★★★★★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 cycle11
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$48,385
Beds129
Inspection findings
Inspectors recorded 39 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 |
|---|---|---|---|---|
| May 22, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Jun 13, 2025 |
| May 22, 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: Jun 13, 2025 |
| May 22, 2025 | Nursing and physician services | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (F0841) | No harm, but a risk of harm isolated | Corrected: Jun 13, 2025 |
| May 22, 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 isolated | Corrected: Jun 13, 2025 |
| May 22, 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 isolated | Corrected: Jun 13, 2025 |
| May 22, 2025 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm isolated | Corrected: Jun 13, 2025 |
| May 22, 2025 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Jun 13, 2025 |
| May 22, 2025 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern | Corrected: Jun 13, 2025 |
| May 22, 2025 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm isolated | Corrected: Jun 13, 2025 |
| May 22, 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: Jun 13, 2025 |
| May 22, 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: Jun 13, 2025 |
| Oct 21, 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: Oct 29, 2024 |
| Oct 21, 2024 | 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: Oct 29, 2024 |
| Oct 21, 2024 | 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) | Actual harm to a resident isolated · from a complaint | Corrected: Oct 29, 2024 |
| Feb 6, 2024 | 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 · from a complaint | Corrected: Feb 23, 2024 |
Earlier inspections (24)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Dec 28, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 16, 2024 |
| Mar 23, 2023 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm widespread | Corrected: May 15, 2023 |
| Mar 23, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: May 15, 2023 |
| Mar 23, 2023 | Infection control | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (F0882) | No harm, but a risk of harm isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: May 15, 2023 |
| Mar 23, 2023 | 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: May 15, 2023 |
| Mar 23, 2023 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm widespread | Corrected: May 15, 2023 |
| Mar 23, 2023 | 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: May 15, 2023 |
| Mar 23, 2023 | 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 isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | 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 widespread | Corrected: May 15, 2023 |
| Mar 23, 2023 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | 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 pattern | Corrected: May 15, 2023 |
| Mar 23, 2023 | 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 pattern | Corrected: May 15, 2023 |
| Mar 23, 2023 | 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 isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: May 15, 2023 |
| Mar 23, 2023 | Resident rights | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557) | No harm, but a risk of harm pattern | Corrected: May 15, 2023 |
| Jan 30, 2020 | 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 isolated | Corrected: Feb 24, 2020 |
| Jan 30, 2020 | 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 isolated | Corrected: Feb 24, 2020 |
| Jan 30, 2020 | 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: Feb 24, 2020 |
| Jan 30, 2020 | Pharmacy and medications | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (F0758) | No harm, but a risk of harm isolated | Corrected: Feb 24, 2020 |
| Jan 30, 2020 | 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: Feb 24, 2020 |
| Jan 30, 2020 | 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: Feb 24, 2020 |
Fines and payment denials
Federal fines in the last three years: $48,385 (7). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Oct 21, 2024 | Fine | $16,790 |
| Dec 26, 2023 | Fine | $14,113 |
| Nov 13, 2023 | Fine | $4,196 |
| Nov 6, 2023 | Fine | $3,846 |
| Oct 30, 2023 | Fine | $3,496 |
| Oct 23, 2023 | Fine | $3,147 |
| Oct 17, 2023 | Fine | $2,797 |
Staffing
| Nurse staff hours per resident per day | 5.90 | California median: 4.27 |
| Registered nurse hours per resident per day | 2.09 | California median: 0.52 |
| Nurse staff hours on weekends | 5.13 | California median: 3.85 |
| Nursing staff who left within a year | 7.9% | California median: 36.0% |
About this home
| Beds | 129 |
| Residents per day, average | 80.1 |
| Ownership | Government, hospital district |
| Legal business name | Palomar Health |
| In Medicare/Medicaid since | May 5, 1988 |
| Located inside a hospital | Yes |
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