Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bayside Care Center during CMS and state inspections, most recent first.
Dry food storage room temperatures were repeatedly above the facility’s required range, with the room reading 75 F during observation and records showing frequent out-of-range readings over several months. In addition, a dietary aide handled clean dishes and trays with bare hands after wiping carts with a sanitizing cloth and did not perform hand hygiene before transferring the clean items, which was observed and acknowledged by the ADS and RDT.
A facility failed to ensure an opened tube of clotrimazole 1% was properly labeled in the med room. During observation and interview, the ADON could not tell whether the tube had been used because there was no label, and acknowledged it might be contaminated and should have been discarded. The facility policy required drugs and biologicals to be labeled according to accepted professional standards, including expiration information when applicable.
A resident with significant cognitive impairment and a history of confusion and impulsivity was allowed to leave the facility AMA without an accurate assessment of her decision-making capacity. Despite documentation showing she was not capable of making her own decisions, staff treated her departure as AMA, and the facility refused to readmit her after she was cleared by the ED physician. This led to an extended hospital stay and transfer to a distant facility, limiting her advocate's ability to provide support.
A resident was given Ativan more frequently than ordered and received an IM dose without first attempting the oral route, contrary to physician instructions. Additionally, when the medication was ineffective, the physician was not notified. The DON confirmed that these actions did not follow the prescribed orders or expected nursing practice.
The facility failed to ensure food safety standards were met, with staff not wearing facial hair coverings during food preparation and an ice machine containing a brownish pink substance. Additionally, the ice machine lacked an air gap, risking contamination. These deficiencies were confirmed by staff and observed during inspections.
A facility failed to provide language assistance services for a resident whose primary language is Farsi, potentially violating their right to be fully informed. The resident's MDS indicated Farsi as their primary language, and interviews with staff confirmed the absence of language assistance services. The care plan noted the resident was sometimes understood, with Farsi as their primary language. The facility lacked a policy for communicating with residents with limited English proficiency.
The facility failed to ensure that two residents had their call lights within reach, potentially delaying assistance and affecting their needs. Observations revealed one resident's call light on the floor and another's over the nightstand, both out of reach. A CNA confirmed the call lights should be accessible, and the DON agreed, referencing facility policy.
Expired Engerix-B Hepatitis B Vaccine vials were found in the medication storage room refrigerator, with an expiration date of 8/24/24. A Licensed Nurse acknowledged the expiration and stated the vials should be discarded. The Director of Nursing confirmed the expiration and the need for disposal, aligning with the facility's policy on medication disposal.
The facility failed to prepare pureed food in a way that conserved its nutritive value and flavor, affecting eight residents on a pureed diet. Observations revealed that excessive water and thickener were used, diluting the flavor and resulting in unpalatable food. The Dietary Manager and Registered Dietitian acknowledged the lack of flavor and improper consistency checks, potentially compromising residents' nutrition.
The facility failed to accommodate meal preferences for three residents, as observed during a lunch service. A resident received an incorrect utensil, another was missing a requested peanut butter packet, and a third received fewer salt packets than requested. A Dietary Aide confirmed these errors, and the RD emphasized the importance of following meal tickets accurately.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with an indwelling medical device. During a tour, it was observed that there was no PPE or EBP sign outside the resident's room. A nurse confirmed the resident's EBP order and the absence of the required sign, which is against the facility's policy that mandates signs and PPE availability for residents with such medical conditions.
Dry Storage Temperature Control and Hand Hygiene Lapses in Dietary Services
Penalty
Summary
The facility failed to ensure that the dry food storage room had proper ventilation and temperature control. During observation and interview, the dietary supervisor acknowledged that the room felt warm and the installed thermometer read 75 F, which was above the facility’s stated range of 50 F to 70 F. On follow-up observation, the temperature remained at 75 F, and the dietary supervisor stated the issue had been referred to maintenance. Review of the facility’s temperature monitoring records for September, October, and November 2025 showed repeated out-of-range readings over 70 F on many days in both the morning and evening. The facility also failed to ensure kitchen staff consistently followed proper hand hygiene and sanitary practices when handling clean dishes and trays. During observation of the low-temperature dish machine operation, one dietary aide loaded dirty dishes and trays while another unloaded cleaned items. The dietary aide wiping down the dish and tray carts used bare hands and then transferred clean dishes and trays onto the cart without performing hand hygiene. The assistant dietary supervisor and registered dietitian-in-training observed this and acknowledged that hand hygiene should have been performed before handling the clean dishes and trays.
Unlabeled Opened Topical Medication Stored in Medication Room
Penalty
Summary
The facility failed to ensure a potentially contaminated tube of clotrimazole 1% was not stored in the medication room. During a concurrent observation and interview on 12/3/2025 at 3:07 p.m. with the ADON, a tube of clotrimazole 1% in the medication room was observed to be opened, and the ADON was unable to determine whether the tube had been used because it was not labeled. The ADON acknowledged that the medication might be contaminated and stated it should have been disposed of. Review of the facility policy titled, Label/Store Drugs & Biologicals, indicated that drugs and biologicals used in the facility are to be labeled in accordance with currently accepted professional standards, including appropriate accessory and cautionary instructions as well as the expiration date when applicable.
Failure to Ensure Safe and Proper Discharge for Cognitively Impaired Resident
Penalty
Summary
The facility failed to ensure a fair and proper discharge for a resident with significant cognitive impairments, including a history of stroke, encephalopathy, traumatic brain injury, and ongoing confusion and impulsivity. Documentation throughout the resident's stay indicated she was not capable of making her own decisions, required constant supervision, and was at risk for elopement. Despite these findings, when the resident attempted to leave the facility, staff treated the situation as an 'Against Medical Advice' (AMA) discharge without conducting an accurate assessment of her mental capacity to understand the implications of leaving AMA. The resident left the facility accompanied by staff, with police and EMS involvement after she was found walking on a highway. Upon arrival at the emergency department, the ED physician determined the resident was delusional and recommended her return to the facility, with agreement from the resident and her advocate. However, the facility refused to accept her back, citing her AMA status and erratic behavior, despite the ED physician and facility physician both expressing doubts about her capacity to make an AMA decision. The facility did not reassess the resident's condition or needs after she was cleared by the ED physician, and no documentation was provided to support that the facility could not meet her needs. As a result of the facility's actions, the resident experienced an extended hospital stay and was ultimately transferred to another facility located more than two hours away, limiting her advocate's ability to provide support. Interviews with staff and the resident's advocate confirmed that the resident was confused and unable to make informed decisions at the time of her departure. The facility's own policies and facility assessment indicated they were equipped to manage residents with cognitive and behavioral challenges, but these were not followed in this case.
Failure to Administer Ativan as Ordered and Notify Physician of Ineffectiveness
Penalty
Summary
The facility failed to ensure that Ativan (lorazepam) was administered to one resident according to physician orders and professional standards. Specifically, the resident received two doses of Ativan 0.5 mg tablets by mouth only two hours and eight minutes apart, despite the order specifying administration every six hours as needed. There was no documentation that the physician was notified of this medication error. Additionally, the resident was given an intramuscular (IM) dose of Ativan without first attempting the oral (po) dose as required by the physician's order, and again, there was no evidence that the physician was informed of this deviation from the prescribed protocol. Further review revealed that when the resident received an oral dose of Ativan and it was documented as having "No Effect" after one hour, there was no record that the physician was notified of the medication's lack of effectiveness. The Director of Nursing confirmed during interviews and record reviews that these actions did not align with the physician's orders or expected nursing practice, and that appropriate notifications to the physician were not made in these instances.
Food Safety and Ice Machine Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by multiple observations of staff not wearing facial hair coverings during food preparation. On several occasions, Diet Aids and a Cook were seen preparing and serving food with facial hair exposed, contrary to the facility's policy requiring hair restraints to prevent contamination. The Registered Dietitian confirmed the expectation for all facial hair to be covered in the kitchen, aligning with the facility's policy on employee sanitary practices. Additionally, an ice machine in the central supply room was found to have a brownish pink substance on the sensor of the metal grate where ice is formed. This was confirmed by the Maintenance Supervisor and Worker, who acknowledged the presence of the substance. Furthermore, the same ice machine lacked an air gap, a critical component to prevent backflow and potential contamination, as outlined in the FDA Food Code. The absence of an air gap was confirmed by the Maintenance Supervisor during the inspection.
Lack of Language Assistance Services for Farsi-Speaking Resident
Penalty
Summary
The facility failed to provide language assistance services for a resident whose primary language is Farsi, potentially violating the resident's right to be fully informed in a language they understand. The resident's admission Minimum Data Set (MDS) indicated Farsi as their primary language. During interviews, both a Licensed Nurse and the Director of Nursing acknowledged the resident's primary language and confirmed the absence of language assistance services. The resident's care plan noted that they were sometimes understood in their ability to express ideas and wants, with Farsi as their primary language. The facility was unable to provide a policy and procedure for communicating with residents with limited English proficiency.
Call Light Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that two residents had their call lights within reach, which could potentially result in delayed assistance and affect their psychosocial and personal hygiene needs. During observations, one resident's call light was found on the floor and not within reach, while another resident's call light was placed over the nightstand and remained out of reach during multiple observations. A Certified Nursing Assistant confirmed that call lights should be within residents' reach and not on the floor or dangling from the bed. The Director of Nursing reviewed the facility's policy, which indicated that the call system should be readily accessible to residents at all times, and agreed that the call lights should not be out of reach.
Expired Medications Found in Storage
Penalty
Summary
The facility failed to ensure that expired medications were not stored and available for use, which had the potential for unsafe and ineffective medication administration to residents. During an observation and interview with a Licensed Nurse (LN1), it was found that a box containing five vials of Engerix-B(R) Hepatitis B Vaccine, with an expiration date of 8/24/24, was stored in the medication storage room refrigerator at the B-Hall Nurse Station 1. LN1 acknowledged the expiration date and stated that the vials should be discarded. The Director of Nursing (DON) confirmed that the vials were expired and should be discarded. A review of the facility's undated policy and procedure titled 'Disposal of Medications' indicated that outdated, contaminated, or deteriorated medications, and the contents of containers with no label, should be destroyed.
Deficiency in Pureed Food Preparation
Penalty
Summary
The facility failed to ensure that pureed food was prepared in a manner that conserved its nutritive value, flavor, and palatability. During an observation, a cook was seen preparing pureed chicken and orzo by adding excessive amounts of water and thickener, which diluted the flavor. The cook did not measure the thickener and did not perform the recommended Fork Drip Test or Spoon Tilt Test to confirm the texture met the required IDDSI Level 4 specifications. The Dietary Manager acknowledged that the pureed diet lacked flavor compared to the regular diet and noted that the pureed spinach was gelatin-like and very thick. The Registered Dietitian confirmed that using too much water and thickener could dilute the food's flavor and that pureed foods should be seasoned similarly to regular foods. The RD also stated that the staff did not perform the necessary tests to ensure the correct consistency of pureed foods. This deficiency affected eight residents on a pureed diet, potentially compromising their nutrition and medical status due to decreased food intake.
Failure to Accommodate Resident Meal Preferences
Penalty
Summary
The facility failed to ensure that resident meal preferences were accommodated, as observed during a lunch meal service. For Resident 18, the meal tray ticket indicated that no soup spoons should be included, yet both a soup spoon and a regular tablespoon were present on the tray. This discrepancy was noted by a Dietary Aide (DA3) who removed the soup spoon upon realization. Additionally, Resident 63's meal tray was missing a requested peanut butter packet, and Resident 27's tray contained only one packet of salt instead of the three requested. During interviews, DA3 confirmed the omissions and errors on the meal trays, acknowledging the missing peanut butter and the insufficient number of salt packets. The Registered Dietitian (RD) later stated that she expects kitchen staff to accurately follow the meal tickets to ensure resident preferences are met. These observations and interviews highlight the facility's failure to adhere to resident meal preferences as documented on meal tickets, potentially impacting resident satisfaction and care.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement transmission-based precautions for one of the sampled residents, Resident 446, as per their Policy and Procedure (P&P) titled Enhanced Barrier Precautions (EBP). During a facility tour, it was observed that there was no Personal Protective Equipment (PPE) outside of Resident 446's room, nor was there a sign indicating EBP on the wall or door. A concurrent interview and record review with a Licensed Nurse (LN4) confirmed that Resident 446 had an order for EBP due to an indwelling medical device, and acknowledged the absence of the required EBP sign. The facility's P&P, dated August 2022, specifies that EBPs are necessary for residents with wounds and/or indwelling medical devices, and that signs should be posted to indicate the type of precautions and PPE required, with PPE available outside resident rooms.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Morro Bay
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| San Luis Transitional Care | 11.4 mi | ★★★★★ | 0 | 0 |
| Coastal Oaks Special Care Center | 12 mi | ★★★★★ | 0 | 0 |
| San Luis Post Acute Center | 12.2 mi | ★★★★★ | 1 | 0 |
| Mission View Health Center | 12.3 mi | ★★★★★ | 6 | 0 |
| Vineyard Hills Health Center | 14.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.