| Bayshire Rancho Mirage | |
| 72-201 Country Club Drive, Rancho Mirage, California 92270 | |
| (760) 340-5999 | |
| Name | Bayshire Rancho Mirage |
|---|---|
| Location | 72-201 Country Club Drive, Rancho Mirage, California |
| Certified By | Medicare |
| No. of Certified Beds | 45 |
| Occupancy Rate | 94.44% |
| Medicare ID (CCN) | 555775 |
| Legal Business Name | Skilled Mirage LLC |
| Ownership Type | For Profit - Individual |
| Chain | Bayshire Senior Communities (7 nursing homes) |
| Chain Average Overall Rating | 3.7 out of 5 |
| NPI Number | 1710582101 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Skilled Mirage LLC |
| Address | 72201 Country Club Dr, Rancho Mirage, CA 92270 |
| Phone Number | 760-340-5999 |
| NPI Number | 1063827541 |
| Match | Possible same name, address or phone number |
| Organization Name | S-h Opco Rancho Mirage, LLC |
| Doing Business As | Brookdale Rancho Mirage |
| Address | 72201 Country Club Dr, Rancho Mirage, CA 92270 |
| Phone Number | 760-340-5999 |
| NPI Number | 1871902783 |
| Match | Possible same name, address or phone number |
| Organization Name | S-h Opco Rancho Mirage, LLC |
| Doing Business As | Emeritus at Rancho Mirage |
| Address | 72201 Country Club Dr, Rancho Mirage, CA 92270 |
| Phone Number | 760-340-5999 |
| NPI Number | 1932417227 |
| Match | Possible same name, address or phone number |
| Organization Name | Emericare Inc |
| Doing Business As | Emeritus at Rancho Mirage |
| Address | 72201 Country Club Dr, Rancho Mirage, CA 92270 |
| Phone Number | 760-340-5999 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.35 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.41 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.69 | 0.86 |
| Nurse aide hours per resident per day | 2.24 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.12 | 3.42 |
| RN hours per resident per day on the weekend | 0.48 | 0.48 |
| Physical therapist hours per resident per day | 0.14 | 0.07 |
| Total nursing staff turnover | 42.3% | 45.8% |
| Registered nurse turnover | 16.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 25, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 15, 2025 |
| Apr 24, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 18, 2025 |
| Apr 24, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 18, 2025 |
| Apr 24, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2025 |
| Apr 24, 2025 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2025 |
| Apr 24, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2025 |
| Apr 24, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2025 |
| Apr 24, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2025 |
| Apr 17, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Apr 25, 2024 |
| Jan 11, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Jan 11, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Feb 16, 2024 |
| Nov 8, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Aug 9, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Sep 9, 2023 |
| Aug 3, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 7, 2023 |
| Aug 3, 2023 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 7, 2023 |
| Aug 3, 2023 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Sep 7, 2023 |
| Dec 9, 2022 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jan 22, 2023 |
| Dec 9, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 22, 2023 |
| Dec 9, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 22, 2023 |
| Dec 9, 2022 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 22, 2023 |
| Dec 9, 2022 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 22, 2023 |
| Dec 9, 2022 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 22, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Not Available | 13.87 |
| Percentage of long-stay residents who lose too much weight | Not Available | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Not Available | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | Not Available | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | Not Available | 12.8 |
| Percentage of long-stay residents who were physically restrained | Not Available | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | Not Available | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Not Available | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.93 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.42 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Not Available | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.73 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | Not Available | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Not Available | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | Not Available | 15.38 |
Rancho Mirage Health and Rehabilitation Center Location: 39950 Vista Del Sol, Rancho Mirage, California 92270 Phone: (760) 340-0053 |