Palomar Heights Post Acute
1260 E Ohio Avenue · Escondido, CA · 92027 · 7607461100
98 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $8,176 |
Inspection citations (54 in the current record)
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Potential for harm · D April 16, 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.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 16, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · D February 17, 2026 · found via complaint
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 March 17, 2026 · Pharmacy Service
-
Potential for harm · D February 17, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D May 30, 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 July 3, 2025 · Resident Rights
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Potential for harm · D May 30, 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 July 3, 2025 · Resident Rights
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Potential for harm · D May 30, 2025
Assess the resident when there is a significant change in condition
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025
Provide activities to meet all resident's needs.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025
Observe each nurse aide's job performance and give regular training.
Corrected July 3, 2025 · Nursing and Physician Services
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Potential for harm · E May 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 3, 2025 · Pharmacy Service
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Potential for harm · E May 30, 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 July 3, 2025 · Pharmacy Service
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Potential for harm · D May 30, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · E May 30, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · D May 30, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
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.
Corrected July 3, 2025 · Administration
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Potential for harm · E May 30, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 3, 2025 · Administration
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Potential for harm · D May 30, 2025
Provide and implement an infection prevention and control program.
Corrected July 3, 2025 · Infection Control
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Potential for harm · D October 16, 2024 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 16, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2024 | Fine | $8,176 |
| June 21, 2024 | Payment Denial | 9 days |
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 555764 · certified since December 6, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.