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Nursing HomeMedicaid Investigative

Bay Crest Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

3750 Garnet Street, Delthorne · Torrance, CA 9050380 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 75 Google reviews

5
4
3
2
1
Bay Crest Care Center Nursing Home in Torrance, CA — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (60 vs median 13.0)
  • High staff turnover (59%)

Bottom 25% in CA · Critically understaffed (RN) · Worst in GENESIS HEALTHCARE chain · $156,358 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

This facility presents significant risks regarding basic hygiene and medical monitoring, with multiple reports of patients being left in soiled linens and experiencing dehydration. While certain social workers are highly regarded, the recurring pattern of neglect and poor response to call lights suggests that families must provide intense, daily advocacy for their loved ones.

Google Reviews

Google Reviews

75 reviews on Google
Families considering Bay Crest Care Center should be aware of significant reports of neglect, specifically regarding hygiene, dehydration, and delayed medication administration. While some families praise the compassion of specific social workers and certain nursing staff, there is a recurring pattern of complaints regarding understaffing and poor sanitary conditions.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate social workers
  • Welcoming admissions process
  • Effective rehabilitation for some patients
  • Friendly administrative staff members

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 4 reviewers)
  • Delayed response to call lights and medication (mentioned by 3 reviewers)
  • Inadequate hydration and monitoring of medical needs (mentioned by 2 reviewers)
  • Poor food quality and nutrition (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(3)'21(4)'23(7)'25(9)'26(26)

Distribution · 77 analyzed

5
40
4
4
3
0
2
1
1
32
19 reviews posted between Apr 6, 2026Apr 12, 2026 · 19 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed some families have mentioned how welcoming the admissions process is; how do you work with new residents to help them settle in and feel at home during those first few weeks?
  • 2What specific protocols do you have in place to ensure that call lights are answered promptly and that medication is administered exactly on schedule?
  • 3Could you tell me more about your daily routine regarding meal service and how you ensure every resident is getting proper nutrition and staying hydrated throughout the day?
  • 4How does the nursing team manage personal hygiene and incontinence care to ensure residents are kept clean, comfortable, and dignified?
  • 5What kind of daily activities or social programs do you offer to keep residents engaged and connected with one another?
  • 6In the event of a medical emergency or a change in a resident's condition after hours, what is the communication process for notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The care my grandpa has received has been unacceptable.

Long-term resident's family · 2026★★★★★

Recently my mom was admitted to Bay Crest Care Center and I noticed how hard the stuff works to make the patients comfortable and card for. Many exceptional employees work here and I am especially thankful to the social workers Ms. Tahanae Butler.

Long-term resident's family · 2025★★★★★

My father was placed in Bay crest for physical therapy. This is the worst unprofessional location I’ve ever experienced in my Career. From Administration to the staff.

Rehab patient's family · 2025☆☆☆☆
Source: 75 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
32%
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility42.8%
Worse than Avg
Here
42.8%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.8%
Worse than Avg
Here
18.8%
US
15.4%
CA
11.6%
Los angeles
11.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.3%
CA
10.5%
Los angeles
9.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
14.4%
CA
10.4%
Los angeles
12.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.3%
Mixed vs Avgs
Here
13.3%
US
19.5%
CA
13.7%
Los angeles
10.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.6%
Mixed vs Avgs
Here
15.6%
US
19.4%
CA
10.7%
Los angeles
9.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.4%
Worse than Avg
Here
75.4%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.3%
Better than Avg
Here
93.3%
US
79.7%
CA
93.2%
Los angeles
92.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

56deficiencies
7penalties
Well above state avg (15.4)
101 complaint-triggered
$156,358 in fines

Bay Crest Care Center has a concerning pattern with 148 deficiencies across 43 surveys, with families filing 100 complaints that triggered investigations. Recurring problems include medication management errors, safety hazards and accident prevention failures, and care planning deficiencies. While most issues show correction dates, recent complaints as of late 2025 and one unresolved infection control deficiency from January 2026 indicate ongoing quality concerns.

Mar 18, 2026Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 13, 2026Routine
19
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Mar 6, 2026Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Feb 23, 2026Complaint
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jan 30, 2026Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 17, 2025Complaint
1
0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Federal Penalties

Fine

Nov 3, 2025

$44,256

Payment Denial

Nov 3, 2025

4-day denial

Fine

Oct 15, 2025

$12,425

Payment Denial

Aug 19, 2025

1-day denial

Fine

Aug 19, 2025

$16,149

Fine

Dec 7, 2023

$51,506

Payment Denial

Dec 7, 2023

21-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bay Crest Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 138 of 188 (Worst)

Ownership & Management

Owners

Bq Operations Holdings LLC

Owner (parent company) · Organization

Genesis Healthcare LLC

Owner (parent company) · Organization

Tress, Avrohom

Owner (parent company)

Hccf Management Group Xi LLC

Owner (parent company) · Organization

Sundance Rehabilitation Holdco INC

Owner (parent company) · Organization

Zac Properties Xi LLC

Owner (parent company) · Organization

Fishman, Steven

Owner (parent company)

Key personnel

Shaw, PamelaW-2 Managing EmployeeRobin, AaronOfficer / DirectorTress, AvrohomOfficer / DirectorMuttalib, AzharManagerSimms, RitaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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