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Complaint Investigation

Bayshire Yorba Linda Post-acute

November 25, 2025 · Yorba Linda, CA · 17803 Imperial Highway
Citations 1
CMS Rating 4/5
Beds 45
Provider ID 555768
Healthcare Facility
Bayshire Yorba Linda Post-acute
Yorba Linda, CA  ·  View full profile →
Inspection Summary

BAYSHIRE YORBA LINDA POST-ACUTE in YORBA LINDA, CA — inspection on November 25, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of Resident 4's Order Listing Report showed a completed order status dated 11/18/25, to check the orthostatic blood pressure and pulse rate daily (lying, sitting and standing positions) for three days.

Review of Resident's 4 MAR for November 2025 showed the following:- dated 11/18/25, blood pressure of 116/68 mmHg and pulse rate of 81 beats per minute;- dated 11/19/25, blood pressure of 112/72 mmHg and pulse rate of 80 beats per minute; and- dated 11/20/25, blood pressure of 128/82 mmHg and pulse rate of 76 beats per minute.

Further review of Resident 4's medical record failed to show the orthostatic blood pressure were obtained on the lying, sitting, and standing positions as ordered from 11/18 to 11/20/25. On 11/25/25 at 1421 hours, an interview and concurrent medical record review was conducted with LVN 3. LVN 3 verified Resident 4 had an order to check the resident's orthostatic blood pressure (sitting, standing and lying positions) for three days from 11/18 to 11/20/25. LVN 3 also verified the MAR for November 2025 did not indicate Resident 4's blood pressure was checked in all three positions as ordered. LVN 3 further stated the failure to obtain the resident's orthostatic blood pressure as ordered could put the resident at risk for fall due to possible drop in blood pressure when changing position. On 11/25/25 at 1710 hours, an interview was conducted with the DON.

The DON was made aware and acknowledged the above findings.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in YORBA LINDA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BAYSHIRE YORBA LINDA POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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