The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Carmel Mountain Rehabilitation & Healthcare
Registered name: CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER
SAN DIEGO, CA · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Carmel Mountain Rehabilitation & Healthcare has an overall 3-star rating, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. It reports 5.02 nurse staffing hours per resident day, above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.0238 hrs/resident/day
Quality measures
Last inspection: April 15, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0238.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 1.57
- Nurse aides
- 2.49
- Weekend nursing
- 4.61
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.2%10.9%Worsening
Residents with a fall causing major injury
1.4%0%Improving
Residents with pressure ulcers (bedsores)
1.2%3.5%Worsening
Residents with a urinary tract infection
2.9%2.8%No change
Residents who lost too much weight
6%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.4%4.3%Worsening
Residents whose ability to walk got worse
—5.9%—
Long-stay residents on antianxiety or sleep medication
11.9%11.3%Improving
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
1.6%1.4%No change
Residents with new or worsening incontinence
19%22.7%Worsening
Residents with depressive symptoms
1.8%8.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.6%—
Long-stay residents given the pneumonia vaccine
100%98.6%Worsening
Short-stay residents given the seasonal flu vaccine
—99.3%—
Short-stay residents given the pneumonia vaccine
99.8%99.2%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- PENALTY
A federal payment denial was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Apr 15, 2026
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 114.9 residents on an average day (96% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.