Federal inspection record · CMS data as of October 1, 2026

Village Square Healthcare Center

1586 W. San Marcos Blvd, San Marcos, CA · (760) 471-2986

CMS overall rating

4 of 5

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Certified beds
118
Residents per day
112
Ownership
For-Profit
Chain
Mariner Health Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 28, 1999

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Village Square Healthcare Center carries 55 inspection points. That is fewer than 75% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 55 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

44 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 36 4 pts
E 7 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights12E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 15, 2025 · Standard · F550 · Corrected June 6, 2025

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    May 15, 2025 · Standard · F554 · Corrected June 6, 2025

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 4, 2025 · Complaint · F580 · Corrected March 20, 2025

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 28, 2025 · Complaint · F550 · Corrected March 13, 2025

  5. D

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    February 27, 2025 · Complaint · F559 · Corrected March 13, 2025

  6. E

    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.

    September 30, 2024 · Complaint · F584 · Corrected October 29, 2024

  7. D

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    November 3, 2023 · Complaint · F563 · Corrected November 21, 2023

  8. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    July 29, 2022 · Standard · F554 · Corrected August 31, 2022

  9. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 14, 2019 · Standard · F550 · Corrected April 25, 2019

  10. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    February 14, 2019 · Standard · F552 · Corrected April 25, 2019

  11. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    February 14, 2019 · Standard · F582 · Corrected April 25, 2019

  12. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    February 14, 2019 · Standard · F625 · Corrected April 25, 2019

Quality of Life and Care10E
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    June 26, 2025 · Complaint · F686 · Corrected July 7, 2025

  2. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    February 28, 2025 · Complaint · F694 · Corrected March 13, 2025

  3. D

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

    March 12, 2024 · Complaint · F684 · Corrected April 18, 2024

  4. D

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

    July 29, 2022 · Standard · F684 · Corrected August 31, 2022

  5. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 29, 2022 · Standard · F686 · Corrected August 31, 2022

  6. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    July 29, 2022 · Standard · F694 · Corrected August 31, 2022

  7. E

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

    February 14, 2019 · Standard · F689 · Corrected April 25, 2019

  8. D

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

    February 14, 2019 · Standard · F684 · Corrected April 25, 2019

  9. D

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

    February 14, 2019 · Standard · F695 · Corrected April 25, 2019

  10. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 14, 2019 · Standard · F698 · Corrected April 25, 2019

Pharmacy Service6E
  1. D

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

    March 19, 2026 · Complaint · F755 · Corrected April 10, 2026

  2. E

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

    February 5, 2026 · Complaint · F755 · Corrected February 27, 2026

  3. E

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

    July 29, 2022 · Standard · F755 · Corrected August 31, 2022

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    July 29, 2022 · Standard · F757 · Corrected August 31, 2022

  5. D

    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.

    July 29, 2022 · Standard · F761 · Corrected August 31, 2022

  6. D

    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.

    February 14, 2019 · Standard · F761 · Corrected April 25, 2019

Nutrition and Dietary5F
  1. F

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

    May 15, 2025 · Standard · F812 · Corrected June 6, 2025

  2. D

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

    July 29, 2022 · Standard · F812 · Corrected August 31, 2022

  3. E

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

    February 14, 2019 · Standard · F812 · Corrected February 14, 2019

  4. D

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    February 14, 2019 · Standard · F802 · Corrected April 25, 2019

  5. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    February 14, 2019 · Standard · F813 · Corrected February 14, 2019

Resident Assessment and Care Planning4E
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 29, 2022 · Standard · F657 · Corrected August 31, 2022

  2. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 14, 2019 · Standard · F657 · Corrected April 25, 2019

  3. D

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

    February 14, 2019 · Standard · F655 · Corrected April 25, 2019

  4. D

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

    February 14, 2019 · Standard · F656 · Corrected April 25, 2019

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    February 28, 2025 · Complaint · F880 · Corrected March 13, 2025

  2. D

    Provide and implement an infection prevention and control program.

    July 29, 2022 · Standard · F880 · Corrected August 31, 2022

  3. D

    Provide and implement an infection prevention and control program.

    February 14, 2019 · Standard · F880 · Corrected April 25, 2019

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 7, 2026 · Complaint · F609 · Corrected August 29, 2026

  2. D

    Respond appropriately to all alleged violations.

    August 7, 2026 · Complaint · F610 · Corrected August 29, 2026

Nursing and Physician Services1D
  1. D

    Post nurse staffing information every day.

    July 29, 2022 · Standard · F732 · Corrected August 31, 2022

Administration1E
  1. E

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

    February 14, 2019 · Standard · F865 · Corrected April 25, 2019

Inspection history

  1. 2025-05-15

    7 health deficiencies · 7 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2022-07-29

    17 health deficiencies · 19 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2019-02-14

    20 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 5 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

4 h 5 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 38% of nursing staff and 54% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.42.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse2.11.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse3.0%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms7.6 pts better0.0%7.6%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better3.0%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts worse20.4%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.5 pts better8.8%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.1 pts worse10.0%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better9.3%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better0.6%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse12.7%9.8%18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts worse4.5%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better99.8%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better10.8%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better0.0%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.2 pts better99.3%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse24.3%22.6%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Gc Holding Company 2 LLC5% Or Greater Direct Ownership Interest · Organization99%8 facilities
Bhatia, PrakashOperational/Managerial Control · Individual0%1 facilities
Bhatia, PrakashAdp Of The SNF · Individual0%1 facilities
Currey, LaruaOperational/Managerial Control · Individual0%1 facilities
Currey, LaruaAdp Of The SNF · Individual0%1 facilities
Franco, Juan CarlosOperational/Managerial Control · Individual0%2 facilities
Franco, Juan CarlosAdp Of The SNF · Individual0%2 facilities
Gc Holding Company 2 LLCLimited Partnership Interest · Organization0%8 facilities
Grancare LLC5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
Grunstein, Emily5% Or Greater Indirect Ownership Interest · Individual0%17 facilities
Mariner Health Care, Inc.5% Or Greater Indirect Ownership Interest · Organization0%16 facilities
Mhc Holding Company5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
Mhc West Holding Company5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
National Senior Care, Inc.5% Or Greater Indirect Ownership Interest · Organization0%17 facilities
Padilla, PhilOperational/Managerial Control · Individual0%1 facilities
Padilla, PhilAdp Of The SNF · Individual0%1 facilities
San Marcos Holding Company Gp LLCGeneral Partnership Interest · Organization0%1 facilities
Sarcauga, DennisOperational/Managerial Control · Individual0%16 facilities
Sarcauga, DennisAdp Of The SNF · Individual0%16 facilities

·

Fire safety

31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 15, 2025 · K353 · Corrected June 6, 2025

  2. E

    Provide properly protected cooking facilities.

    May 15, 2025 · K324 · Corrected June 6, 2025

  3. D

    Have properly installed hallway dispensers for alcohol-based hand rub.

    May 15, 2025 · K325 · Corrected June 6, 2025

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    July 29, 2022 · K353 · Corrected August 26, 2022

  5. E

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

    July 29, 2022 · K372 · Corrected August 26, 2022

  6. D

    Provide properly protected cooking facilities.

    July 29, 2022 · K324 · Corrected August 26, 2022

  7. D

    Have properly installed hallway dispensers for alcohol-based hand rub.

    July 29, 2022 · K325 · Corrected August 26, 2022

  8. D

    Install corridor and hallway doors that block smoke.

    July 29, 2022 · K363 · Corrected August 26, 2022

  9. C

    Install an approved automatic sprinkler system.

    July 29, 2022 · K351 · Corrected August 26, 2022

  10. D

    Inspect, test, and maintain automatic sprinkler systems.

    February 14, 2019 · K353 · Corrected May 9, 2019

Gas, Vacuum, and Electrical Systems6F
  1. F

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

    May 15, 2025 · K918 · Corrected June 6, 2025

  2. E

    Have power receptacles that are properly grounded.

    July 29, 2022 · K912 · Corrected August 26, 2022

  3. E

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

    July 29, 2022 · K918 · Corrected August 26, 2022

  4. D

    Meet requirements for the use of electrical equipment.

    July 29, 2022 · K919 · Corrected August 26, 2022

  5. D

    Ensure proper usage of power strips and extension cords.

    July 29, 2022 · K920 · Corrected August 26, 2022

  6. E

    Ensure proper usage of power strips and extension cords.

    February 14, 2019 · K920 · Corrected May 9, 2019

Miscellaneous5E
  1. E

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

    May 15, 2025 · K741 · Corrected June 6, 2025

  2. D

    Have simulated fire drills held at unexpected times.

    May 15, 2025 · K712 · Corrected June 6, 2025

  3. D

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

    July 29, 2022 · K741 · Corrected August 26, 2022

  4. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 29, 2022 · K761 · Corrected August 26, 2022

  5. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    February 14, 2019 · K761 · Corrected May 9, 2019

Emergency Preparedness4F
  1. F

    Provide emergency officials' contact information.

    May 15, 2025 · E31 · Corrected June 6, 2025

  2. D

    Provide emergency officials' contact information.

    July 29, 2022 · E31 · Corrected August 26, 2022

  3. D

    Establish emergency prep training and testing.

    July 29, 2022 · E36 · Corrected August 26, 2022

  4. D

    Establish staff and initial training requirements.

    July 29, 2022 · E37 · Corrected August 26, 2022

Egress4E
  1. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    July 29, 2022 · K223 · Corrected August 26, 2022

  2. D

    Have properly located and lighted "Exit" signs.

    July 29, 2022 · K293 · Corrected August 26, 2022

  3. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    February 14, 2019 · K223 · Corrected May 9, 2019

  4. D

    Have properly located and lighted "Exit" signs.

    February 14, 2019 · K293 · Corrected May 9, 2019

Construction1D
  1. D

    Use approved construction type or materials.

    July 29, 2022 · K161 · Corrected August 26, 2022

Services1D
  1. D

    Have elevators that firefighters can control in the event of a fire.

    July 29, 2022 · K531 · Corrected August 26, 2022

·

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