SNF

BAYSHIRE RANCHO MIRAGE

CCN: 555775 · RANCHO MIRAGE, CA 92270 · Riverside County

Overview

Address
72-201 COUNTRY CLUB DRIVE, RANCHO MIRAGE, CA 92270
Phone
7603405999
Certified beds
45
Avg daily residents
40 (88% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare
Medicare/Medicaid since
2001-07-19
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.
★★★★★ 2/5
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
 4.61 5.43 3.28 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.46 0.95 0.32 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.74 1.21 1.24 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.41 3.28 1.72 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.20 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.13 — — —

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)
4.18
hrs / resident / day
RN (weekend)
0.55
hrs / resident / day
Total nurse (adjusted, weekend)
2.97
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
41.4%
annual
RN turnover
28.6%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.92
higher acuity than avg
Case-Mix Index Ratio
1.40
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) 2025-04-24 8 7 1 40 1 40
Cycle 2/3 (prior) 2024-01-11 24 10 14 104 1 104
Total weighted health score
56.0
lower is better

Deficiencies (39)

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).

39 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-11-25 2025-12-15
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-04-24 2025-05-18
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 2025-04-24 2025-05-18
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-04-24 2025-05-18
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-04-24 2025-05-18
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. E 2025-04-24 2025-05-18
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. D 2025-04-24 2025-05-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-04-24 2025-05-18
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2024-04-17 2024-04-25
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-01-11 2024-02-16
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-01-11 2024-02-16
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-11 2024-02-16
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-01-11 2024-02-16
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-01-11 2024-02-16
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-01-11 2024-02-16
0759 Ensure medication error rates are not 5 percent or greater. D 2024-01-11 2024-02-16
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 2024-01-11 2024-02-16
0880 Provide and implement an infection prevention and control program. D 2024-01-11 2024-02-16
0908 Keep all essential equipment working safely. D 2024-01-11 2024-02-16
0610 Respond appropriately to all alleged violations. D 2023-11-08 2023-12-08
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-08-09 2023-09-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-08-03 2023-09-07
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-08-03 2023-09-07
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2023-08-03 2023-09-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-07-20 2023-08-18
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2023-07-20 2023-08-18
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2023-07-20 2023-08-18
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2023-07-17 2023-08-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-07-17 2023-08-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-06-08 2023-07-08
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-06-08 2023-07-08
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-05-15 2023-06-14
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-12-09 2023-01-22
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2022-12-09 2023-01-22
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2022-12-09 2023-01-22
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 2022-12-09 2023-01-22
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 2022-12-09 2023-01-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-12-09 2023-01-22
0880 Provide and implement an infection prevention and control program. D 2022-12-09 2023-01-22

Penalties (5)

Fines issued
4
last 3 years
Total fines
$15,524
Payment denials
1
Date Type Fine amount
2023-08-07 Fine $2,823
2023-05-30 Fine $3,174
2023-08-14 Fine $3,176
2023-07-17 Fine $6,351
2023-05-15 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 61.8% Medicaid 1.5% Other 36.7%

Operating performance

Operating Margin
36.5%
Total Margin
36.4%
Occupancy Rate
89.8%
Cost per Resident Day
$168

Revenue & costs

Net Patient Revenue
$10.6M
Total Costs
$2.5M
Net Income
$3.9M

Balance sheet

Total Assets
$11.6M
Total Liabilities
$9.2M
Fund Balance
$2.4M
Current Ratio
0.15

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 MIRAGE 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 MIRAGE LLC OPERATIONAL/MANAGERIAL CONTROL since 03/01/2021

Owner / manager individuals (2)

Name Role Association
KIRBY, SCOTT OPERATIONAL/MANAGERIAL CONTROL since 03/01/2021
STEWART, JAMES OPERATIONAL/MANAGERIAL CONTROL since 11/27/2023

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

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $168 metrics.cost_per_resident_day
Cost Report Current Ratio 0.15 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 1.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 61.8% metrics.medicare_day_share
Cost Report Net Income ($) $3,859,000 metrics.net_income
Cost Report Net Patient Revenue ($) $10,622,376 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 89.8% metrics.occupancy_rate
Cost Report Operating Margin (%) 36.5% metrics.operating_margin
Cost Report Total Assets ($) $11,636,721 metrics.total_assets
Cost Report Total Costs ($) $2,470,536 metrics.total_costs
Cost Report Total Fund Balances ($) $2,436,608 metrics.fund_balance
Cost Report Total Liabilities ($) $9,200,113 metrics.total_liabilities
Cost Report Total Margin (%) 36.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.24015 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.71655 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.32465 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.28135 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.97220 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 39.5 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 1.20504 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.27502 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.94983 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 5.42989 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.78588 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 RANCHO MIRAGE City/Town
Provider Information CMS Certification Number (CCN) 555775 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Riverside County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2001-07-19 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 33.7577 Latitude
Provider Information Legal Business Name SKILLED MIRAGE LLC Legal Business Name
Provider Information Location 72-201 COUNTRY CLUB DRIVE,RANCHO MIRAGE,CA,92270 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 -116.44 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 4 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.92357 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.39627 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 - Individual 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 72-201 COUNTRY CLUB DRIVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BAYSHIRE RANCHO MIRAGE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 430 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 40 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 1 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 2025-04-24 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 40 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 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 104 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 14 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 104 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 24 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.54520 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 28.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.20070 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.74411 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.41410 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.13214 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.45658 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 4.61479 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 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 7603405999 Telephone Number
Provider Information Total Amount of Fines in Dollars 15524.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.18002 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 41.4 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 56.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 92270 ZIP Code