Bay Crest Care Center
3750 Garnet Street · Torrance, CA · 90503 · 3103712431
80 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $72,830 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$72,830 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.90 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 4 · $124,336 |
Inspection citations (128 in the current record)
-
Potential for harm · D March 18, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 10, 2026 · Resident Rights
-
Potential for harm · D March 18, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2026 · Pharmacy Service
-
Potential for harm · D March 13, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 20, 2026 · Resident Rights
-
Potential for harm · D March 13, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 20, 2026 · Resident Rights
-
Potential for harm · D March 13, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 13, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 20, 2026 · Resident Rights
-
Potential for harm · D March 13, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 20, 2026 · Quality of Life and Care
-
Potential for harm · D March 13, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 20, 2026 · Quality of Life and Care
-
Potential for harm · D March 13, 2026
Provide activities to meet all resident's needs.
Corrected March 20, 2026 · Quality of Life and Care
-
Potential for harm · D March 13, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 20, 2026 · Quality of Life and Care
-
Potential for harm · E March 13, 2026
Ensure that residents are free from significant medication errors.
Corrected March 20, 2026 · Pharmacy Service
-
Potential for harm · D March 13, 2026
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.
Corrected March 20, 2026 · Nutrition and Dietary
-
Potential for harm · E March 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
-
Potential for harm · D March 13, 2026
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.
Corrected March 20, 2026 · Administration
-
Potential for harm · D March 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
-
Potential for harm · D March 6, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 10, 2026 · Quality of Life and Care
-
Potential for harm · D March 6, 2026 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 10, 2026 · Quality of Life and Care
-
Potential for harm · D February 23, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 23, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E January 30, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 4, 2026 · Infection Control
-
Potential for harm · D December 17, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 24, 2025 · Resident Rights
-
Potential for harm · E December 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 13, 2025 · Resident Rights
-
Potential for harm · D December 12, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 13, 2025 · Resident Rights
-
Potential for harm · E December 12, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E December 12, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 13, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 3, 2025 | Fine | $44,256 |
| November 3, 2025 | Payment Denial | 4 days |
| October 15, 2025 | Fine | $12,425 |
| August 19, 2025 | Fine | $16,149 |
| August 19, 2025 | Payment Denial | 1 days |
| December 7, 2023 | Fine | $51,506 |
| December 7, 2023 | Payment Denial | 21 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055559 · certified since March 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.