10 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Encinitas, CA
5-star overall rating with 4-star inspections with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
900 Santa Fe Drive, Encinitas, CA
(760) 753-6423
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Covenant Care
Operator or chain grouping
Approved since
1974-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
24 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.27
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.55
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.94
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
8,991
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.62% · Performance 22.41% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.29
Baseline 7.86% · Performance 7.45% · Measure score 1.29 · Achievement 1.29 · Improvement 0.94
Total nurse turnover
5.39
Baseline 38.09% · Performance 41.67% · Measure score 5.39 · Achievement 5.39 · Improvement 0
Adjusted total nurse staffing
3.35
Baseline 4.07 hours · Performance 4.03 hours · Measure score 3.35 · Achievement 3.35 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.97% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 313 · Observed rate 9.9% · Lower 95% interval 8.66% |
| Discharge to community | 65.93% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 283 · Observed rate 63.25% · Lower 95% interval 59.98% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.24% |
95.27%
4 pts better
|
Numerator 262 · Denominator 264 |
| Falls with major injury | 0.76% |
0.77%
About the same
|
Numerator 2 · Denominator 264 |
| Discharge self-care score | 52.14% |
53.69%
1.5 pts worse
|
Numerator 61 · Denominator 117 |
| Discharge mobility score | 70.09% |
50.94%
19.2 pts better
|
Numerator 82 · Denominator 117 |
| Pressure ulcers or injuries, new or worsened | 1.52% |
2.29%
0.8 pts better
|
Numerator 4 · Denominator 264 · Adjusted rate 1.84% |
| Healthcare-associated infections requiring hospitalization | 7.45% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 167 · Observed rate 6.59% · Lower 95% interval 4.52% |
| Staff COVID-19 vaccination coverage | 8.33% |
8.2%
0.1 pts better
|
Numerator 8 · Denominator 96 |
| Staff flu vaccination coverage | 86.51% |
42%
44.5 pts better
|
Numerator 109 · Denominator 126 |
| Discharge function score | 63.25% |
56.45%
6.8 pts better
|
Numerator 74 · Denominator 117 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 192 · Denominator 192 |
| Transfer of health information to patient | 88.89% |
96.28%
7.4 pts worse
|
Numerator 48 · Denominator 54 |
| Resident COVID-19 vaccinations up to date | 29.58% |
25.2%
4.4 pts better
|
Numerator 42 · Denominator 142 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.5 |
2.3
1.2 pts worse
|
1.9
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.4 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.6
0.9 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.3 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
1.6%
0.8 pts worse
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 3.8% · Q4 3.9% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.4% |
6.8%
0.4 pts better
|
11.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.4% · Q3 8.2% · Q4 6.1% · 4Q avg 6.4% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
4.1%
0.2 pts worse
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.1% · Q3 5.1% · Q4 0.0% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
13.7%
1.5 pts worse
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 15.9% · Q3 14.6% · Q4 14.3% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
14.2%
8.4 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.7% · Q3 8.8% · Q4 3.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.9% |
11.0%
3.9 pts worse
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.6% |
10.7%
1.1 pts better
|
14.9%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 7.0% · Q3 7.7% · Q4 12.2% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.0%
0.6 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.2%
1.3 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.8% · Q3 0.0% · Q4 4.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.1% |
10.9%
1.8 pts better
|
19.8%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 10.9% · Q3 6.3% · Q4 11.3% · 4Q avg 9.1% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.7%
0.2 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.3% · Q3 7.3% · Q4 0.0% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
94.0%
4.7 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.3% · Q3 99.2% · Q4 98.9% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
11.2%
About the same
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.9% · Q3 0.9% · Q4 0.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
93.2%
4 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.0% |
23.2%
5.8 pts worse
|
23.9%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 24.8% · Expected 20.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-28
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-28
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-28
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-05-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-28
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-09-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-07
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-09-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-07
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-09-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-07
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-09-07
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-16
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-12-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-12-16
Inspection history
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-25
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-05-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-05-25
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-05-25
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-25
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-16
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-17
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-09-17
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-17
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-17
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-17
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-09-17
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-17
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 2023-09-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-10
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-11-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-11-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-11-24
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-11-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-11-24
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Encinitas, CA
2-star overall rating with 2-star inspections with 19 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Encinitas, CA
5-star overall rating with 4-star inspections with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Carlsbad, CA
5-star overall rating with 4-star inspections with $9,311 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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