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
Data as of July 1, 2026
5 of 5 overall
LA PALOMA HEALTHCARE CENTER has an overall 5 out of 5 stars, with 5-star health inspections and quality measures, but a 3-star staffing rating. Reported nurse staffing is 3.95 hours per resident per day, slightly below the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9545 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 3.9545.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.37
- Weekend nursing
- 3.71
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 44%
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
13%6.8%Improving
Residents with a fall causing major injury
0%1.8%Worsening
Residents with pressure ulcers (bedsores)
4.1%1.8%Improving
Residents with a urinary tract infection
0%3.8%Worsening
Residents who lost too much weight
4.4%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.1%8.2%Worsening
Residents whose ability to walk got worse
—9.1%—
Long-stay residents on antianxiety or sleep medication
19.1%9.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
2.4%2.1%No change
Residents with depressive symptoms
8.9%9.4%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
98%98.2%No change
Short-stay residents given the seasonal flu vaccine
—91.7%—
Short-stay residents given the pneumonia vaccine
76.4%95.1%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 · 281 homes · 2.8 stars avg
- Occupancy
- 84.4 residents on an average day (91% 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.