Palomar Vista Healthcare Center
201 N Fig Street · Escondido, CA · 92025 · 7607460303
74 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (51 in the current record)
-
Potential for harm · E January 15, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 2, 2026 · Resident Rights
-
Potential for harm · D September 12, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 7, 2025 · Resident Rights
-
Potential for harm · D September 12, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected October 7, 2025 · Resident Rights
-
Potential for harm · D September 12, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 7, 2025 · Resident Rights
-
Potential for harm · D September 12, 2025
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.
Corrected October 7, 2025 · Resident Rights
-
Potential for harm · E September 12, 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 October 7, 2025 · Resident Rights
-
Potential for harm · E September 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 12, 2025
Ensure each resident receives an accurate assessment.
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E September 12, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2025
Provide activities to meet all resident's needs.
Corrected October 7, 2025 · Quality of Life and Care
-
Potential for harm · D September 12, 2025
Ensure 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.
Corrected October 7, 2025 · Quality of Life and Care
-
Potential for harm · D September 12, 2025
Try 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.
Corrected October 7, 2025 · Quality of Life and Care
-
Potential for harm · D September 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 7, 2025 · Pharmacy Service
-
Potential for harm · D September 12, 2025
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.
Corrected October 7, 2025 · Pharmacy Service
-
Potential for harm · E September 12, 2025
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.
Corrected October 7, 2025 · Nutrition and Dietary
-
Potential for harm · E September 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2025 · Nutrition and Dietary
-
Potential for harm · D September 12, 2025
Dispose of garbage and refuse properly.
Corrected October 7, 2025 · Nutrition and Dietary
-
Potential for harm · D September 12, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2025
Provide and implement an infection prevention and control program.
Corrected October 7, 2025 · Infection Control
-
Potential for harm · D January 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2025 · Quality of Life and Care
-
Potential for harm · D August 29, 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 September 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 29, 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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055067 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.