The most serious citations on this record
Every nursing-home citation carries a scope-and-severity grade from A (least serious) to L (most serious). The five highest-graded citations at Bay Crest Care Center are:
F-0689 · November 9, 2025 · Grade J — Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date November 11, 2025
F-0678 · August 19, 2025 · Grade J — Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date September 8, 2025
F-0689 · October 17, 2025 · Grade G — Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date October 20, 2025
F-0697 · February 9, 2024 · Grade G — Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Found during a complaint investigation. Status: Deficient, Provider has date of correction · correction date March 5, 2024
F-0692 · January 12, 2024 · Grade G — Actual harm
Provide enough food/fluids to maintain a resident's health.
Status: Deficient, Provider has date of correction · correction date February 8, 2024
What surveyors cited, theme by theme
Grouping the citations by subject shows whether a home's problems are isolated or concentrated in one part of care. At Bay Crest Care Center, 15 subject areas appear across health and fire-safety inspections.
Quality of life and daily care
30 citations between October 5, 2023 and March 13, 2026. The most serious was graded J — immediate jeopardy, affecting one or a very small number of residents. Surveyors found a situation that caused — or was likely to cause — serious injury, harm, impairment, or death, and that needed immediate correction. 20 of these citations came out of complaint investigations. Correction record: 30 citations show a recorded correction date.
This group covers the basics of daily care — help with eating, bathing, toileting, repositioning, and timely treatment. Repeated citations here often match what families notice first: call lights unanswered, soiled briefs, missed care.
F-0689 · November 9, 2025 · Grade J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0678 · August 19, 2025 · Grade J — Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F-0689 · October 17, 2025 · Grade G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Fire, smoke, and emergency safety
9 citations between January 12, 2024 and March 13, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 9 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
K-0345 · March 13, 2026 · Grade F — Have approved installation, maintenance and testing program for fire alarm systems.
K-0324 · January 12, 2024 · Grade F — Provide properly protected cooking facilities.
K-0353 · January 31, 2025 · Grade E — Inspect, test, and maintain automatic sprinkler systems.
Food, nutrition, and hydration
8 citations between January 12, 2024 and March 13, 2026. The most serious was graded F (potential for more than minimal harm). 4 of these citations came out of complaint investigations. Correction record: 8 citations show a recorded correction date.
Nutrition failures connect directly to weight loss, dehydration, and slow wound healing. Ask for weight records, intake logs, and whether a dietitian reviewed the resident after any decline.
F-0812 · January 12, 2024 · Grade F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0812 · March 13, 2026 · Grade E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0813 · September 3, 2025 · Grade E — Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Gas, Vacuum, and Electrical Systems
6 citations between January 31, 2025 and March 13, 2026. The most serious was graded F (potential for more than minimal harm). Correction record: 6 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0918 · March 13, 2026 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0918 · January 31, 2025 · Grade F — Have generator or other power source capable of supplying service within 10 seconds.
K-0920 · March 13, 2026 · Grade D — Ensure proper usage of power strips and extension cords.
Infection prevention and control
4 citations between January 12, 2024 and March 13, 2026. The most serious was graded F (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 4 citations show a recorded correction date.
Infection citations matter because infections are a leading cause of hospital transfer and death in nursing homes. Families should ask how the home tracks infections, isolates sick residents, and tells families when an outbreak starts.
F-0880 · January 12, 2024 · Grade F — Provide and implement an infection prevention and control program.
F-0880 · January 30, 2026 · Grade E — Provide and implement an infection prevention and control program.
F-0880 · March 13, 2026 · Grade D — Provide and implement an infection prevention and control program.
Resident rights
24 citations between October 31, 2023 and March 18, 2026. The most serious was graded E (potential for more than minimal harm). 17 of these citations came out of complaint investigations. Correction record: 24 citations show a recorded correction date.
Rights citations cover dignity, choice, privacy, grievances, and being told about changes in condition or care. Ask how the home notifies family of changes and how grievances are logged and answered.
F-0550 · December 12, 2025 · Grade E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0558 · January 31, 2025 · Grade E — Reasonably accommodate the needs and preferences of each resident.
F-0550 · August 21, 2024 · Grade E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Assessments and care planning
19 citations between October 5, 2023 and February 23, 2026. The most serious was graded E (potential for more than minimal harm). 14 of these citations came out of complaint investigations. Correction record: 19 citations show a recorded correction date.
Care-plan citations mean the written plan did not match the resident's known risks. Ask whether the care plan changed after each fall, wound, infection, or hospital return — or whether the same plan stayed in place while the resident declined.
F-0658 · December 12, 2025 · Grade E — Ensure services provided by the nursing facility meet professional standards of quality.
F-0842 · November 3, 2025 · Grade E — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0656 · August 19, 2025 · Grade E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Medication and pharmacy services
15 citations between December 7, 2023 and March 18, 2026. The most serious was graded E (potential for more than minimal harm). 11 of these citations came out of complaint investigations. Correction record: 15 citations show a recorded correction date.
Medication citations can involve wrong doses, unnecessary drugs, or poor monitoring. Ask for the medication administration record and whether a pharmacist reviewed the resident's drug regimen each month.
F-0760 · March 13, 2026 · Grade E — Ensure that residents are free from significant medication errors.
F-0760 · December 12, 2025 · Grade E — Ensure that residents are free from significant medication errors.
F-0760 · November 3, 2025 · Grade E — Ensure that residents are free from significant medication errors.
Administration and leadership
7 citations between January 12, 2024 and March 13, 2026. The most serious was graded E (potential for more than minimal harm). 4 of these citations came out of complaint investigations. Correction record: 7 citations show a recorded correction date.
Administrative citations suggest the problem sits with management systems, not one staff member. Ask who is responsible for quality oversight and what the home's own quality committee changed afterward.
F-0867 · January 31, 2025 · Grade E — Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F-0849 · March 13, 2026 · Grade D — Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F-0865 · November 9, 2025 · Grade D — Have a plan that describes the process for conducting QAPI and QAA activities.
Nursing and Physician Services
6 citations between January 12, 2024 and November 3, 2025. The most serious was graded E (potential for more than minimal harm). 5 of these citations came out of complaint investigations. Correction record: 6 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
F-0725 · November 3, 2025 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0726 · January 31, 2025 · Grade E — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F-0725 · May 6, 2024 · Grade E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Services
1 citation between January 31, 2025 and January 31, 2025. The most serious was graded E (potential for more than minimal harm). Correction record: 1 citation shows a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0511 · January 31, 2025 · Grade E — Have properly installed electrical wiring and gas equipment.
Freedom from abuse, neglect, and exploitation
5 citations between January 31, 2025 and March 13, 2026. The most serious was graded D (potential for more than minimal harm). 3 of these citations came out of complaint investigations. Correction record: 5 citations show a recorded correction date.
These citations go to the core duty to protect residents. Ask how the home screens and trains staff, how allegations are investigated, and whether the same staff or unit appears in more than one report.
F-0604 · March 13, 2026 · Grade D — Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F-0600 · October 15, 2025 · Grade D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0609 · October 15, 2025 · Grade D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Physical environment and safety
3 citations between October 31, 2023 and September 3, 2025. The most serious was graded D (potential for more than minimal harm). 2 of these citations came out of complaint investigations. Correction record: 3 citations show a recorded correction date.
Environmental citations cover the building itself — safe water temperatures, clean and working equipment, hazard-free spaces. Ask what was repaired, when, and what checks are in place now.
F-0908 · September 3, 2025 · Grade D — Keep all essential equipment working safely.
F-0912 · January 31, 2025 · Grade D — Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0921 · October 31, 2023 · Grade D — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Miscellaneous
2 citations between January 31, 2025 and March 13, 2026. The most serious was graded D (potential for more than minimal harm). Correction record: 2 citations show a recorded correction date.
Ask the facility what this citation required it to change, when the correction was verified, and what monitoring is in place so the same failure does not recur.
K-0741 · March 13, 2026 · Grade D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K-0712 · January 31, 2025 · Grade C — Have simulated fire drills held at unexpected times.
Fire, smoke, and emergency safety
3 citations between January 31, 2025 and January 31, 2025. The most serious was graded C (minimal or no harm potential). Correction record: 3 citations show a recorded correction date.
Life-safety citations cover alarms, sprinklers, exits, and evacuation readiness. Ask for the date each item was corrected and whether the local fire authority re-inspected.
E-0004 · January 31, 2025 · Grade C — Develop and maintain an Emergency Preparedness Program (EP).
E-0032 · January 31, 2025 · Grade C — Provide primary/alternate means for communication.
E-0039 · January 31, 2025 · Grade C — Conduct testing and exercise requirements.
How to read the severity grades
CMS grades combine how many residents were affected with how much harm occurred. Grades J–L are immediate jeopardy: a situation that caused, or was likely to cause, serious injury or death. Grades G–I mean a resident was actually harmed. Grades D–F mean no harm was found but the failure could have caused more than minimal harm, and A–C carry only minimal-harm potential. The second dimension matters too: the grade also tells you whether surveyors saw an isolated case, a pattern, or a facility-wide problem.
Survey and penalty timeline
Bay Crest Care Center appears in CMS data on 37 survey dates between October 5, 2023 and March 18, 2026. Complaint surveys happen because someone reported a problem; standard surveys are the routine inspections every home receives.
March 18, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
March 13, 2026
Standard health survey — 13 citations, worst grade E (potential for more than minimal harm)
March 13, 2026
Fire-safety survey — 6 citations, worst grade F (potential for more than minimal harm)
March 6, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
February 23, 2026
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
January 30, 2026
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
December 17, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
December 12, 2025
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
November 9, 2025
Complaint health survey — 5 citations, worst grade J (immediate jeopardy)
November 3, 2025
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
October 17, 2025
Complaint health survey — 2 citations, worst grade G (actual harm)
October 15, 2025
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
September 17, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
September 3, 2025
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
August 19, 2025
Complaint health survey — 5 citations, worst grade J (immediate jeopardy)
July 11, 2025
Complaint health survey — 5 citations, worst grade D (potential for more than minimal harm)
June 3, 2025
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
May 16, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
March 28, 2025
Complaint health survey — 2 citations, worst grade D (potential for more than minimal harm)
January 31, 2025
Health survey including complaint investigations — 21 citations, worst grade E (potential for more than minimal harm)
January 31, 2025
Fire-safety survey — 11 citations, worst grade F (potential for more than minimal harm)
December 30, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 30, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
September 30, 2024
Complaint health survey — 1 citation, worst grade C (minimal or no harm potential)
September 10, 2024
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
August 21, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
July 21, 2024
Complaint health survey — 2 citations, worst grade E (potential for more than minimal harm)
May 6, 2024
Complaint health survey — 5 citations, worst grade E (potential for more than minimal harm)
February 9, 2024
Complaint health survey — 3 citations, worst grade G (actual harm)
January 31, 2024
Complaint health survey — 4 citations, worst grade E (potential for more than minimal harm)
January 12, 2024
Health survey including complaint investigations — 13 citations, worst grade G (actual harm)
January 12, 2024
Fire-safety survey — 4 citations, worst grade F (potential for more than minimal harm)
December 21, 2023
Complaint health survey — 1 citation, worst grade E (potential for more than minimal harm)
December 7, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
November 15, 2023
Complaint health survey — 1 citation, worst grade D (potential for more than minimal harm)
October 31, 2023
Complaint health survey — 3 citations, worst grade E (potential for more than minimal harm)
October 5, 2023
Complaint health survey — 3 citations, worst grade D (potential for more than minimal harm)
Penalties imposed
November 3, 2025 — Fine of $44,256
November 3, 2025 — Payment denial · Medicare/Medicaid payments denied for 4 days from December 9, 2025
October 15, 2025 — Fine of $12,425
August 19, 2025 — Fine of $16,149
August 19, 2025 — Payment denial · Medicare/Medicaid payments denied for 1 days from September 18, 2025
December 7, 2023 — Fine of $51,506
December 7, 2023 — Payment denial · Medicare/Medicaid payments denied for 21 days from February 13, 2024
Payment denials are the stronger federal sanction: CMS stops paying for new admissions until the home corrects the problems. Bay Crest Care Center has 3 denial periods on record totalling 26 days.
How Bay Crest Care Center compares with peer homes
Raw citation counts mean more in context. The table below compares Bay Crest Care Center with the median reviewed facility in Los Angeles County (181 homes in this research set) and across California (350 homes), using the same CMS data. On health citations alone, Bay Crest Care Center sits above 87% of its reviewed county peers — near the top of the county for citation volume.
Measure
Bay Crest Care Center
Los Angeles Co. median
California median
Health citations on record
121
84
74
Citations from complaint investigations
82
31
27
Citations at actual-harm level or worse
5
3
2
Immediate-jeopardy citations
2
1
0
Total fines in CMS penalty records
$124,336
$57,906
$43,467
Penalty records (fines + payment denials)
7
3
2
What families should ask Bay Crest Care Center
- Ask why CMS flags Bay Crest Care Center with its abuse icon, which citations produced the flag, and what staffing or supervision changes followed.
- Ask for the plan of correction and follow-up monitoring for the quality of life and daily care citations — most recently F-0678 on August 19, 2025 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the food, nutrition, and hydration citations — most recently F-0812 on January 12, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the infection prevention and control citations — most recently F-0880 on January 12, 2024 — and the records showing the fix held.
- Ask for the plan of correction and follow-up monitoring for the resident rights citations — most recently F-0550 on October 31, 2023 — and the records showing the fix held.
- Ask what conduct led to the fines — CMS records 4 totalling $124,336, the most recent dated November 3, 2025 — and what changed afterward.
- What changed in the resident's condition, and when did staff at Bay Crest Care Center first document the change?
- Were recent complaint-related citations at Bay Crest Care Center connected to the same kind of issue your family noticed?
Records to preserve
Connect this record to what your family saw
A citation record is context. The warning sign your family noticed is the starting point for a resident-specific review — match the two, then preserve the records listed above. Start with how facility research works.
Warning sign
Bed sores
Warning sign
Falls
Warning sign
Bruises
Warning sign
Weight loss
Facility research
Inspection deficiencies
Facility research
Civil penalties
Facility research
Abuse citations
Facility research
Complaint surveys
CMS facility facts
CMS certification number
055559
Legal business name
BAY CREST CARE CENTER, LLC
Ownership type
For profit - Limited Liability company
Provider type
Medicare and Medicaid
First approved for Medicare/Medicaid
March 1, 1980
Chain name
GENESIS HEALTHCARE
Certified beds
80
Average residents per day
70.2
Overall CMS rating
1 star
Health inspection rating
1 star
Staffing rating
3 star
Reported nurse staffing hours per resident day
3.89841
Total nursing staff turnover
51.2%
Public records are a starting point, not a conclusion
This profile of Bay Crest Care Center uses official CMS provider data as a research starting point. It does not state that Bay Crest Care Center abused or neglected any resident. A citation, fine, or rating becomes meaningful only when it is compared with the resident's own chart, the facility's explanation, and source documents with dates and outcome status.
Citation and penalty detail on this page comes from the CMS Provider Data health-deficiency, fire-safety, and penalties datasets, pulled October 12, 2026. Figures describe the facility's public inspection record; they do not by themselves prove what happened to any individual resident.
Sources for Bay Crest Care Center
Senior Justice Help is a public-information and facility-research website. We are not a law firm, medical provider, government agency, or nursing home regulator. We may help families understand what kind of lawyer to contact or connect with legal resources, but this site does not provide legal or medical advice.
Editorial review
Written and editorially reviewed for family clarity
Written by: Senior Justice Help Editorial Team, Family questions and nursing home records research team
Pages are written for families, checked against public agency sources, and reviewed for clarity, sourcing, and overclaiming. The site does not provide medical advice or legal advice.