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Palomar Heights Post Acute Complaints, Violations and Inspection Records

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into Palomar Heights Post Acute in Escondido, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 2 citations in the state's two most serious classes, class A and class AA.

CMS overall rating 3 of 5 Health inspections 2 of 5
Nursing hours per resident per day 4.00 Compared with the California average below
California state citations 7 $149,850 in penalties
Federal fines $8,176 1 federal fine
CMS overall rating
CMS overall rating: 3 out of 5 stars.
Nursing hours per resident per day, against the California average
This facility reports 4.00 nursing hours per resident per day, below the California average of 4.52.
California state citations by year
California state citations by year, between 2004 and 2023: 7 citations on record, including 1 class AA and 1 class A and 5 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 3 of 5 stars. The health inspection rating, the most independent of the three categories, is 2 of 5.
  • California state citations: 7 on record, including 1 class AA, 1 class A, and 5 class B, with $149,850 in assessed penalties.
  • Staffing: 4.00 nursing hours per resident per day; registered nurse turnover 11.1%.
  • Most recent standard inspection: 20 deficiencies cited on May 30, 2025. The most recent inspection since then was on May 21, 2026: 1 deficiency cited in the complaint inspection.
  • Federal enforcement: 1 federal fine totaling $8,176 in the reported period.
  • Ownership: Palomar Heights Healthcare, LLC, for-profit, part of Pacs Group (274 facilities nationally).
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for Palomar Heights Post Acute in Escondido, California.
Illustration. Not a photograph of Palomar Heights Post Acute.

Palomar Heights Post Acute ratings and staffing

Palomar Heights Post Acute is located at 1260 E Ohio Avenue in Escondido, San Diego County. It is a for-profit facility operated by Palomar Heights Healthcare, LLC, part of Pacs Group, with 98 certified beds and an average of 82.6 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For Palomar Heights Post Acute, those scores are: health inspections 2 of 5, staffing 3 of 5, quality measures 5 of 5.

Staffing. Palomar Heights Post Acute reports 4.00 total nursing hours per resident per day, of which 0.64 are registered nurse hours. Over the reporting year, 42.3% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 3 of 5 San Diego County average 3.95 of 5 across 81 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 4.00 San Diego County average 4.50. California average 4.52
Federal fines $8,176 San Diego County average $13,335 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Homes in San Diego County with a higher CMS overall rating

CMS rates each of these homes above Palomar Heights Post Acute on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

May 21, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

April 16, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge and ensure that residents are free from significant medication errors.

  • F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)
  • F0760Ensure that residents are free from significant medication errors. (scope and severity D)

February 17, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for 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 and safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F0761Ensure 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. (scope and severity D)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

May 30, 2025, standard inspection

20 deficiencies cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, 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, and ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
  • F0761Ensure 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. (scope and severity E)
  • F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
  • F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (scope and severity E)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
  • F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
  • F0584Honor 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. (scope and severity D)
  • F0637Assess the resident when there is a significant change in condition (scope and severity D)
  • F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
  • F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
  • F0679Provide activities to meet all resident's needs. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
  • F0699Provide care or services that was trauma informed and/or culturally competent. (scope and severity D)
  • F0730Observe each nurse aide's job performance and give regular training. (scope and severity D)
  • F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (scope and severity D)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
  • F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)

October 16, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement policies and procedures for flu and pneumonia vaccinations.

  • F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)

October 9, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents and keep all essential equipment working safely.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
  • F0908Keep all essential equipment working safely. (scope and severity D)

June 21, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity G)

March 15, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

February 15, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

December 27, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

November 27, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)

September 25, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

  • F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). (scope and severity D)

March 17, 2022, standard inspection

10 deficiencies cited. Surveyors cited the facility for assure that each resident’s assessment is updated at least once every 3 months, encode each resident’s assessment data and transmit these data to the state within 7 days of assessment, and employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  • F0638Assure that each resident’s assessment is updated at least once every 3 months. (scope and severity E)
  • F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (scope and severity E)
  • F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity E)
  • F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
  • F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (scope and severity E)
  • F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity E)
  • F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
  • F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0908Keep all essential equipment working safely. (scope and severity D)

November 7, 2019, standard inspection

10 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive, and develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
  • F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
  • F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
  • F0761Ensure 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. (scope and severity D)
  • F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity D)
  • F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity D)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)

Penalties. Over the reported period, Palomar Heights Post Acute received 1 federal fine totaling $8,176 and 1 payment denial. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 7 citations against Palomar Heights Post Acute between July 7, 2004 and October 26, 2023: 1 class AA, 1 class A, and 5 class B, with $149,850 in assessed penalties. 2 of these actions were connected to a resident's death.

  • October 26, 2023, class B, Patient Rights. $1,200 penalty.
  • November 13, 2009, class B, Other. $750 penalty. Appealed.
  • November 13, 2009, class B, Other. $1,000 penalty.
  • January 31, 2008, class A, Other. $95,000 penalty. Appealed. Death-related.
  • February 3, 2006, class AA, Patient Care. $50,000 penalty. Appealed. Death-related.
  • December 30, 2004, class B, Patient Care. $1,000 penalty.
  • July 7, 2004, class B, Other. $900 penalty.

Across San Diego County's 83 certified facilities, the average is about 4.8 state citations per facility. Palomar Heights Post Acute's 7 is above that average.

A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in Escondido

Families comparing options in Escondido often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the San Diego County nursing home directory.

Other nursing homes in San Diego County

These are other nursing homes in San Diego County, listed by how close each home's ZIP code is to the ZIP code for Palomar Heights Post Acute. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for Palomar Heights Post Acute in Escondido, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Palomar Heights Post Acute, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the San Diego County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. San Diego County's ombudsman program can be reached at (800) 640-4661. This is often the fastest first step when the issue is care quality rather than an emergency.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Palomar Heights Post Acute is a reason to ask what the facility's own records show:

Nursing home abuse claims in San Diego County

If a loved one was harmed at Palomar Heights Post Acute, these pages explain how San Diego County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the San Diego County nursing home directory.

Are There Lawsuits Against Palomar Heights Post Acute?

This page reports federal and state inspection, complaint and enforcement records for Palomar Heights Post Acute. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for San Diego County are searchable through the San Diego County Superior Court's online case records. If your family member was injured at Palomar Heights Post Acute, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Family touring a California nursing home and asking staff questions. Illustration on the page for Palomar Heights Post Acute in Escondido, California.
Family touring a California nursing home and asking staff questions

Frequently asked questions

Is Palomar Heights Post Acute a good nursing home?
CMS gives Palomar Heights Post Acute an overall rating of 3 of 5 stars, with a health inspection rating of 2 of 5 based on in-person state surveys. California has issued 7 state citations against the facility, including 2 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at Palomar Heights Post Acute?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the San Diego County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has Palomar Heights Post Acute been fined or cited for serious violations?
Public records show 1 federal fine totaling $8,176 and 7 California state citations with $149,850 in state penalties, including 1 class AA citation.
How many state citations does Palomar Heights Post Acute have?
The California Department of Public Health has issued 7 citations against Palomar Heights Post Acute in Escondido between July 7, 2004 and October 26, 2023: 1 class AA, 1 class A, and 5 class B, with $149,850 in assessed penalties.
How do I report a problem at Palomar Heights Post Acute?
File a complaint with CDPH through its Cal Health Find system, or contact the San Diego County Long-Term Care Ombudsman at (800) 640-4661. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at Palomar Heights Post Acute, talk to our San Diego County nursing home abuse lawyers. We handle cases in Escondido and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

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Sources

  • Centers for Medicare & Medicaid Services, Care Compare: Palomar Heights Post Acute provider record, CCN 555764. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: Palomar Heights Post Acute state license record, FACID 080000066, license 80000060.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Palomar Heights Post Acute in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Palomar Heights Post Acute, and neither the facility nor any government agency endorses this page.

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