Bayshire San Dimas Post-Acute - 3-Star Rehab Facility in San Dimas, CA | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use Not reportedFalls causing major injury 0%Pressure ulcers (high-risk) Not reportedAdmissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Aug 2025 (236 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 39 min · US avg: 41 min
Total Nurse / Resident / Day
4h 22m
State avg: 4h 31m · US avg: 3h 53m
13 min
State avg: 5 min · US avg: 4 min
50 per 100
State avg: 38 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
67%≈ avg
US avg: 64%
Federal Penalties
72 penalties · $765,747 total
| Date | Type | Fine | Denial Days |
|---|
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 11/6/2024 | Fine | $12,048 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/20/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 2/12/2024 | Fine | $4,938 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/29/2024 | Fine | $25,058 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/22/2024 | Fine | $14,814 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/8/2024 | Fine | $4,938 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 1/2/2024 | Fine | $4,587 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 12/11/2023 | Fine | $13,762 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
| 2/6/2023 | Fine | $56,232 | - |
Inspection Citations
Survey: August 29, 2025(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: February 9, 2025(39 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
22.0 per 100
State avg: 23.2 · US avg: 23.9
2.8 per 100
State avg: 11.2 · US avg: 12.0
0.0 per 100
State avg: 1.6 · US avg: 3.3
N/A
State avg: 4.7 · US avg: 5.1
0.4 per 100
State avg: 1.5 · US avg: 1.6
99.5 per 100
State avg: 93.2 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
13/100
Incentive Payment
-1.89% penalty
Healthcare-Assoc. Infections
8.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
26.7 days
Avg Payment / Stay
$16,733.69
Patient Complexity
3.44 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Survey: November 6, 2024(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
Survey: July 18, 2024(12 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: June 26, 2024(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
+ 8 more survey(s) not shown in snapshot