CCRC

Overview

Address
13101 HARTFIELD AVE, SAN DIEGO, CA 92130
Phone
8582592222
Certified beds
45
Avg daily residents
37 (83% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare
Medicare/Medicaid since
1999-10-14
Setting
Urban
4 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures Data not available.
Short-Stay Quality Measures 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
5.05 5.51 3.54 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.78 0.96 0.55 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.58 1.22 1.11
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.70 3.32 1.89
Licensed (RN + LPN)
Combined licensed nurse coverage.
2.36
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.53

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.77
hrs / resident / day
RN (weekend)
0.76
hrs / resident / day
Total nurse (adjusted, weekend)
3.34
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.1%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.95
higher acuity than avg
Case-Mix Index Ratio
1.42
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-12 7 7 0 32 1 32
Cycle 2/3 (prior) 2024-01-11 10 5 5 48 1 48
Total weighted health score
36.0
lower is better

Deficiencies (49)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

48 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-02-21 2025-03-07
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-02-21 2025-03-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-12-12 2024-12-24
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-12-12 2024-12-24
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2024-12-12 2024-12-24
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-12-12 2024-12-24
0758 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. D 2024-12-12 2024-12-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-12-12 2024-12-24
0880 Provide and implement an infection prevention and control program. D 2024-12-12 2024-12-24
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-11-08 2024-12-16
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-01-11 2024-02-10
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2024-01-11 2024-02-10
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-01-11 2024-02-10
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-01-11 2024-02-10
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-01-11 2024-02-10
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-12-21 2024-01-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-11-02 2023-11-16
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-03-08 2023-04-20
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-03-08 2023-04-20
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-03-08 2023-04-20
0625 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. D 2023-03-08 2023-04-20
0637 Assess the resident when there is a significant change in condition D 2023-03-08 2023-04-20
0641 Ensure each resident receives an accurate assessment. D 2023-03-08 2023-04-20
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-03-08 2023-04-20
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-03-08 2023-04-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-03-08 2023-04-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-03-08 2023-04-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-03-08 2023-04-20
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-03-08 2023-04-20
0693 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. D 2023-03-08 2023-04-20
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. D 2023-03-08 2023-04-20
0726 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. E 2023-03-08 2023-04-20
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-03-08 2023-04-20
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-03-08 2023-04-20
0758 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. E 2023-03-08 2023-04-20
0761 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. D 2023-03-08 2023-04-20
0801 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. L 2023-03-08 2023-04-20
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F 2023-03-08 2023-04-20
0803 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. F 2023-03-08 2023-04-20
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2023-03-08 2023-05-19
0809 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. F 2023-03-08 2023-04-20
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-03-08 2023-04-20
0814 Dispose of garbage and refuse properly. F 2023-03-08 2023-04-20
0838 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. E 2023-03-08 2023-04-20
0841 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. E 2023-03-08 2023-04-20
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2023-03-08 2023-04-20
0880 Provide and implement an infection prevention and control program. E 2023-03-08 2023-04-20
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. E 2023-03-08 2023-04-20
0908 Keep all essential equipment working safely. F 2023-03-08 2023-04-20

Penalties (23)

Fines issued
23
last 3 years
Total fines
$110,088
Date Type Fine amount
2023-06-20 Fine $1,764
2023-06-26 Fine $2,117
2023-05-30 Fine $3,174
2023-08-07 Fine $3,529
2023-08-14 Fine $3,882
2023-08-21 Fine $4,235
2024-01-02 Fine $4,587
2023-11-20 Fine $4,587
2023-11-13 Fine $4,587
2023-11-06 Fine $4,587
2023-10-30 Fine $4,587
2023-10-23 Fine $4,587
2023-10-17 Fine $4,587
2023-10-10 Fine $4,587
2023-10-02 Fine $4,587
2023-09-25 Fine $4,587
2023-09-18 Fine $4,587
2023-09-11 Fine $4,587
2023-09-05 Fine $4,587
2023-08-28 Fine $4,587
2024-01-08 Fine $4,938
2023-07-17 Fine $8,469
2023-12-11 Fine $13,762

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Operating performance

Operating Margin
-6.2%
Total Margin
-2.8%
Occupancy Rate
87.7%
Cost per Resident Day
$142

Revenue & costs

Net Patient Revenue
$4.6M
Total Costs
$1.0M
Net Income
-$132K

Balance sheet

Total Assets
$846K
Total Liabilities
$978K
Fund Balance
-$132K
Current Ratio
1.11

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: BAYSHIRE SENIOR COMMUNITIES

Chain ID
682
Facilities in chain
12
Legal business name
SKILLED HARTFIELD LLC
Chain-average star ratings (for peer context)
Overall
3.1
Health
2.7
Staffing
2.2
QM
4.4

Owner / manager organizations (1)

Organization Role Association
SKILLED HARTFIELD LLC OPERATIONAL/MANAGERIAL CONTROL since 06/30/2023

Owner / manager individuals (3)

Name Role Association
DANENHAUER, JEREMY OPERATIONAL/MANAGERIAL CONTROL since 07/29/2024
KIRBY, SCOTT OPERATIONAL/MANAGERIAL CONTROL since 11/17/2023
SIT, ALAN OPERATIONAL/MANAGERIAL CONTROL since 05/01/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $142 metrics.cost_per_resident_day
Cost Report Current Ratio 1.11 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicare Day Share (%) 40.1% metrics.medicare_day_share
Cost Report Net Income ($) $-131,749 metrics.net_income
Cost Report Net Patient Revenue ($) $4,557,807 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 87.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -6.2% metrics.operating_margin
Cost Report Total Assets ($) $846,247 metrics.total_assets
Cost Report Total Costs ($) $1,028,704 metrics.total_costs
Cost Report Total Fund Balances ($) $-131,749 metrics.fund_balance
Cost Report Total Liabilities ($) $977,996 metrics.total_liabilities
Cost Report Total Margin (%) -2.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.10521 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.89028 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.54593 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.54143 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.34299 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 37.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.22265 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.32288 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.96371 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 5.50924 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.85582 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.4 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.2 Chain Average Staffing Rating
Provider Information Chain ID 682 Chain ID
Provider Information Chain Name BAYSHIRE SENIOR COMMUNITIES Chain Name
Provider Information City/Town SAN DIEGO City/Town
Provider Information CMS Certification Number (CCN) 555746 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish San Diego County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1999-10-14 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 32.9561 Latitude
Provider Information Legal Business Name SKILLED HARTFIELD LLC Legal Business Name
Provider Information Location 13101 HARTFIELD AVE,SAN DIEGO,CA,92130 Location
Provider Information Long-Stay QM Rating Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 2 Long-Stay QM Rating Footnote
Provider Information Longitude -117.23 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 45 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 12 Number of Facilities in Chain
Provider Information Number of Fines 23 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.95168 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.41667 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 13101 HARTFIELD AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BAYSHIRE TORREY PINES POST-ACUTE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 470 Provider SSA County Code
Provider Information Provider Type Medicare Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 32 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-12 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 32 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 48 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 5 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 48 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 10 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.75899 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 42.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.35606 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.57705 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.69729 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.53328 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.77901 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 5.05334 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 8582592222 Telephone Number
Provider Information Total Amount of Fines in Dollars 110088.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.77019 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 23 Total Number of Penalties
Provider Information Total nursing staff turnover 45.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 36.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 92130 ZIP Code