All citations for Bayshire San Dimas Post-Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bayshire San Dimas Post-Acute

Last standard health inspection on record

April 9, 2026

Showing 1 to 25 of 69 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  3. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  5. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  6. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  7. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  8. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  9. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  10. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  11. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  12. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  13. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  14. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 9, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  16. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  17. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  18. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of November 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 1, 2024).

  19. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  20. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  21. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  23. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  24. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0940, Administration Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.