B85

FALLBROOK SKILLED NURSING

Grade B 85/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

93

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

325 POTTER STREET, FALLBROOK, CA 92028
7607282330

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.43h
LPN
1.23h
CNA
2.46h
Total
4.12h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GOINGS FAMILY TRUST DATED FEBRUARY 18, 2005

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

33%

HELEN LOUISE LARSON REVOCABLE TRUST CREATED UNDER THAT CERTAIN DECLARA

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

8%

THE HERMAN J TANSKE TRUST DATED MAY 28, 1987, AS AMENDED

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

17%

THE LARSON FAMILY TRUST OF 2010 AS AMENDED

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

8%

VICTOR AVILA FAMILY TRUST DATED JANUARY 26, 1990

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

33%

AVILA, STEPHANIE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2015

17%

AVILA, VICTOR

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2015

17%

GOINGS, VERNA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2015

17%

LARSON, MARIA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2015

8%

GOINGS & GOINGS INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2015

GOINGS, GREGORY

IndividualCORPORATE OFFICERSince Jan 2015

KILIAN, JAMES

IndividualCORPORATE OFFICERSince Jan 2015

MCDONALD, JASON

IndividualW-2 MANAGING EMPLOYEESince Jul 2015

PISCO, MARY JEAN

IndividualW-2 MANAGING EMPLOYEESince Jul 2015

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (21)

September 18, 2025Health2 deficiencies
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 7, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 7, 2025
May 1, 2025Health5 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected May 31, 2025
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected May 31, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected May 31, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected May 31, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 31, 2025
October 29, 2024Health1 deficiency
0555DMinimal harm, Isolated

Honor the resident's right to choose his or her attending physician.

Resident Rights Deficiencies

Corrected Dec 4, 2024
July 20, 2023Health8 deficiencies
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 20, 2023
0676DMinimal harm, Isolated

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected Aug 20, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 20, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 20, 2023
0727EMinimal harm, Pattern

Have 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.

Nursing and Physician Services Deficiencies

Corrected Aug 20, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 20, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Aug 20, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 20, 2023
February 10, 2023Health1 deficiency
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Feb 27, 2023
September 18, 2019Health4 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 18, 2019
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 18, 2019
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Oct 18, 2019
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Oct 18, 2019

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Frequently Asked Questions

What is the CareGrader rating for FALLBROOK SKILLED NURSING?

FALLBROOK SKILLED NURSING in FALLBROOK, California has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for FALLBROOK SKILLED NURSING?

FALLBROOK SKILLED NURSING has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FALLBROOK SKILLED NURSING have?

FALLBROOK SKILLED NURSING has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does FALLBROOK SKILLED NURSING have?

FALLBROOK SKILLED NURSING has 93 certified beds with approximately 77 current residents (83% occupancy). The facility is located at 325 POTTER STREET, FALLBROOK, California 92028. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.