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Palomar Vista Healthcare CenterCMS ratings, inspections and fines

Address
201 N Fig Street, Escondido, CA 92025
CCN
055067
Ownership type
For-profit, corporation
Certified beds
74
Residents per day
70
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating2 of 5
Staffing rating4 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Palomar Vista Healthcare Center an overall rating of 2 of 5 stars. The last standard survey was on 12 Sep 2025. The latest survey cycle has 22 health citations. The median for nursing homes in California is 14. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Palomar Vista Healthcare Center, with medians
Rating (1 to 5 stars)This homeSan Diego County medianCalifornia medianUS average (CMS)
Overall rating24.03.03.0
Health inspection rating24.03.02.8
Staffing rating43.03.02.9
Quality measure rating45.04.03.6

A median is the middle value of the homes in the group: 83 homes in the county, 1,165 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Palomar Vista Healthcare Center in the last three survey cycles
Survey cycleStandard surveyCitationsCalifornia median
Cycle 1 (latest)12 Sep 20252214
Cycle 21 Jul 20241214
Cycle 3No date1715

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 51 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 22 citations

Standard survey of this cycle: .

Health citations of Palomar Vista Healthcare Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Jan 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.EComplaint investigation2 Feb 2026
12 Sep 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey7 Oct 2025
12 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey7 Oct 2025
12 Sep 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey7 Oct 2025
12 Sep 2025F0578Honor 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.DStandard survey7 Oct 2025
12 Sep 2025F0584Honor 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.EStandard survey7 Oct 2025
12 Sep 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey7 Oct 2025
12 Sep 2025F0641Ensure each resident receives an accurate assessment.DStandard survey7 Oct 2025
12 Sep 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey7 Oct 2025
12 Sep 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey7 Oct 2025
12 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Oct 2025
12 Sep 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey7 Oct 2025
12 Sep 2025F0679Provide activities to meet all resident's needs.DStandard survey7 Oct 2025
12 Sep 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey7 Oct 2025
12 Sep 2025F0700Try 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.DStandard survey7 Oct 2025
12 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Oct 2025
12 Sep 2025F0761Ensure 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.DStandard survey7 Oct 2025
12 Sep 2025F0803Ensure 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.EStandard survey7 Oct 2025
12 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Oct 2025
12 Sep 2025F0814Dispose of garbage and refuse properly.DStandard survey7 Oct 2025
12 Sep 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey7 Oct 2025
12 Sep 2025F0880Provide and implement an infection prevention and control program.DStandard survey7 Oct 2025

Survey cycle 2: 12 citations

Standard survey of this cycle: .

Health citations of Palomar Vista Healthcare Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
21 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Feb 2025
29 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation29 Sep 2024
29 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 Sep 2024
29 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation29 Sep 2024
1 Jul 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey12 Aug 2024
1 Jul 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey12 Aug 2024
1 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Aug 2024
1 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Aug 2024
1 Jul 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey12 Aug 2024
1 Jul 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard survey12 Aug 2024
1 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey19 Jul 2024
1 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey12 Aug 2024

Survey cycle 3: 17 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Palomar Vista Healthcare Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
3 Apr 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation30 Apr 2024
28 Mar 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint investigation11 Apr 2024
8 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation26 Dec 2023
2 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation11 Oct 2023
18 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Jul 2023
18 May 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey1 Jul 2023
18 May 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey1 Jul 2023
18 May 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey1 Jul 2023
18 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Jul 2023
18 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Jul 2023
18 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey1 Jul 2023
18 May 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey1 Jul 2023
18 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey1 Jul 2023
18 May 2023F0761Ensure 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.EStandard survey1 Jul 2023
18 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Jul 2023
18 May 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey1 Jul 2023
18 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey1 Jul 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Palomar Vista Healthcare Center
StaffThis homeCalifornia medianCalifornia average (CMS)
All nurse staff4.524.204.52
Registered nurses (RN)0.610.500.67
Licensed practical nurses (LPN)1.311.20
Nurse aides2.612.65
All nurse staff, weekends3.883.804.09
Nurse staff turnover in a year
No data
Nurse staff turnover, California median
36.4%
RN turnover in a year
No data
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Palomar Vista Healthcare Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.9%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.5%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.7%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.9%9.1%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
West Escondido Healthcare LLC
Chain
The Ensign Group (342 homes in the CMS chain file)
Organisations in the CMS ownership record of Palomar Vista Healthcare Center
OrganisationRole in the CMS recordInterestSince
The Ensign Group IncIndirect ownership interest30 Jan 2006
Caretrust GP LLCAdp of the snf1 Jul 2003
Caretrust REIT IncAdp of the snf1 Jul 2003
Ctr Partnership LPAdp of the snf1 Jul 2003
Ensign Services IncAdp of the snf1 Jul 2003
Fig Street Health Holdings LLCAdp of the snf1 Jul 2003

The site shows organisations only. It does not show the names of persons.

Other homes in San Diego County

The 12 nearest other nursing homes in San Diego County, California
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Palomar Heights Post AcuteEscondido3 of 525$8,17630 May 2025
Escondido Post AcuteEscondido5 of 59$08 May 2025
Redwood Terrace Health CenterEscondido5 of 57$014 Aug 2025
Valley Vista Post AcuteEscondido4 of 518$011 Sep 2025
Ocean View Post AcuteEscondido4 of 515$05 Jun 2025
Meadowbrook Village Christian Retirement CommunityEscondido5 of 58$013 Feb 2026
Casa De Las CampanasSan Diego2 of 514$08 Aug 2025
Village Square Healthcare CenterSan Marcos4 of 55$015 May 2025
Villa Rancho Bernardo Care CenterSan Diego5 of 57$07 Nov 2024
The Villas at PowayPoway5 of 511$57,12422 May 2025
Poway Healthcare CenterPoway4 of 56$08 May 2025
Boulder Creek Post AcutePoway4 of 514$014 Feb 2025

All 83 nursing homes in San Diego County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Palomar Vista Healthcare Center (CCN 055067). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/palomar-vista-healthcare-center-escondido-ca-055067/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Palomar Vista Healthcare Center last inspected?
The latest inspection with a citation in the CMS record was on 15 Jan 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 1 Jul 2024.
Who operates Palomar Vista Healthcare Center?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Palomar Vista Healthcare Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.