Bayshire Rancho Mirage

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide adequate meals to residents in care Residents are not provided sufficient activities Staff did not update resident's care plan Staff did not provide timely assistance to resident in care

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegations. LPA met with Michael Maeda, Resident Service Director and informed them of the purpose of the visit. The Department’s investigation involved interviews with staff and residents and review of records. On February 4, 2025, Community Care Licensing (The Department) received a complaint report with the following allegations. It was alleged that staff did not provide adequate meals to residents in care. Information received indicated that quality of facility food served has gone down with the current food service manager. LPA conducted interviews with nine (9) residents. Five (5) residents interviewed stated that the food service has been good. Four (4) residents interviewed stated that the food service has been about average. Continued on LIC9099-C.... Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 29, 2026 · control 18-AS-20250204093310

Allegation investigated: Questionable Death

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Michael Maeda, Resident Service Director and informed them of the purpose of the visit. The Department’s investigation included interviews with staff and records review. On March 6, 2026, The Department received a complaint report alleging a questionable death. According to the information received, Resident #1 (R1) passed away on March 3, 2026. A Relevant Party (RP) visited R1 on the same day without knowing that R1 had passed away. Staff did not provide any information regarding R1 when RP learned of the passing. During an interview, RP stated they were unaware that R1 had been receiving hospice services. RP also stated that no staff members provided any information about R1’s passing when RP inquired. Continued on LIC9099-C.... Unfoundedthe state’s words, verbatim · CDSS document, Apr 29, 2026 · control 18-AS-20260306144310

Allegation investigated: Staff are not meeting resident's hygiene needs Staff allowed resident to be outside without supervision, resulting in a fall Resident was left on the ground outside for an extended period of time

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegations. LPA met with Jimmy Stewart, Executive Director and informed them of the purpose of the visit. The Department's investigation involved interviews with staff and residents and review of records. On 10-09-2025, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that staff are not meeting resident’s hygiene needs. According to the information received, Resident #1 (R1) was found to be dirty, unkempt with bruising and ants crawling all over when emergency personnels arrived for R1’s fall incident. LPA reviewed R1’s resident file which revealed R1’s cognitive condition. Continued on LIC9099-C.... Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2026 · control 18-AS-20251009094043

Allegation investigated: Staff left resident unattended at an off-site location

Licensing Program Analysts (LPAs), Armando Perez and Ivashia Wright, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Executive Director Jimmy Stewart, and explained both the purpose of the visit and the details of the allegation. On March 11, 2026, the Community Care Licensing Division (CCLD) received a complaint alleging that facility staff left a resident unattended at an off-site location. It was reported that on March 11, Resident 1 (R1) arrived at what they believed was a scheduled medical appointment and was left without confirmation or supervision by facility staff. An interview with the Additional Witness could not be conducted, as the report was submitted anonymously and no contact information was provided to obtain further information. Continued on LIC 9099-C. Unfoundedthe state’s words, verbatim · CDSS document, Mar 18, 2026 · control 18-AS-20260311114143

Allegation investigated: Lack of supervision resulted in resident eloping from the facility.

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to deliver findings for the allegation listed above. LPA met with the Assistant Resident Services Director, Valentina Murrell, and explained the reason for the visit. The investigation consisted of the following: On 12/30/22, LPA Stephanie Torres conducted the initial investigation and interviewed staff and resident, reviewed records, and obtained copies of pertinent documentation. On 7/8/24, LPA Kathleen Banrasavong made a follow-up visit and requested additional documents. During the visit today, LPA Chan interviewed three (3) staff and three (3) residents. (Continue on LIC9099C) Substantiatedthe state’s words, verbatim · CDSS document, Oct 18, 2025 · control 18-AS-20221228121355

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff failed to meet resident's medical needs Staff neglected resident while in care Staff failed to respond to residents' call assistance buttons in a timely manner Staff failed to meet resident's needs

Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conclude the investigation into the allegation listed above. LPA met with Executive Director Jimmy Stewart and explained the purpose of the visit. LPA’s complaint investigation consisted of a tour of the interior/exterior areas of the facility, observations, interviews with staff and residents, and records review of requested pertinent documents. Regarding the allegation “Staff failed to meet resident's medical needs”, Record review of R1’s “Resident Assessment” dated 06/10/2021 reveals R1 was scored on a Level 1 care and was independent, ambulatory, required no assistance with activities of daily living (ADL), and had the capabilities to administer their own medication. Interview with eight (8) residents reported staff would contact emergency services to send to the hospital when needed based on previous experiences or speculation. Interview with six (6) staff members deny ignoring residents’ medicalthe state’s words, verbatim · CDSS document, Aug 19, 2024 · control 18-AS-20220315104748

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff do not assist resident with transfers. Facility staff are not meeting resident's care needs.

Licensing Program Analyst (LPA), Kathleen Banrasavong, conducted an unannounced visit to the facility to initiate the investigation into the allegation(s) listed above. The LPA met with the Administrator in Training, Rob McFarlane and informed him of the purpose of the LPA’s visit. The LPA conducted a tour of the interior/exterior areas of the facility, conducted a review of records, obtained, and requested copies of pertinent documentation. The Administrator in Training, Rob McFarlane provided the LPA with the roster for the facility. A review of the resident roster and face sheet indicted that the resident has only been admitted to the Skilled Nursing Facility (SNF). Department of Social Service, Community Care Licensing (CCL) does not have jurisdiction over the SNF. Therefore, this complaint is unfounded. A cross report will be made to the appropriate departments who have jurisdiction. This agency has investigated the complaint alleging, Facility staff do not assist resident with trthe state’s words, verbatim · CDSS document, Apr 5, 2024 · control 18-AS-20240403150931

Allegation investigated: Staff handled resident roughly

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to deliver the findings of the investigation into the above allegation. The LPA me with Michael Maeda, Resident Services Director (RSD), and informed him of the purpose for her visit. A report was received by the Department alleging Staff One (S1), on December 03, 2022, was rough with Resident One (R1). The investigation included staff/resident interviews, records review, and records collection. It was alleged S1 grabbed a wheelchair, roughly put R1 in it, took the resident's arms and pulled them behind their body, before throwing the resident on their bed and roughly pulling off their clothes to change the resident. R1 was interviewed and did not provide a statement regarding the matter; R1 is diagnosed with a condition which can affect their ability to recall. S1 was interviewed; the staff confirmed an incident did take place involving R1 in which the resident did become aggressive andthe state’s words, verbatim · CDSS document, Sep 25, 2023 · control 18-AS-20221209144911

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.