Deficiency Index

Bayshire Rancho Mirage

Rancho Mirage, California · CCN 555775

55 surveys since 2011, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
171
Surveys
55
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file45/55

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
45
Ownership
For profit - Individual
Chain
BAYSHIRE SENIOR COMMUNITIES
County
Riverside
Medicare-certified since
2001

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 252 for-profit facilities with fewer than 66 beds in California.

Last survey on record

Nov 25, 2025

349 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.354.36
Registered-nurse hours per resident day0.41—
Annual nurse turnover42.3%36.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3083.3%E616.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 36 of the 171 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7554×

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

  • F6843×

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

  • F7613×

    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.

  • F6562×

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

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

In the surveyor’s words

From the most serious findings on record at Bayshire Rancho Mirage, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF761Apr 24, 2025

    Based on observation, interview, and record review, the facility failed to ensure proper labeling and storage of medications and devices in accordance with the facility's policies and procedures and/or manufacturer's instructions when: 1. One discontinued medication was stored in the Red Medication Cart with other active medications available for use; 2. A total of three expired medications and devices were stored in the Red Medication Cart, IV Cart (a cart used to store medications and supplies needed for intravenous medications given through a vein), Treatment Cart (a cart used to store medication and supplies needed for wounds treatment), and Medication Room; and 3. […]

  • No harm, potential for more than minimal, patternF812Apr 24, 2025

    Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices were followed in accordance with professional standards of practice when: 1. Four half (,d+[DATE]) size sheet steam drip metal pans and three eight quarts (8-qts - a unit of measurement) pitchers were stored wet; 2. One cup of undated cut fruits and one five pound (5-lb) tub low fat cottage cheese with an expiration date of [DATE], were found stored in the satellite kitchen refrigerator; and 3. […]

  • No harm, potential for more than minimal, patternF623Apr 17, 2024

    Based on interview and record review the facility failed to ensure the Notice of Discharge (a notice informing the resident of their pending discharge date , and their rights to appeal the discharge) was provided to the Long Term Care (LTC) Ombudsman, following resident being notified of their pending discharge date for 5 out of 5 residents' (Residents 1, 2, 3, 4 & 5). This failures could have resulted in Residents 1, 2, 3, 4 & 5 not to be aware of their rights to appeal the discharge and the Ombudsman to not to be able to inform the residents of their rights and options to appeal prior to the resident being discharged . Findings: On March 15, 2024, at 10:00 a.m., an unannounced visit was made to the facility to investigate a Quality-of-Care issue. 1. […]

  • No harm, potential for more than minimal, patternF842Jul 20, 2023

    Based on interview and record review, the facility failed to ensure the medical records were complete and accurately documented, when residents had a fall, for three of four residents (Residents 1, 2 and 3). This failure had the potential for the records not to fully reflect accurate status of the residents after a fall incident which could result in inappropriate interventions or treatments. Findings: On June 1, 2023, at 9:00 a.m., an unannounced visit was made to the facility to investigate a quality care issue. 1. A review of Resident 1's medical record indicated, Resident 1 was admitted to the facility on [DATE], with diagnoses which included abnormalities in gait, lack of coordination, and chronic fatigue. […]

  • No harm, potential for more than minimal, patternF725Dec 9, 2022

    Based on observation, interview, and record review, the facility failed to provide sufficient nursing staff for four out of four residents reviewed for sufficient staffing, when staff did not respond timely to the call lights of Residents 9, 186, 286, and 334. This failure increased the potential for the residents to not receive timely and necessary care and services to maintain their highest practicable physical, mental, and psychosocial well-being. Findings: On December 5, 2022, at 11:31 a.m., Resident 286 was interviewed. Resident 286 was alert and oriented. Resident 286 stated the facility was shorthanded, it did not have enough staff. Resident 286 stated it took a long time for her call lights to get answered. On December 5, 2022, at 11:34 a.m., Resident 186 was interviewed. […]

Read 23 findings in full →The most serious and the most recent: 23 of 171 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 25, 2025Complaint1 finding
  • Apr 24, 2025Standard7 findings
  • Apr 17, 2024Complaint1 finding
  • Jan 11, 2024Standard10 findings
  • Nov 8, 2023Complaint1 finding
  • Aug 9, 2023Complaint1 finding
  • Aug 3, 2023Complaint3 findings
  • Jul 20, 2023Complaint3 findings
Show the 47 earlier surveys
  • Jul 17, 2023Complaint2 findings
  • Jun 8, 2023Complaint2 findings
  • May 15, 2023Complaint1 finding
  • Dec 22, 2022Complaint1 finding
  • Dec 9, 2022Standard7 findings
  • May 5, 2022Complaint1 finding
  • Mar 15, 2022Complaint1 finding
  • Aug 12, 2020Infection control1 finding
  • May 19, 2020Complaint1 finding
  • Feb 24, 2020Complaint1 finding
  • Feb 3, 2020Complaint2 findings
  • Jul 30, 2019Complaint1 finding
  • Jul 23, 2019Complaint1 finding
  • Jun 21, 2019Complaint2 findings · 2 harm
  • Apr 25, 2019Standard15 findings
  • Mar 26, 2019Complaint1 finding
  • Jan 4, 2019Complaint1 finding
  • Dec 19, 2018Complaint1 finding
  • Dec 7, 2018Complaint1 finding
  • Dec 5, 2018Complaint1 finding
  • Dec 4, 2018Complaint2 findings
  • Nov 7, 2018Complaint2 findings
  • Nov 6, 2018Complaint1 finding
  • Aug 22, 2018Complaint2 findings
  • Aug 14, 2018Complaint1 finding
  • Aug 1, 2018Complaint1 finding
  • Apr 27, 2018Standard and complaint8 findings
  • Mar 14, 2018Complaint1 finding
  • Feb 21, 2018Complaint1 finding
  • Dec 21, 2017Complaint2 findings
  • Oct 10, 2017Complaint2 findings
  • Jun 27, 2017Complaint2 findings
  • Apr 6, 2017Standard and complaint9 findings
  • Feb 21, 2017Complaint1 finding
  • Jun 9, 2016Complaint2 findings
  • Apr 21, 2016Standard17 findings
  • Dec 15, 2015Complaint1 finding
  • Apr 9, 2015Standard8 findings
  • Apr 25, 2014Standard5 findings
  • Jan 7, 2014—2 findings
  • Oct 17, 2013—3 findings
  • Jul 16, 2013—1 finding
  • Apr 25, 2013—13 findings · 1 harm
  • Oct 11, 2012—1 finding
  • May 4, 2012—4 findings
  • Apr 26, 2012—5 findings
  • Mar 25, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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