Nursing homeActive
Fallbrook Skilled Nursing
325 Potter Street, Fallbrook, CA 92028760728233093 certified beds · 81 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2019
Deficiencies
20
● 0● 20● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-09-18
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-18 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-01 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-10-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-07-20 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2019-09-18 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-07Record 055298-20250918-F760
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-07Record 055298-20250918-F842
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 055298-20250501-F558
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 055298-20250501-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 055298-20250501-F677
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 055298-20250501-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 055298-20250501-F880
F555Honor the resident's right to choose his or her attending physician.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 055298-20241029-F555
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F604
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F676
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F695
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F727
F761Ensure 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 055298-20230720-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-18Record 055298-20190918-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-18Record 055298-20190918-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-18Record 055298-20190918-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-10-18Record 055298-20190918-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.31
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day3.84
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.38
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover41%
Facility
California
National
California 37% · National 46%
Registered nurse turnover57%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.1% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.9% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.7% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.2% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.4% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Goings Family Trust Dated February 18, 2005 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| Helen Louise Larson Revocable Trust Created Under That Certain Declara Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| The Herman J Tanske Trust Dated May 28, 1987, As Amended Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | — | — |
| The Larson Family Trust Of 2010 As Amended Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| Victor Avila Family Trust Dated January 26, 1990 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| Avila, Stephanie Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | — | — |
| Avila, Victor Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | — | — |
| Goings, Verna Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | — | — |
| Larson, Maria Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| Goings & Goings Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goings, Gregory Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kilian, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcdonald, Jason Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Pisco, Mary Jean Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Progressive Health Care Centers — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for San Diego.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Santa Fe Post-Acute Vista | 11.0 mi | 2026-03-23 | 0173 |
| Temecula Healthcare Center Temecula | 10.8 mi | 2026-03-25 | 0351 |
| The Springs Health And Rehabilitation Center Murrieta | 12.1 mi | 2025-12-15 | 0201 |
| Vista View Post Acute Vista | 12.5 mi | 2026-02-19 | 1100 |
| Vista Knoll Specialized Care Facility Vista | 13.2 mi | 2026-06-11 | 0141 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |