Carlsbad, CA

Bayshire Carlsbad

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3140 El Camino Real, Carlsbad, CA

(760) 720-9898

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

40

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bayshire Senior Communities

Operator or chain grouping

Approved since

1999-10-04

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.00

Registered nurse staffing

LPN hours / resident day

1.18

Licensed practical nurse staffing

Aide hours / resident day

3.10

Nurse aide staffing

Weekend hours

4.87

Weekend nurse staffing

RN turnover

27%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.7%
11.2%
0.5 pts worse
12.0%
0.3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.7%
93.2%
6.5 pts better
79.7%
20 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.6%
23.2%
0.4 pts worse
23.9%
0.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-29 · Fire 2024-02-29

13 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2022-04-28 · Fire 2022-04-28

7 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-05

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-19

F · Potential for more than minimal harm 2025-06-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-06-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-02-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-02-06

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-02-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-12

D · Potential for more than minimal harm 2024-02-29

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-02-29

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-02-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-02-29

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-03-21

E · Potential for more than minimal harm 2022-04-28

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-05-18

E · Potential for more than minimal harm 2022-04-28

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-05-18

E · Potential for more than minimal harm 2022-04-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2022-05-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-21

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-03

D · Potential for more than minimal harm 2025-02-06

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-02-28

E · Potential for more than minimal harm 2024-02-29

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-02-29

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-03-29

D · Potential for more than minimal harm 2023-12-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-03

D · Potential for more than minimal harm 2023-04-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-08

D · Potential for more than minimal harm 2023-04-14

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-05-08

D · Potential for more than minimal harm 2023-04-14

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-05-08

D · Potential for more than minimal harm 2022-04-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-05-18

D · Potential for more than minimal harm 2022-04-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-05-18

Penalties and ownership

What sits behind the stars

Ownership

Skilled Camino LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-03-01
Bayshire LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2021-03-01
Coleman, Chad

Corporate Director · Individual

0% 2 facilities 2023-01-30
Daynes, Thomas

Operational/Managerial Control · Individual

0% 1 facilities 2023-06-01
Golden State Care Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-03-01
Kirby, Scott

5% Or Greater Indirect Ownership Interest · Individual

0% 12 facilities 2020-10-15
Kirby, Scott

Operational/Managerial Control · Individual

0% 12 facilities 2021-03-01
Kirby, Scott

Corporate Officer · Individual

0% 12 facilities 2020-10-15
Skilled Camino LLC

Operational/Managerial Control · Organization

0% 1 facilities 2021-03-01

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