6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Carlsbad, CA
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
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
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
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
| 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
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (6 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-19
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
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-12
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-12
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-03-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-03-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-21
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-03-21
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-05-18
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-05-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-18
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-05-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-05-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-18
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-05-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-05-18
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-05-18
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-05-18
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-05-18
Inspection history
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-03
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-02-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-28
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
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
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-03-29
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
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-29
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-03-29
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-03-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-29
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
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
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-29
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
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
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-08
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
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
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
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
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-05-18
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
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