★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle17
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$8,176
Beds98
Inspection findings
Inspectors recorded 55 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 21, 2026 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Food and nutrition | Provide special eating equipment and utensils for residents who need them and appropriate assistance. (F0810) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Resident rights | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| Aug 21, 2026 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Sep 21, 2026 |
| May 21, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 19, 2026 |
| Apr 16, 2026 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 16, 2026 |
| Apr 16, 2026 | Resident rights | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 16, 2026 |
Earlier inspections (40)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Feb 17, 2026 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 17, 2026 |
| Feb 17, 2026 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 17, 2026 |
| May 30, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm pattern | Corrected: Jul 3, 2025 |
| May 30, 2025 | Administration | 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. (F0849) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Jul 3, 2025 |
| May 30, 2025 | Food and nutrition | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (F0800) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Jul 3, 2025 |
| May 30, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: Jul 3, 2025 |
| May 30, 2025 | Nursing and physician services | Observe each nurse aide's job performance and give regular training. (F0730) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident rights | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| May 30, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Jul 3, 2025 |
| Oct 16, 2024 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 16, 2024 |
| Oct 9, 2024 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 9, 2024 |
| Oct 9, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 9, 2024 |
| Jun 21, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | Actual harm to a resident isolated · from a complaint | Corrected: Jul 19, 2024 |
| Mar 15, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 29, 2024 |
| Feb 15, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 15, 2024 |
| Dec 27, 2023 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 16, 2024 |
| Nov 27, 2023 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 27, 2023 |
| Mar 17, 2022 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm pattern | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm pattern | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm pattern | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Food and nutrition | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801) | No harm, but a risk of harm pattern | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm pattern | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Resident assessment and care planning | Assure that each resident’s assessment is updated at least once every 3 months. (F0638) | No harm, but a risk of harm pattern | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm isolated | Corrected: Apr 17, 2022 |
| Mar 17, 2022 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated | Corrected: Apr 17, 2022 |
Fines and payment denials
Federal fines in the last three years: $8,176 (1). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Jun 21, 2024 | Fine | $8,176 |
| Jun 21, 2024 | Payment denial | 9 days |
Staffing
| Nurse staff hours per resident per day | 3.97 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.56 | California median: 0.52 |
| Nurse staff hours on weekends | 3.59 | California median: 3.85 |
| Nursing staff who left within a year | 44.9% | California median: 36.0% |
About this home
| Beds | 98 |
| Residents per day, average | 88.8 |
| Ownership | For-profit, limited liability company |
| Legal business name | Palomar Heights Healthcare, LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Dec 6, 2000 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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