Public Record
Palomar Vista Healthcare Center
Operated by The Ensign Group
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 74
- Avg. residents per day
- 68.9
*CMS Five-Star
*CMS
*CMS
California cost report
Food cost per resident day
Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.
2024 raw food costs per resident day
$6.61
Filing period: to
California median $8.96 across 825 filers. This facility: 9.8th percentile of those filers.
Within its operator's California portfolio ( 68 filers): median $7.55.
RN, LVN, and CNA staffing mix
Census context: 25,735 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 5,537 | $325,028 | $58.70/hour |
| LVN | 25,609 | $1,253,583 | $48.95/hour |
| CNA | 50,875 | $1,464,357 | $28.78/hour |
2023 raw food costs per resident day
$7.93
Filing period: to
California median $8.51 across 892 filers. This facility: 39.2th percentile of those filers.
Within its operator's California portfolio ( 76 filers): median $7.57.
RN, LVN, and CNA staffing mix
Census context: 24,823 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 2,614 | $137,275 | $52.52/hour |
| LVN | 26,755 | $1,186,314 | $44.34/hour |
| CNA | 55,760 | $1,404,045 | $25.18/hour |
2022 raw food costs per resident day
$7.32
Filing period: to
California median $8.23 across 896 filers. This facility: 31th percentile of those filers.
Within its operator's California portfolio ( 76 filers): median $7.26.
RN, LVN, and CNA staffing mix
Census context: 24,382 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 7,013 | $285,549 | $40.72/hour |
| LVN | 28,304 | $1,000,561 | $35.35/hour |
| CNA | 100,037 | $1,241,456 | $12.41/hour |
*HCAI Long-Term Care Integrated Disclosure
Inspection record
On record from CMS
- Health citations
- 51
- Fire safety findings
- 17
- Inspections on file
- 13
- Last inspection
- 2026-01-15
*CMS
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Citations
51 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0627Generalpotential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0561Generalpotential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0578Generalpotential for harm
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.
- 0584Generalpotential for harm
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.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0803Generalpotential for harm
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.
- 0761Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0700Generalpotential for harm
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.
- 0693Generalpotential for harm
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.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0557Generalpotential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0727Generalpotential for harm
Have 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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0625Generalpotential for harm
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.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0761Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0849Generalpotential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
055067 01/15/2026 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe…
Read full statement of deficiencies - Inspection21 deficiencies
055067 09/12/2025 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED…
Read full statement of deficiencies - View inspection reportInspectionFire Safety5 deficiencies
- Inspection1 deficiency
055067 01/21/2025 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…
Read full statement of deficiencies - Inspection3 deficiencies
055067 08/29/2024 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that…
Read full statement of deficiencies - View inspection reportInspectionFire Safety4 deficiencies
- Inspection8 deficiencies
055067 07/01/2024 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions…
Read full statement of deficiencies - Inspection1 deficiency
055067 04/03/2024 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - Inspection1 deficiency
055067 03/28/2024 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0625 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s…
Read full statement of deficiencies - Inspection1 deficiency
055067 12/08/2023 Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 F 0550 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on…
Read full statement of deficiencies
Showing the 10 most recent inspections. 3 earlier inspections are also on record.
Ownership
The Ensign Group
338nursing homes nationwide, in CMS records
72 in California, 266 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Palomar Vista Healthcare Center?
- Palomar Vista Healthcare Center is a Medicare- and Medicaid-certified nursing home in Escondido, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 055067.
- What is the CMS rating for Palomar Vista Healthcare Center?
- Palomar Vista Healthcare Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Palomar Vista Healthcare Center have?
- Palomar Vista Healthcare Center is certified for 74 beds. It serves an average of 68.9 residents per day.
- How many citations does Palomar Vista Healthcare Center have?
- Palomar Vista Healthcare Center has 51 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Palomar Vista Healthcare Center last inspected?
- Palomar Vista Healthcare Center was last inspected on January 15, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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