The Dorothy & Joseph Goldberg Healthcare Center
211 Saxony Road · Encinitas, CA · 92024 · 7606320081
58 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
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: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 5.27 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D September 3, 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 October 3, 2025 · Pharmacy Service
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Potential for harm · D July 24, 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 August 22, 2025 · Resident Rights
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Potential for harm · D July 24, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D July 24, 2025
Ensure each resident receives an accurate assessment.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 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 August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected August 22, 2025 · Nutrition and Dietary
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Potential for harm · D July 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 22, 2025 · Nutrition and Dietary
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Potential for harm · D July 24, 2025
Provide and implement an infection prevention and control program.
Corrected August 22, 2025 · Infection Control
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Potential for harm · D July 24, 2025
Implement a program that monitors antibiotic use.
Corrected August 22, 2025 · Infection Control
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Potential for harm · D July 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 15, 2024 · Pharmacy Service
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Potential for harm · D July 12, 2024
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 August 15, 2024 · Pharmacy Service
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Potential for harm · D July 12, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2024
Provide and implement an infection prevention and control program.
Corrected August 15, 2024 · Infection Control
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Potential for harm · D January 27, 2023
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 February 27, 2023 · Resident Rights
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Potential for harm · D January 27, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 27, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 27, 2023 · Quality of Life and Care
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Potential for harm · D January 27, 2023
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 February 27, 2023 · Nursing and Physician Services
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Potential for harm · D January 27, 2023
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 February 27, 2023 · Pharmacy Service
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 555424 · certified since June 6, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.