Villa Las Palmas Healthcare Center
622 South Anza Street · El Cajon, CA · 92020 · 6194420544
151 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- Federal penalties on record: $25,714 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 2 · $33,732 |
Inspection citations (47 in the current record)
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Potential for harm · D April 14, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 7, 2026 · Resident Rights
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Potential for harm · D December 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 29, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Ensure that residents are free from significant medication errors.
Corrected June 4, 2025 · Pharmacy Service
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Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 4, 2025 · Nutrition and Dietary
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Actual harm · G May 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 5, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 17, 2025 · found via complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected May 13, 2025 · Administration
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Actual harm · G March 4, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · D December 26, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 26, 2024 · Resident Rights
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Potential for harm · D December 26, 2023 · 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 January 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 26, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 26, 2024 · Quality of Life and Care
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Potential for harm · D December 26, 2023 · found via complaint
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.
Corrected January 26, 2024 · Nursing and Physician Services
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Potential for harm · D October 18, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 27, 2023 · Resident Rights
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Potential for harm · D October 18, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 27, 2023 · Quality of Life and Care
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Potential for harm · E October 18, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 27, 2023 · Infection Control
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Potential for harm · D July 14, 2023 · found via complaint
Notify 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.
Corrected July 27, 2023 · Resident Rights
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Potential for harm · D July 28, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 23, 2022 · Resident Rights
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Potential for harm · D July 28, 2022
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 August 23, 2022 · Resident Rights
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Potential for harm · D July 28, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected August 23, 2022 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2022
Ensure each resident receives an accurate assessment.
Corrected August 23, 2022 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 23, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 17, 2025 | Fine | $25,714 |
| April 17, 2025 | Payment Denial | 1 days |
| March 4, 2024 | Fine | $8,018 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055806 · certified since August 17, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.