The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
PALOMAR HEIGHTS POST ACUTE
ESCONDIDO, CA · Medicare-certified · 98 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
PALOMAR HEIGHTS POST ACUTE has a 3 out of 5 star overall rating. Health inspection is 2 stars, staffing is 3 stars with reported nurse staffing at 4.00 hours per resident per day versus the 4.1 federal benchmark, quality measures are 5 stars, and there were $0 in fines in the last 24 months; recent inspection citations included treatment and care, food handling, and medication storage/labeling issues.
Facility ratings
Health inspections
Staffing
3.9998 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9998.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 1.00
- Nurse aides
- 2.36
- Weekend nursing
- 3.51
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 11%
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
5%0%Improving
Residents with a fall causing major injury
2.6%1.6%Improving
Residents with pressure ulcers (bedsores)
1.2%1.4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%5.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.6%8%Worsening
Residents whose ability to walk got worse
0%9.2%Worsening
Long-stay residents on antianxiety or sleep medication
10%12.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
10.8%5.5%Improving
Residents with depressive symptoms
4.1%19.6%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 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 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $8,176 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $8,176 in total fines · 1 payment denial.
- 9 days
Medicare/Medicaid payment denial
Jun 21, 2024
- $8,176
Federal fine
Jun 21, 2024
Operator & ownership
Recent ownership change · Aug 1, 2022
Now operated by Palomar Heights Post Acute, previously Palomar Heights Post Acute Rehabilitation.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 82.6 residents on an average day (84% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.