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Nursing HomeMedicaid Investigative

Santa Fe Post-Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

247 E. Bobier Drive, Vista, CA 92084187 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 58 Google reviews

5
4
3
2
1
Santa Fe Post-Acute Nursing Home in Vista, CA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)

Bottom 25% in CA · Worst in BAYSHIRE SENIOR COMMUNITIES chain · $85,943 in fines

Source: Medicare data

What this means for your family

This facility offers excellent support from the admissions and administrative teams, which can greatly ease the stress of a medical transition. However, you must exercise extreme caution regarding nursing care, as multiple families have reported serious issues with neglect, slow response to call lights, and theft of belongings. We recommend conducting unannounced visits specifically during evening or weekend hours to verify staffing levels.

Google Reviews

Google Reviews

58 reviews on Google
Families considering Santa Fe Post-Acute will find a facility with highly praised administrative and admissions staff, particularly noted for their compassion during transitions. However, there are serious and recurring allegations regarding severe understaffing, neglect, and lack of responsiveness to call lights. While some residents benefit from excellent physical therapy, others have reported significant issues with cleanliness, theft of belongings, and inconsistent medication management.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean5.0ActivitiesN/AMeds2.0Memory5.0Comms4.0ValueN/A

Strengths

  • Compassionate admissions and administrative staff
  • Effective physical and occupational therapy
  • Spacious and open facility layout
  • Friendly and professional nursing leadership

Concerns

  • Severe understaffing and slow response to call lights (mentioned by 3 reviewers)
  • Theft of resident belongings and clothing
  • Inconsistent medication management and weight loss due to neglect
  • Poor food quality and temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.0'17(1)4.43.0'21(2)3.02.2'23(5)3.33.5'25(11)2.7'26(3)

Distribution · 59 analyzed

5
30
4
6
3
4
2
2
1
17

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about your admissions and administrative team; how do you typically handle the transition process to ensure a new resident feels at home?
  • 2With the physical and occupational therapy programs being a strength here, how often do residents participate in these sessions during a typical week?
  • 3What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
  • 4How do you manage staffing during the night shifts or weekends to ensure call lights are answered quickly and residents are safe?
  • 5Could you tell me more about the dining experience, specifically how you ensure meals are served at the right temperature and meet nutritional needs?
  • 6What steps are taken to ensure that residents' personal belongings and clothing are kept secure and organized within their rooms?

Personalized based on this facility's data


Key Review Excerpts

David Tanner, the Executive Director, was kind, responsive, and human in every interaction. Michelle in admissions helped make the process smoother than expected, and Ilda, my mom’s RN, was a standout—attentive, compassionate, and clearly dedicated to her patients.

Rehab patient's family · 2025★★★☆☆

The CNAs and Nursing staff don’t respond to the call light less than 45 minutes. Occasionally you can be lucky and catch a CNA when they are walking by your room.

Resident · 2024☆☆☆☆

My mum was staying there for an extended time due to dementia. What amazed me, though, was that she remembers one of the staff there; her name was Michelle Meadher. She came in a few times during my visits, and every time she would come in my mum would greet her by name.

Memory care family member · 2025★★★★★
Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
3.92hrs
96%
All nurses + aides combined

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
3/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.5%
Worse than Avg
Here
31.5%
US
19.5%
CA
13.7%
San diego
15.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
15.4%
CA
11.6%
San diego
11.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.3%
CA
10.5%
San diego
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
14.4%
CA
10.4%
San diego
8.2%
🚿

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%
San diego
11.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility93.5%
Worse than Avg
Here
93.5%
US
95.5%
CA
98.2%
San diego
98.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.1%
Worse than Avg
Here
79.1%
US
81.8%
CA
94.2%
San diego
97.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.8%
Worse than Avg
Here
79.8%
US
79.7%
CA
93.2%
San diego
95.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
San diego
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
4penalties
Near state avg (15.4)
17 complaint-triggered
$85,943 in fines

Santa Fe Post-Acute has significant ongoing issues across 73 deficiencies, with families filing reports that triggered 16 investigations. The facility consistently struggles with care planning, medication management, and safety systems, with these problems persisting across multiple years from 2019 to 2025. While the facility corrects violations when cited, the repeated nature of deficiencies in core care areas suggests systemic challenges that families should carefully evaluate.

Mar 23, 2026Complaint
1
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.

Feb 2, 2026Complaint
1
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.

Sep 4, 2025Complaint
3
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

May 19, 2025Complaint
1
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.

May 2, 2025Routine
13
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0035Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Feb 6, 2025Complaint
1
0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Federal Penalties

Fine

Sep 4, 2025

$98,875

Payment Denial

Sep 4, 2025

15-day denial

Fine

Jun 27, 2023

$85,943

Payment Denial

Jun 27, 2023

61-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Santa Fe Post-Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Bayshire Senior Communities

Chain Size

12 facilities nationwide

Chain avg rating: 3.1/5 · Rank 11 of 11 (Worst)

Ownership & Management

Owners

Bayshire LLC

Owner · Organization

100%

Key personnel

Brar, KaranbirManagerKirby, ScottManagerTanner, DavidManagerCaretrust Reit INCAdp of the SnfCtr Partnership LpAdp of the Snf
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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