Carmel Mountain Rehabilitation & Healthcare Center
11895 Avenue of Industry · San Diego, CA · 92128 · 8586730101
120 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.04 | 0.55–0.75 |
| Weekend hours / resident-day | 4.67 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (53 in the current record)
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Actual harm · G April 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 15, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · E January 22, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 12, 2026 · Infection Control
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Potential for harm · D September 16, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 5, 2025 · Resident Rights
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Potential for harm · D September 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 5, 2025 · Infection Control
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Potential for harm · D September 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 5, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · D September 4, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 22, 2025 · Administration
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Potential for harm · E April 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 24, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 24, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
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.
Corrected May 24, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
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.
Corrected May 24, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2025 · Nutrition and Dietary
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Potential for harm · D April 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 24, 2025 · Administration
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Potential for harm · E April 24, 2025
Provide and implement an infection prevention and control program.
Corrected May 24, 2025 · Infection Control
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Potential for harm · D April 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · E December 26, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 15, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555326 · certified since October 12, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.