Fallbrook Skilled Nursing
325 Potter Street, Fallbrook, CA 92028
Fallbrook Skilled Nursing is a nursing home in Fallbrook, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (760) 728-2330
- Last standard health inspection
- May 1, 2025 (1 year ago)
- Certified beds
- 93
- Residents per day, on average
- 80.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Fallbrook Healthcare Center Operating Company LLC
- Chain
- Progressive Health Care Centers
- Takes part in
- Medicare and Medicaid
Fewer health citations than the California average (20 vs 50).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
2 citations
Health inspection on September 18, 2025
CMS lists this as a complaint inspection.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on November 7, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on November 7, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
5 citations
Health inspection on May 1, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 31, 2025.
CMS has cited this home for F0812 3 times since 2019.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on May 31, 2025.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on May 31, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 31, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 31, 2025.
CMS has cited this home for F0880 2 times since 2023.
7 citations
Fire safety inspection on May 1, 2025
CMS lists this as a standard inspection.
Citation K0352. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on May 28, 2025.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on May 28, 2025.
CMS has cited this home for K0363 2 times since 2023.
Citation K0753. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on May 28, 2025.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on May 28, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 28, 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 28, 2025.
CMS has cited this home for K0353 3 times since 2019.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on May 28, 2025.
CMS has cited this home for K0920 2 times since 2023.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
1 citation
Health inspection on October 29, 2024
CMS lists this as a complaint inspection.
Citation F0555. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to choose his or her attending physician.
CMS lists it as corrected on December 4, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.5 to 3.0 hours per resident per day.
8 citations
Health inspection on July 20, 2023
CMS lists this as a standard inspection.
Citation F0727. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 20, 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 20, 2023.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on August 20, 2023.
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on August 20, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 20, 2023.
CMS has cited this home for F0689 2 times since 2019.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 20, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 20, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 20, 2023.
3 citations
Fire safety inspection on July 20, 2023
CMS lists this as a standard inspection.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 8, 2023.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on August 8, 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 8, 2023.
4 citations
Health inspection on September 18, 2019
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on October 18, 2019.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 18, 2019.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 18, 2019.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on October 18, 2019.
9 citations
Fire safety inspection on September 18, 2019
CMS lists this as a standard inspection.
Citation E0031. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on November 12, 2019.
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on November 12, 2019.
Citation K0293. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on November 12, 2019.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 12, 2019.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 12, 2019.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on November 12, 2019.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on November 12, 2019.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on November 12, 2019.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on November 12, 2019.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GOINGS FAMILY TRUST DATED FEBRUARY 18, 20055% or greater direct ownership interest · 33% · since 01/23/2015
- HELEN LOUISE LARSON REVOCABLE TRUST CREATED UNDER THAT CERTAIN DECLARA5% or greater direct ownership interest · 8% · since 01/23/2015
- THE HERMAN J TANSKE TRUST DATED MAY 28, 1987, AS AMENDED5% or greater direct ownership interest · 17% · since 01/23/2015
- THE LARSON FAMILY TRUST OF 2010 AS AMENDED5% or greater direct ownership interest · 8% · since 01/23/2015
- VICTOR AVILA FAMILY TRUST DATED JANUARY 26, 19905% or greater direct ownership interest · 33% · since 01/23/2015
- AVILA, STEPHANIE5% or greater indirect ownership interest · 17% · since 01/23/2015
- AVILA, VICTOR5% or greater indirect ownership interest · 17% · since 01/23/2015
- GOINGS, VERNA5% or greater indirect ownership interest · 17% · since 01/23/2015
- LARSON, MARIA5% or greater indirect ownership interest · 8% · since 01/23/2015
- GOINGS & GOINGS INCOperational/managerial control · not applicable · since 01/23/2015
Questions
When was Fallbrook Skilled Nursing last inspected?
CMS lists May 1, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Fallbrook Skilled Nursing have?
CMS lists 20 health citations since September 18, 2019. CMS also calls these deficiencies.
Has Fallbrook Skilled Nursing been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Fallbrook Skilled Nursing?
Its CMS overall star rating is 4 of 5.
Is Fallbrook Skilled Nursing a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.