4 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Carlsbad, CA
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2855 Carlsbad Blvd, Carlsbad, CA
(760) 720-4580
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
33
Certified beds
Average residents
26
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Front Porch
Operator or chain grouping
Approved since
1975-09-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.65
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.63
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.03
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.28
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.41
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
4.86
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
13%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
2,147
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0058
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.31
Baseline 18.25% · Performance 20.82% · Measure score 1.31 · Achievement 1.31 · Improvement 0
Healthcare-associated infections
2.45
Baseline 6.06% · Performance 7.10% · Measure score 2.45 · Achievement 2.45 · Improvement 0
Total nurse turnover
10
Baseline 58.62% · Performance 9.68% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
6.82
Performance 5.02 hours · Measure score 6.82 · Achievement 6.82 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.36% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 403 · Observed rate 7.2% · Lower 95% interval 8.35% |
| Discharge to community | 66.02% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 415 · Observed rate 76.39% · Lower 95% interval 62.52% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.52% |
95.27%
3.2 pts better
|
Numerator 266 · Denominator 270 |
| Falls with major injury | 0.74% |
0.77%
About the same
|
Numerator 2 · Denominator 270 |
| Discharge self-care score | 86.92% |
53.69%
33.2 pts better
|
Numerator 113 · Denominator 130 |
| Discharge mobility score | 83.85% |
50.94%
32.9 pts better
|
Numerator 109 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 1.11% |
2.29%
1.2 pts better
|
Numerator 3 · Denominator 270 · Adjusted rate 1.54% |
| Healthcare-associated infections requiring hospitalization | 7.1% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 235 · Observed rate 3.83% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 9.62% |
8.2%
1.4 pts better
|
Numerator 5 · Denominator 52 |
| Staff flu vaccination coverage | 78.43% |
42%
36.4 pts better
|
Numerator 40 · Denominator 51 |
| Discharge function score | 86.15% |
56.45%
29.7 pts better
|
Numerator 112 · Denominator 130 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 35 · Denominator 35 |
| Transfer of health information to patient | 99.13% |
96.28%
2.8 pts better
|
Numerator 227 · Denominator 229 |
| Resident COVID-19 vaccinations up to date | 40.34% |
25.2%
15.1 pts better
|
Numerator 48 · Denominator 119 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.1%
4.1 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.0% |
13.7%
3.7 pts better
|
19.6%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
14.2%
5.9 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.9% |
0.4%
2.5 pts worse
|
0.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.9% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.3% |
10.7%
12.6 pts worse
|
14.9%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.6% |
10.9%
24.7 pts worse
|
19.8%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.6% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
4.7%
4.7 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
11.2%
2 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 7.0% · Expected 8.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
93.2%
3.5 pts worse
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
23.2%
3.7 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 11.4% · Expected 14.0% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-12-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-12
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-12-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-19
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-02-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-15
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-02-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-15
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-31
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-31
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-12-31
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-01-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-14
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-02-14
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-02-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-02-14
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-02-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-14
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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Vista, CA
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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