Rancho Mesa Care Center has an overall rating of 4 out of 5 stars, with strong health inspection and quality measures ratings but a weaker staffing rating of 2 out of 5 stars; reported nurse staffing is 3.72 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7206.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
1.01
Nurse aides
2.39
Weekend nursing
3.40
Hours per resident per day.
Total staff turnover: 52%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
16.7%5.6%Improving
Residents with a fall causing major injury
2%0%Improving
Residents with pressure ulcers (bedsores)
4.1%7.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%7.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%2.6%Improving
Residents whose ability to walk got worse
—6.3%—
Long-stay residents on antianxiety or sleep medication
33.3%21.7%Improving
Short-stay residents newly given an antipsychotic
0%2.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.5%0%Improving
Residents with depressive symptoms
13.6%9.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
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 have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 805 — 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 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
63.3 residents on an average day (107% of 59 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 34 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.