Starfile / California

CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER

11895 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128 · CCN 555326

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (50)

1. EF0880Provide and implement an infection prevention and control program.2026-01-22 · Health

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-16 · Health · corrected 2025-10-05

   Potential for more than minimal harm

3. DF0880Provide and implement an infection prevention and control program.2025-09-16 · Health · corrected 2025-10-05

   Potential for more than minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-04 · Health · corrected 2025-10-05

   Potential for more than minimal harm

5. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-04 · Health · corrected 2025-09-22

   Potential for more than minimal harm

6. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-09-04 · Health · corrected 2025-09-22

   Potential for more than minimal harm

7. EF0558Reasonably accommodate the needs and preferences of each resident.2025-04-24 · Health · corrected 2025-05-24

   Potential for more than minimal harm

8. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-04-24 · Health · corrected 2025-05-24

   Potential for more than minimal harm

9. EF0584Honor 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.2025-04-24 · Health · corrected 2025-05-24

   Potential for more than minimal harm

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

12. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

14. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

15. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

16. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

19. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

20. EF0880Provide and implement an infection prevention and control program.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

21. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-26 · Health · corrected 2025-02-03

    Potential for more than minimal harm

22. DF0641Ensure each resident receives an accurate assessment.2024-10-15 · Health · corrected 2024-11-15

    Potential for more than minimal harm

23. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-10-15 · Health · corrected 2024-11-15

    Potential for more than minimal harm

24. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

25. DF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

26. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-30 · Health · corrected 2024-08-22

    Potential for more than minimal harm

27. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

28. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

29. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

30. DF0578Honor 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.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

31. DF0583Keep residents' personal and medical records private and confidential.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

32. DF0584Honor 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.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

34. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

36. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

37. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

38. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

39. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

40. DF0761Ensure 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.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

42. EF0880Provide and implement an infection prevention and control program.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

43. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-05-10 · Health · corrected 2024-06-21

    Potential for more than minimal harm

44. DF0558Reasonably accommodate the needs and preferences of each resident.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

46. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

47. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

48. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

49. DF0759Ensure medication error rates are not 5 percent or greater.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

50. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-28 · Health · corrected 2023-08-28

    Potential for more than minimal harm

Ownership

Other facilities in SAN DIEGO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.