nursing home in Escondido, CA

Palomar Vista Healthcare Center

201 N Fig Street, Escondido, CA 92025 · (760) 746-0303

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Palomar Vista Healthcare Center at a glance

Palomar Vista Healthcare Center is a 74-bed for-profit nursing home in Escondido, California (San Diego County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the California average of 3.2.

Residents receive about 4.5 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 4.5 hours.

Its most recent standard health inspection (September 12, 2025) found 22 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
74
Certified for
Medicare and Medicaid
Chain / affiliated entity
The Ensign Group
Medicare-certified since
January 1, 1967
Resident/family council
Resident
County
San Diego County
CMS Certification Number
055067

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.3 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 54.1 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54.4 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)5 / 53.6 / 53.3 / 5Better

Staffing

This facility4.52 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.52 hrs4.52 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.61 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.61 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.88 hrs4.09 hrs3.42 hrsBetter

Inspections

This facility22California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)22169Worse
Citations from complaint investigations (latest cycle) (lower is better)143Better
Weighted health inspection score ⓘ (lower is better)102105.880.6Worse

Penalties

This facility0California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds7499107
Average residents per day708886
Occupancy95.1%88.4%80.9%

Long-stay residents

This facility1.5%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.5%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)5.7%4.3%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)7.9%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)2.5%1.2%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)15.9%10.2%13.9%Worse
Long-stay residents whose walking worsened (lower is better)17.5%9.8%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.1%4%5.2%Average
Long-stay residents with depressive symptoms (lower is better)14.8%7.3%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)19.6%13.7%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)20.6%10.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)98.2%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0.3%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.3%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)96.4%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)99.2%94.4%82%Better

Inspection citations

State inspectors cited this home for 51 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
January 15, 2026
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
E
Potential harm, pattern
Corrected February 2, 2026
September 12, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected September 23, 2025
September 12, 2025
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected September 24, 2025
September 12, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected September 24, 2025
September 12, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
C
No harm, widespread
Corrected September 23, 2025
September 12, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
C
No harm, widespread
Corrected September 24, 2025
September 12, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
E
Potential harm, pattern
Corrected October 7, 2025
September 12, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected October 7, 2025
September 12, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected October 7, 2025
September 12, 2025
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected October 7, 2025
September 12, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected October 7, 2025
September 12, 2025
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected October 7, 2025
September 12, 2025
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected October 7, 2025
January 21, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected February 10, 2025
August 29, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 29, 2024
August 29, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 29, 2024
August 29, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected September 29, 2024
July 1, 2024
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
E
Potential harm, pattern
Corrected July 29, 2024
July 1, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected July 29, 2024
July 1, 2024
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
D
Potential harm, isolated
Corrected July 29, 2024
July 1, 2024
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected July 29, 2024
July 1, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 19, 2024
July 1, 2024
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected August 12, 2024
July 1, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 12, 2024
July 1, 2024
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected August 12, 2024
July 1, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 12, 2024
July 1, 2024
Standard
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected August 12, 2024
July 1, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected August 12, 2024
July 1, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected August 12, 2024
April 3, 2024
Complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected April 30, 2024
March 28, 2024
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.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected April 11, 2024
December 8, 2023
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 26, 2023
October 2, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected October 11, 2023
May 18, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected June 5, 2023
May 18, 2023
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
D
Potential harm, isolated
Corrected June 5, 2023
May 18, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
D
Potential harm, isolated
Corrected June 5, 2023
May 18, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected June 5, 2023
May 18, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected June 5, 2023
May 18, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected June 5, 2023
May 18, 2023
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
D
Potential harm, isolated
Corrected June 5, 2023
May 18, 2023
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
C
No harm, widespread
Corrected June 5, 2023
May 18, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected July 1, 2023
May 18, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 1, 2023
May 18, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected July 1, 2023
May 18, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 1, 2023
May 18, 2023
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected July 1, 2023
May 18, 2023
Standard
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.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected July 1, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
ALKEMA, SHAUN
Individual
adp of the snfNOT APPLICABLE06/20/2017
CARETRUST GP LLC
Organization
adp of the snfNOT APPLICABLE07/01/2003
CARETRUST REIT INC
Organization
adp of the snfNOT APPLICABLE07/01/2003
CTR PARTNERSHIP LP
Organization
adp of the snfNOT APPLICABLE07/01/2003
ENSIGN SERVICES INC
Organization
adp of the snfNOT APPLICABLE07/01/2003
FIG STREET HEALTH HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE07/01/2003
MALLO, RICHARD
Individual
adp of the snfNOT APPLICABLE02/16/2016
BURNAM, SOON
Individual
corporate officerNOT APPLICABLE02/01/2017
KEETCH, CHAD
Individual
corporate officerNOT APPLICABLE03/01/2011
WILLITS, ADAM
Individual
corporate officerNOT APPLICABLE09/09/2024
THE ENSIGN GROUP INC
Organization
indirect ownership interestNOT APPLICABLE01/30/2006
PORT, BARRY
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/15/2025
ALKEMA, SHAUN
Individual
managing control - governing bodyNOT APPLICABLE06/20/2017
MALLO, RICHARD
Individual
managing control - governing bodyNOT APPLICABLE02/16/2016
ALKEMA, SHAUN
Individual
operational/managerial controlNOT APPLICABLE06/20/2017
BURNAM, SOON
Individual
operational/managerial controlNOT APPLICABLE02/01/2017
MALLO, RICHARD
Individual
operational/managerial controlNOT APPLICABLE02/16/2016

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Frequently asked questions

What is Palomar Vista Healthcare Center's rating?

Palomar Vista Healthcare Center has 2 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Palomar Vista Healthcare Center receive?

Its most recent standard health inspection found 22 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Palomar Vista Healthcare Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Palomar Vista Healthcare Center?

It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Palomar Vista Healthcare Center and how do I contact it?

Palomar Vista Healthcare Center is at 201 N Fig Street, Escondido, CA 92025. Phone: (760) 746-0303.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.