feb 21, 2025 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 7, 2025 |
| Feb 21, 2025 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 7, 2025 |
| Dec 12, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Dec 24, 2024 |
| Dec 12, 2024 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Dec 24, 2024 |
| Dec 12, 2024 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm isolated | Corrected: Dec 24, 2024 |
| Dec 12, 2024 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm isolated | Corrected: Dec 24, 2024 |
| Dec 12, 2024 | Quality of life and care | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694) | No harm, but a risk of harm isolated | Corrected: Dec 24, 2024 |
| Dec 12, 2024 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: Dec 24, 2024 |
| Dec 12, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Dec 24, 2024 |
Earlier inspections (40)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Nov 8, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 16, 2024 |
| Jan 11, 2024 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Feb 10, 2024 |
| Jan 11, 2024 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Feb 10, 2024 |
| Jan 11, 2024 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Feb 10, 2024 |
| Jan 11, 2024 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm isolated | Corrected: Feb 10, 2024 |
| Jan 11, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Feb 10, 2024 |
| Dec 21, 2023 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 11, 2024 |
| Nov 2, 2023 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 16, 2023 |
| Mar 8, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Infection control | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (F0882) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Nursing and physician services | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (F0841) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Administration | 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. (F0838) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Food and nutrition | 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. (F0809) | No harm, but a risk of harm widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm widespread | Corrected: May 19, 2023 |
| Mar 8, 2023 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Food and nutrition | 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. (F0801) | Immediate jeopardy widespread | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm pattern | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Nursing and physician services | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (F0710) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Quality of life and care | 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. (F0693) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident rights | 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. (F0625) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
| Mar 8, 2023 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated | Corrected: Apr 20, 2023 |
Fines and payment denials
Federal fines in the last three years: $50,809 (9). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jan 8, 2024 | Fine | $4,938 |
| Jan 2, 2024 | Fine | $4,587 |
| Dec 11, 2023 | Fine | $13,762 |
| Nov 20, 2023 | Fine | $4,587 |
| Nov 13, 2023 | Fine | $4,587 |
| Nov 6, 2023 | Fine | $4,587 |
| Oct 30, 2023 | Fine | $4,587 |
| Oct 23, 2023 | Fine | $4,587 |
| Oct 17, 2023 | Fine | $4,587 |
Staffing
| Nurse staff hours per resident per day | 4.70 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.88 | California median: 0.52 |
| Nurse staff hours on weekends | 4.44 | California median: 3.85 |
| Nursing staff who left within a year | 44.6% | California median: 36.0% |
About this home
| Beds | 45 |
| Residents per day, average | 40.3 |
| Ownership | For-profit, limited liability company |
| Legal business name | Skilled Hartfield LLC |
| Chain | Bayshire Senior Communities (7 homes) |
| In Medicare/Medicaid since | Oct 14, 1999 |
| Part of a continuing care retirement community | Yes |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error
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