Skip to the page
Get started free

Data / Nursing homes / California / Carmel Mountain Rehabilitation & Healthcare Center

Carmel Mountain Rehabilitation & Healthcare Center, San Diego, CA: 3 star rating, no fines

Carmel Mountain Rehabilitation & Healthcare Center in San Diego, CA is run by Bernardo Heights Healthcare, Inc., with no owner listed in the CMS ownership file, is rated 3 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 46 health citations from inspections in that time, the latest survey on April 15, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in California
Address
11895 Avenue of Industry, San Diego, CA 92128
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5
Certified beds
120
Residents per day
114 on average
Ownership type
For profit, limited liability company
Legal business name
Bernardo Heights Healthcare, Inc.
Chain
The Ensign Group, 347 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
46, of which 1 with actual harm or immediate jeopardy
Latest survey
April 15, 2026
CMS Certification Number
555326
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 15, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 4, 2026data.cms.gov
April 15, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
April 15, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2026data.cms.gov
January 22, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2026data.cms.gov
September 16, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 5, 2025data.cms.gov
September 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 5, 2025data.cms.gov
September 4, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 22, 2025data.cms.gov
September 4, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 22, 2025data.cms.gov
September 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 5, 2025data.cms.gov
April 24, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
April 24, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 24, 2025data.cms.gov
December 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2025data.cms.gov
October 15, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
October 15, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
September 13, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2024data.cms.gov
September 13, 2024F808Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2024data.cms.gov
July 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
May 10, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov
May 10, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 21, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 13 individual or personal trusts (5 managers, 6 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Cetna Staffing IncOperational or managerial controlNot listedMarch 1, 2006data.cms.gov
Lincare IncOperational or managerial controlNot listedMarch 1, 2006data.cms.gov
Sevenoaks Capital Associates LLCOperational or managerial controlNot listedMarch 1, 2006data.cms.gov
Caretrust GP LLCAdditional disclosable partyNot listedMarch 1, 2006data.cms.gov
Caretrust REIT IncAdditional disclosable partyNot listedMarch 1, 2006data.cms.gov
CM Health Holdings LLCAdditional disclosable partyNot listedMarch 1, 2006data.cms.gov
CTR Partnership LPAdditional disclosable partyNot listedMarch 1, 2006data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedMarch 1, 2006data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedJanuary 30, 2006data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.