Vi At La Jolla Village
4171 Las Palmas Square, San Diego, CA 92122 · For profit - Limited Liability company · 60 certified beds · (858) 646-3400 Medicare only — no Medicaid
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 11.3% | 10.2% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.0% | 4.0% | 5.4% | check this* — see note marked star below the table |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.8% | 7.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.7% | 1.6% | 3.3% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents whose ability to walk worsened | 12.2% | 9.8% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 14.2% | 13.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 98.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 0.9% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 4.4% | 10.2% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.5% | 12.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.6% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.4% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 25.1% | 23.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 23.3% | 11.2% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.46 | 2.25 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.39 | 1.57 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
68.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 293 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 72.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 174 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.49 therapist hours per resident per day in 2026Q1 — more than 80% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 68.8%CMS range 64.9–73.0 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.6%CMS range 6.5–11.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 72.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 60.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 70.1% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 98.5% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.5% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.6%CMS range 4.5–9.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.94 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 60 beds and averages 55.5 residents a day — about 92% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.08 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.26 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.81 hrs/resident/day on weekends vs 5.42 on weekdays — 11% thinner on weekends. RN hours go from 1.21 to 0.77 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 26% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · D2025-08-28 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to obtained written consent for the use of a bed/chair sensor alarm (a device that detects movement or pressure changes to alert staff for residents at risk of falling) [Resident 51] and for the use of an antipsychotropic medication (treats mental health illnesses such psychosis and schizophrenia) [Resident 1] for two of seven residents reviewed for Resident Rights. This failure had the potential for residents and their responsible parties (RP-a designated person chosen by the resident to represent them in medical and financial decisions), to be uninformed of the risk versus the benefits, for the recommended treatment.1. Resident 51 was admitted to the facility 7/25/2025, after multiple falls at home per the facility's admission Record. Resident 51 had an RP listed on the admission Record. An observation was conducted of Resident 51 in her room on 8/25/25 at 11:06 A.M. Two staff were in the room, assisting the resident to a wheelchair. A…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-28 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure non-pharmacological interventions (NPI) were done related to the use of an antidepressant (medication used to treat depression) for one of five residents (Resident 1) reviewed for unnecessary medications.This failure had the potential for Resident 1 to receive unnecessary medications, or more medication than necessary to treat depression (feelings of sadness, hopelessness, and loss of interest in activities).Findings:A review of Resident 1's Face Sheet record indicated the resident was admitted on [DATE] with diagnoses including major depressive disorder (also known as depression). A review of Resident 1's physician's orders indicated the following psychotropic medications:-bupropion hydrochloride tablet extended release 24 hr. (hour); (generic for Wellbutrin XL, a medication to treat depression) 150 milligrams (mg) 1 tablet by mouth, once a day: Special Instructions: dx:(diagnosis) depression AEB (as evidenced by) decreased motivation and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-28 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide an activity program to meet the interests of one of one residents reviewed for activities (Resident 3). As a result, Resident 3 was at risk for psychosocial isolation and boredom. Findings:Resident 3 was admitted to the facility on [DATE] with diagnoses to include dementia (loss of memory, language, problem solving and other thinking abilities), per the Resident Face Sheet.An observation and interview was conducted on 8/25/25 at 9:49 A.M. with Resident 3 and his private duty caregiver (PCG 1). Resident 3 was in bed, asleep. PCG 1 stated he was with the Resident 3 five days a week to ensure he was safe and getting good care from the facility. PCG 1 stated Resident 3 was from the Memory Care unit due to his dementia, and he normally was very engaged in activities there. PCG 1 stated since Resident 3 had been on the skilled nursing unit, the Life Enrichment staff dropped off a paper with a list of activities for the day, but they…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-28 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility did not ensure medications were documented according to professional standards of practice for two of five Resident (8,36) sampled residents reviewed for pharmacy services when:1. Documentation of controlled medication (drugs with high abuse potential) was not documented the same time as it was administered to Resident 36.2. Controlled medication prescribed to Resident 8 could not be accounted for when a controlled medication was wasted without a second nurse signature.Findings:1. A review of Resident 36's clinical record indicated the resident was admitted on [DATE].On 8/26/25 at 11:08 A.M., an interview and review of Resident 36's clinical record with Licensed Nurse (LN) 2 was conducted. A review of Resident 36's physician order for Tramadol (controlled medication used to alleviate pain) 50 mg, take half a tablet by mouth every eight hours as needed for pain. A review of July 2025 CDR (controlled drug record, an inventory sheet that keeps record of the usage of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-28 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of five sampled resident (Resident 31) were free of unnecessary medications when Resident 31 received anticoagulant (blood thinner) medications without monitoring for signs and symptoms of side effects.This deficiency had the potential to cause harm due to lack of monitoring for negative side effects of anticoagulant therapy, including excessive bleeding or bruising.Findings: A review of Resident 31's admission record indicated the resident was admitted on [DATE] with diagnoses including congestive heart failure (chronic condition where the heart muscle cannot pump blood effectively) and atrial fibrillation (A-Fib, condition where the heart beats out of rhythm).A review of Resident 31's physician's order, dated 7/30/25, for Eliquis (apixaban, an anticoagulant) 5 milligrams (mg) take 1 tablet by mouth BID (twice a day) for A-Fib.A review or Resident 31's care plan dated 8/8/25, indicated, Approach: Observe for signs of active bleeding…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-28 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility did not ensure medication storage cabinet was free from an expired medication.This failure had the potential for medication to have reduced effectiveness and/or medication misuse.Findings: On 8/25/25 at 2:44 P.M., an observation and interview was conducted with a Licensed Nurse (LN) 1 during a medication storage room tour on the third floor. An expired medication bottle labeled Sodium Chloride (salt) Tablets with an expiration date 6/2025 was stored with unexpired medications in the same cabinet. LN 1 acknowledged the medication expired on 6/2025 and should have been discarded. On 8/25/25 at 2:53 P.M., an observation and interview was conducted with Assistant Director of Nursing (ADON) during a medication storage room tour on the third floor. The ADON acknowledged Sodium Chloride bottle was expired on 6/2025. The ADON stated medication cabinet should be checked monthly for expired medications. The ADON stated she would discard the medication. The ADON stated her expectation was for all expired medication to be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-08-12 · tag F0583 — failed to protect personal privacy — patternKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to protect one (Resident 1) of four Residents' PHI (protected health information) when Resident 1 was sent out to the emergency room with wrong resident information and documents.As a result, HIPPA (Health Insurance Portability and Accountability Act- a U.S. federal law protecting sensitive patient health information from disclosure without the patient's consent or knowledge) was violated and allowed unconsented disclosure of another resident's PHI. Findings:Review of complaint intake indicated .[Name of SNF] sent a patient to .emergency department with the paperwork of another resident. The correct patient was Resident 1 and he arrived with another patient's chart and medical information, this patient whose chart was brought in with the wrong patient was Resident 2 .Review of facility's Face Sheet for Resident 1indicated that he was admitted on [DATE] with diagnoses that included: Metabolic Encephalopathy (a condition where brain dysfunction…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-07 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to administer medications to the correct resident for one of two sampled residents (1). This failure placed Resident 1 at an increased risk of low blood pressure. Findings: Per the facility's Resident Face Sheet, Resident 1 was admitted to the facility on [DATE] with diagnoses to include heart failure, atrial fibrillation (abnormal heart rhythm). On 5/7/25 at 9:40 A.M., an interview was conducted with the Director of Nursing (DON). The DON stated, on 4/25/25 Licensed Nurse (LN) 2 administered propranolol (a medication to treat heart problems and high blood pressure) and losartan (a medication to treat high blood pressure) to the wrong resident (Resident 1). The DON further stated, the error occurred because LN 2 thought Resident 1 was a different resident, and gave him the other resident's medications by mistake. LN 2 was not available for interview. Per the facility's Physician Order Report, dated 5/7/25, Resident 1 did not have any orders for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-19 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to report an allegation of neglect (a type of abuse that involves failing to provide care and services to a resident) for one of one resident (Resident 1) within the 24-hour timeframe to the State Survey Agency (SA, where the state law provides for jurisdiction in long term care facilities) of the reported incident. This failure resulted in the delay of facility's abuse investigation and potentially expose Resident 1 and other residents for further neglect. Findings: Resident 1 was admitted to the facility on [DATE] with a diagnosis of multiple fractures (broken bones) of the pelvis (a bone that connects the upper body to the lower body) and dementia (a condition characterized by loss of memory, language, problem solving and other thinking abilities) per facility's admission record. On 10/5/23 at 1:52 P.M., an interview was conducted with the Administrator (ADMIN). The ADMIN stated two certified nursing assistant students (SCNA 1 and SCNA 2) reported…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-22 · tag F0656 — failed to write and follow a full care plan — patternDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure resident-centered care plans were developed for six residents when: 1. Four residents had symptoms of vomiting and/or diarrhea (Resident 2, Resident 3, Resident 4 and Resident 5); 2. Two residents had fall incidents (Resident 1 and Resident 6); 3. A resident ' s bladder incontinence was not addressed (Resident 1) These failures could potentially affect these residents in the care areas that were not care planned. These included proper attention and assessment for dehydration and infection control for Resident 2, Resident 3, Resident 4 and Resident 5; avoiding further falls for Resident 6; preventing injury from further falls for Resident 1; and interventions to address bladder incontinence for Resident 1. Findings: 1. Resident 2 was re-admitted to the facility on [DATE] with the diagnoses including diabetes mellitus (too much sugar circulating in the blood) with diabetic kidney disease (a complication of diabetes causing damage to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2023-09-01 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide the needed care for one of three residents (Resident 46) when Resident 46's thoracentesis (procedure to drain fluid out of the lungs) incision site was not monitored. This failure had the potential for nursing staff to not identify any deterioration on Resident 46's incision site which could result in delay of treatment. Findings: A review of Resident 46's face sheet indicated that the resident was admitted to the facility on [DATE] with diagnoses that included chronic kidney disease (CKD, kidney failure), congestive heart failure (CHF, failure of the heart to pump blood). A review of Resident 46's physician order dated 8/17/23, indicated, Resident 46 had a thoracentesis on 8/28/23 at 12:40 P.M. A concurrent interview and record review were conducted with licensed nurse (LN 12) on 9/1/23 at 3:45 P.M. LN 12 stated there was no documentation Resident 46's thoracentesis incision site was assessed and monitored. LN 12 further stated Resident 46's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-01 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure that 1 of 29 medication opportunities was administered per standard of practice when Resident 11's Lidocaine patch (medication for pain) was administered without date and time. Findings: A review of Resident 11's History and Physical dated 7/20/2023 indicated, Resident 11 was admitted to the facility for diagnosis that included Syncope (fainting), back pain and sciatica (pain, tingling in the leg), and hand osteoarthritis (degeneration of joint cartilage). On 09/01/23 at 9:09 A.M., an observation was conducted during Licensed Nurse (LN) 1's medication pass with Resident 11. Resident 11 was administered with a Lidocaine Patch 4%. The lidocaine patch was cut into half and was placed on his left wrist and right wrist, and both patches did not have date and time. A review of Physician 1's order indicated Lidocaine [OTC] adhesive patch, medicated; 4%; amt (amount): 1 patch; topical .back pain . on in AM off in PM . On 9/1/2023 at 9:30 A.M., an interview was conducted with LN 1. LN stated Resident 11 refused…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure proper storage of medications were followed when: 1. 1 of 2 medication rooms (Medication Room # 1) stored 2 expired residents' medications. 2. 1 of 12 sampled residents (Resident 155) had an unattended medication in Resident 155's bedside table. As a result, using expired medications had the potential to affect the medications' action and effectivity. In addition, leaving medications unattended could result in other residents ingesting another resident's medications which could affect the resident's health and safety. Findings: On 8/31/23 at 4:06 P.M., a concurrent observation and interview were conducted in the Second Floor Medication Room (Medication Room # 1) with Licensed Nurse (LN) 2. In the refrigerator, a compounded medication Pantoprazole (medication that reduces the amount of acid your stomach makes) 2MG/ML 400ML SUSP with expiration date of 8/29/2023 was observed. LN 2 stated Pantoprazole medication had an expiration date of 8/29/2023 and was considered expired. In the medication storage…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure the facility's policy and procedure for infection control were implemented for 2 of 12 residents (Resident 10 and Resident 46) when: 1. Resident 10's breakfast meal tray, that had been placed on the resident's bedside table, was brought back to kitchen and meal items were re-stored back in respective storage (food warmer and refrigerator). 2.Resident 46's used nasal cannula (tubing to deliver oxygen) was not stored in a bag. These failures could result in the spread of infection and cross contamination that could affect the 48 residents in the facility, the facility staff, as well as the visitors. Findings: 1. A review of Resident 10's undated Facesheet indicated that Resident 10 was admitted on [DATE] for diagnoses that included hypertension (high blood pressure), visual hallucination (seeing non-existent objects), and anxiety (feeling of fear). On 8/30/2023 at 8 A.M., an observation was conducted in Resident 10's room with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-11-08 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to consistently use the pain scale when assessing resident pain. The facility also failed to ensure pain medication was administered based on the resident's pain assessment. As a result, residents pain may not have been well controlled. Findings: 1. On 11/5/19 at 10:24 A.M. Resident 18 complained of pain, she said she wanted her pain pill. The medication nurse, RN 1 was outside her room and stated Resident 18 received her pain pill an hour ago, and she was about to go in to reassess Resident 18's pain. RN 1 stated Resident 18 was confused. On 11/8/19 at 11:21 A.M. Resident 18 clinical record was reviewed. Resident 18's MAR for the 11/5/18, related to morning dose of Norco (narcotic pain medication) had RN 1's initials, instead of Resident 18's numerical assessment of pain, for both the pre and post administration pain assessment. According to Resident 18's clinical record, Resident 18 had a physician's order dated 3/8/19 for acetaminophen, 325 mg, 2 tablets, by mouth every 6 hours as needed for mild (1-3/10) pain. On 10/27/19,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to VI LIVING — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.4 | +0.6 vs chain |
| Health inspection | 5 of 5 | 4.0 | +1.0 vs chain |
| Staffing | 5 of 5 | 5.0 | ≈ chain avg |
| Quality measures | 5 of 5 | 4.7 | +0.3 vs chain |
The other 8 homes this chain runs (chain average 4.4★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| CC LA JOLLA LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 04/03/1998 |
| CC DEVELOPMENT GROUP II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2026 |
| CC LIVING HOLDING COMPANY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2026 |
| COPE, TARA | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 05/01/2026 |
| CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/25/2025 |
| BLYS, ELLEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/26/2015 |
| BOUDREAU, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/15/2011 |
| EVRAETS, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/31/2020 |
| KOSZYLKO, TOMEK | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/15/2018 |
| MASLOW, CARY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/01/2019 |
| MUSZYNSKI, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2022 |
| PATTERSON, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/13/2023 |
| RAWI, TAIB | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/01/2019 |
| SMITH, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2022 |
| WHITE, KELLY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/21/2024 |
| WILLIAMS, BRIDGET | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/01/2022 |
CMS files one row per role, so the 29 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $659K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CA
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the California Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 555793. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-28, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.