Escondido, CA

Valley Vista Post Acute

4-star overall rating with 3-star inspections with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1025 W. Second Avenue, Escondido, CA

(760) 745-1842

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Covenant Care

Operator or chain grouping

Approved since

1967-01-01

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.52

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.10

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.15

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.77

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.30

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.85

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,494

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

32.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9872

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.97

Baseline 19.78% · Performance 20.52% · Measure score 1.97 · Achievement 1.97 · Improvement 0

Healthcare-associated infections

Baseline 6.07% · Performance 7.24% · Measure score 2 · Achievement 2 · Improvement 0

Total nurse turnover

6.61

Baseline 56.90% · Performance 36.67% · Measure score 6.61 · Achievement 6.61 · Improvement 5.81

Adjusted total nurse staffing

2.49

Baseline 3.98 hours · Performance 3.78 hours · Measure score 2.49 · Achievement 2.49 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.92%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 73 · Observed rate 10.96% · Lower 95% interval 7.82%
Discharge to community	68.14%	50.57% 17.6 pts better	Better than the National Rate · Eligible stays 70 · Observed rate 62.86% · Lower 95% interval 56.97%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	98.91%	95.27% 3.6 pts better	Numerator 91 · Denominator 92
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 92
Discharge self-care score	63.33%	53.69% 9.6 pts better	Numerator 19 · Denominator 30
Discharge mobility score	40%	50.94% 10.9 pts worse	Numerator 12 · Denominator 30
Pressure ulcers or injuries, new or worsened	2.17%	2.29% 0.1 pts better	Numerator 2 · Denominator 92 · Adjusted rate 2.24%
Healthcare-associated infections requiring hospitalization	7.24%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 7.41% · Lower 95% interval 3.88%
Staff COVID-19 vaccination coverage	3.77%	8.2% 4.4 pts worse	Numerator 4 · Denominator 106
Staff flu vaccination coverage	60.38%	42% 18.4 pts better	Numerator 64 · Denominator 106
Discharge function score	53.33%	56.45% 3.1 pts worse	Numerator 16 · Denominator 30
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 37 · Denominator 37
Transfer of health information to patient	97.3%	96.28% 1 pts better	Numerator 36 · Denominator 37
Resident COVID-19 vaccinations up to date	5.77%	25.2% 19.4 pts worse	Numerator 3 · Denominator 52

Quality measures

Resident outcomes and process scores

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 · 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	94.7%	98.2% 3.5 pts worse	95.5% 0.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	1.6% 1.3 pts worse	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.8% · Q3 3.1% · Q4 3.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	14.4%	6.8% 7.6 pts worse	11.4% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 16.7% · Q3 10.7% · Q4 13.8% · 4Q avg 14.4%
Percentage of long-stay residents who lose too much weight	3.2%	4.1% 0.9 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.1% · Q3 6.7% · Q4 0.0% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.2%	13.7% 11.5 pts worse	19.6% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 24.2% · Q3 30.0% · Q4 30.0% · 4Q avg 25.2%
Percentage of long-stay residents who received an antipsychotic medication	2.5%	14.2% 11.7 pts better	16.7% 14.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 5.0% · Q4 0.0% · 4Q avg 2.5% · 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	10.3%	11.0% 0.7 pts better	16.3% 6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.1%	10.7% 6.6 pts better	14.9% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.2% · Q3 6.9% · Q4 0.0% · 4Q avg 4.1% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.8%	10.9% 9.9 pts worse	19.8% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 21.6% · Q3 20.3% · Q4 10.7% · 4Q avg 20.8%
Percentage of long-stay residents with pressure ulcers	3.3%	4.7% 1.4 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.2% · Q3 3.4% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	94.0% 5.7 pts better	81.7% 18 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of short-stay residents who had an outpatient emergency department visit	14.7%	11.2% 3.5 pts worse	12.0% 2.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 15.9% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.5% 0.9 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.1%	93.2% 2.9 pts better	79.7% 16.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.8%	23.2% 10.6 pts worse	23.9% 9.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.8% · Observed 32.9% · Expected 23.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

19 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-08-17 · Fire 2023-08-17

6 health deficiencies

Top issue: Environmental (1 deficiency)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2019-09-06 · Fire 2019-09-06

3 health deficiencies

Top issue: Environmental (1 deficiency)

13 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-14

F · Potential for more than minimal harm 2025-09-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-17

D · Potential for more than minimal harm 2025-09-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-14

D · Potential for more than minimal harm 2023-08-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-22

E · Potential for more than minimal harm 2019-09-06

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-11-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-11

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-11

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-11

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F690 · Quality of Life and Care Deficiencies

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 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-10-10

B · Minimal harm 2025-09-11

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-06-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-11

D · Potential for more than minimal harm 2024-01-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-07

E · Potential for more than minimal harm 2023-08-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-17

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-17

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-09-30

D · Potential for more than minimal harm 2023-08-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-30

B · Minimal harm 2023-08-17

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Not marked corrected

E · Potential for more than minimal harm 2019-09-06

F761 · Pharmacy Service Deficiencies

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 2019-10-04

B · Minimal harm 2019-09-06