The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
LA PALOMA HEALTHCARE CENTER
OCEANSIDE, CA · Medicare-certified · 93 beds
In good standing
For-profitChain member
5 of 5 overall
LA PALOMA HEALTHCARE CENTER has an overall 5 out of 5 stars, with strong health inspection and quality ratings, but staffing is only 3 out of 5 stars and reported nurse staffing is below the federal benchmark (3.87 vs. 4.1 hours per resident per day). There were no fines in the last 24 months, though recent citations included accident prevention, pressure ulcer care, and having enough nursing staff on each shift.
Facility ratings
Health inspections
Staffing
3.8715 hrs/resident/day
Quality measures
Last inspection: April 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8715.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 1.11
- Nurse aides
- 2.31
- Weekend nursing
- 3.72
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 67%
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
10.7%8.6%Improving
Residents with a fall causing major injury
1.8%2%No change
Residents with pressure ulcers (bedsores)
4.3%0%Improving
Residents with a urinary tract infection
0%2%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%6.7%No change
Residents whose ability to walk got worse
—4.8%—
Long-stay residents on antianxiety or sleep medication
21.2%12.2%Improving
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%11.5%Worsening
Residents with depressive symptoms
5.6%6.2%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
—82.5%—
Long-stay residents given the pneumonia vaccine
92.7%94.1%Improving
Short-stay residents given the seasonal flu vaccine
—91.7%—
Short-stay residents given the pneumonia vaccine
83%87.9%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited April 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited April 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 86.1 residents on an average day (93% of 93 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.